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dc.contributor.authorMazza, Danielle-
dc.contributor.authorLin, Xiaoping-
dc.contributor.authorWalter, Fiona M-
dc.contributor.authorYoung, Jane M-
dc.contributor.authorBarnes, David J-
dc.contributor.authorMitchell, Paul L R-
dc.contributor.authorBrijnath, Bianca-
dc.contributor.authorMartin, Andrew-
dc.contributor.authorO'Byrne, Kenneth J-
dc.contributor.authorEmery, Jon D-
dc.identifier.citationEuropean Journal of Cancer Care 2021; 30(6): e13492en
dc.description.abstractLung cancer patients from ethnic minorities have poorer outcomes than their Caucasian counterparts. We compared lung cancer intervals between culturally and linguistically diverse (CALD) and Anglo-Australian patients to identify ethnic disparities. This was a prospective, observational cohort study comprising a patient survey and reviews of patients' hospital and general practice records. Across three states, 577 (407 Anglo-Australian and 170 CALD) patients were recruited and their hospital records reviewed. The survey was returned by 189 (135 Anglo-Australian and 54 CALD) patients, and a review was completed by general practitioners (GPs) of 99 (76 Anglo-Australian and 23 CALD) patients. Survival and Cox regression analyses were conducted. CALD patients had longer hospital diagnostic interval [median 30 days, 95% confidence interval (CI) 26-34] than Anglo-Australian patients (median 17, 95% CI 14-20), p = 0.005, hazard ratio (HR) = 1.32 (95% CI 1.09-1.60). This difference persisted after relevant factors were taken into consideration, adjusted HR = 1.26 (95% CI 1.03-1.54, p = 0.022). CALD patients also reported longer prehospital intervals; however, these differences were not statistically significant. Target interventions need to be developed to address ethnic disparity in hospital diagnostic interval.en
dc.subjectcancer pathwayen
dc.subjectdiagnostic intervalsen
dc.subjectlung canceren
dc.titleDo ethnic patients report longer lung cancer intervals than Anglo-Australian patients?: Findings from a prospective, observational cohort study.en
dc.typeJournal Articleen
dc.identifier.journaltitleEuropean Journal of Cancer Careen
dc.identifier.affiliationDepartment of General Practice and Centre for Cancer Research, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australiaen
dc.identifier.affiliationThe Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UKen
dc.identifier.affiliationDepartment of General Practice & Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australiaen
dc.identifier.affiliationSydney School of Public Health, Sydney Medical School, University of Sydney, Sydney, New South Wales, Australiaen
dc.identifier.affiliationDepartment of Respiratory and Sleep Medicine, Royal Prince Alfred Hospital, Sydney, New South Wales, Australiaen
dc.identifier.affiliationOlivia Newton-John Cancer Wellness and Research Centreen
dc.identifier.affiliationSocial Gerontology Division, National Ageing Research Institute, Melbourne, Victoria, Australiaen
dc.identifier.affiliationNHMRC Clinical Trials Centre, University of Sydney, Sydney, New South Wales, Australiaen
dc.identifier.affiliationPrincess Alexandra Hospital & Queensland University of Technology, Brisbane, Queensland, Australiaen
dc.identifier.affiliationDepartment of General Practice, Monash University, Melbourne, Victoria, Australiaen
dc.identifier.pubmedid34312918, Paul L R
item.openairetypeJournal Article-
item.fulltextNo Fulltext-
item.grantfulltextnone- Oncology- Newton-John Cancer Wellness and Research Centre-
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