ArticleBMC cancer2014
Survival disparities in Australia: an analysis of patterns of care and comorbidities among indigenous and non-indigenous cancer patients.
Article in BMC cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.
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Who cites it
40 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.
- Implementing healthcare decolonisation for Indigenous people: a systematic review.International journal for equity in health · 2025Pooled it
- Treatment utilisation for Aboriginal and Torres Strait Islander people diagnosed with prostate cancer in Australia: a population-based study.The Lancet regional health. Western Pacific · 2026Article
- Article
- End-of-life healthcare use and associated costs for First Nations Australians diagnosed with cancer in Queensland, Australia.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Exploring the Impact of Physical Therapy on Patient Outcomes Across the Cancer Care Continuum: A Narrative Review.Cureus · 2025Review
- Radiotherapy and time to initial treatment following a cancer diagnosis among First Nations Australians: results from a population-based analysis.Archives of public health = Archives belges de sante publique · 2025Article
- Prevalence of surgery in Indigenous people with cancer: a systematic review and meta-analysis.The Lancet regional health. Western Pacific · 2025Article
- The effect of general practice contact on cancer stage at diagnosis in Aboriginal and non-Aboriginal residents of New South Wales.Cancer causes & control : CCC · 2023Article
- Dynamic ctDNA Mutational Complexity in Patients with Melanoma Receiving Immunotherapy.Molecular diagnosis & therapy · 2023Observational
- Patient Information Resources on Cardiovascular Health After Cancer Treatment: An Audit of Australian Resources.JCO global oncology · 2023Review
- Cancer survival differentials for Aboriginal and Torres Strait Islander peoples in Queensland: the impact of remoteness.Cancer causes & control : CCC · 2023Article
- Histopathology pattern and survival analysis of patients with kidney biopsy in the top end of Northern Australia from 2007 to 2020.BMC nephrology · 2022Article
- Article
- Putting Policy into Practice: How Three Cancer Services Perform against Indigenous Health and Cancer Frameworks.International journal of environmental research and public health · 2022Article
- Article
- Barriers to employment of Australian cancer survivors living with geographic or socio-economic disadvantage: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Lung, breast and bowel cancer treatment for Aboriginal people in New South Wales: a population-based cohort study.Internal medicine journal · 2021Article
- "The support has been brilliant": experiences of Aboriginal and Torres Strait Islander patients attending two high performing cancer services.BMC health services research · 2021Article
- Accessibility of cancer treatment services for Indigenous Australians in the Northern Territory: perspectives of patients and care providers.BMC health services research · 2021Article
- Communication, Collaboration and Care Coordination: The Three-Point Guide to Cancer Care Provision for Aboriginal and Torres Strait Islander Australians.International journal of integrated care · 2020Article
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 3 countries.
Funding
Abstract
backgroundIndigenous Australians have lower overall cancer survival which has not yet been fully explained. To address this knowledge deficit, we investigated the associations between comorbidities, cancer treatment and survival in Indigenous and non-Indigenous people in Queensland, Australia.
methodsA cohort study of 956 Indigenous and 869 non-Indigenous patients diagnosed with cancer during 1998-2004, frequency-matched on age, sex, remoteness of residence and cancer type, and treated in Queensland public hospitals. Survival after cancer diagnosis, and effect of stage, treatment, and comorbidities on survival were examined using Cox proportional hazard models.
resultsOverall Indigenous people had more advanced cancer stage (p = 0.03), more comorbidities (p < 0.001), and received less cancer treatment (77% vs. 86%, p = 0.001). Among patients without comorbidities and social disadvantage, there was a lower uptake of treatment among Indigenous patients compared to non-Indigenous patients. For those who received treatment, time to commencement, duration and dose of treatment were comparable. Unadjusted cancer survival (HR = 1.30, 95% CI 1.15-1.48) and non-cancer survival (HR = 2.39, 95% CI 1.57-3.63) were lower in the Indigenous relative to non-Indigenous patients over the follow-up period. When adjusted for clinical factors, there was no difference in cancer-specific survival between the groups (HR = 1.10, 95% CI 0.96-1.27). One-year survival was lower for Indigenous people for all-causes of death (adjusted HR = 1.33, 95% CI 1.12-1.83).
conclusionIn this study, Indigenous Australians received less cancer treatment, had more comorbidities and had more advanced cancer stage at diagnosis, factors which contribute to poorer cancer survival. Moreover, for patients with a more favourable distribution of such prognostic factors, Indigenous patients received less treatment overall relative to non-Indigenous patients. Personalised cancer care, which addresses the clinical, social and overall health requirements of Indigenous patients, may improve their cancer outcomes.
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