Prevalence of invasive cancer in a large general practice patient population in New Zealand
ABSTRACT INTRODUCTIONThe prevalence of cancer in the community is likely to be increasing due to an ageing population, implementation of cancer screening programmes and advances in cancer treatment. AIMTo determine the prevalence of primary invasive cancers in a large general practice patient popula...
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| Format: | Article |
| Language: | English |
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CSIRO Publishing
2020-01-01
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| Series: | Journal of Primary Health Care |
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| Online Access: | https://www.publish.csiro.au/hc/pdf/HC19113 |
| _version_ | 1818597630075207680 |
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| author | Ross Lawrenson Chris Bullen Fraser Hodgson Chunhuan Lao Rawiri Keenan Lynne Chepulis Dong Hyun Kim |
| author_facet | Ross Lawrenson Chris Bullen Fraser Hodgson Chunhuan Lao Rawiri Keenan Lynne Chepulis Dong Hyun Kim |
| author_sort | Ross Lawrenson |
| collection | DOAJ |
| description | ABSTRACT
INTRODUCTIONThe prevalence of cancer in the community is likely to be increasing due to an ageing population, implementation of cancer screening programmes and advances in cancer treatment.
AIMTo determine the prevalence of primary invasive cancers in a large general practice patient population in New Zealand and to characterise the health-care status of these cancer patients.
METHODSData were sourced from the patient management system of a large general practice (n=11,374 patients) in a medium-sized Waikato town and from the New Zealand Cancer Registry dataset to identify patients diagnosed with cancer between January 2009 and December 2018.
RESULTSThere were 206 cancer diagnoses in 201 patients; 35 cancers were diagnosed in 1887 Māori patients (1.9%) and 171 in 9487 non-Māori patients (1.8%). The age-standardised prevalence was 3092/100,000 in Māori patients and 1971/100,000 in non-Māori patients. The most prevalent cancers were breast, male genital organ, digestive organ and skin cancers. In May 2019, 81 of 201 (40.8%) patients with cancer were receiving only usual care from their general practitioner, whereas 66 (32.8%) were having their cancer managed in secondary care. Comorbidities were common, including hypertension (38.8%), gastrointestinal disorders (29.9%) and mood disorders (24.4%).
DISCUSSIONResults suggest that there may be disparities in cancer prevalence between Māori and non-Māori patients, although this needs to be confirmed in other general practices. Furthermore, primary care appears to be responsible for most of the care in this patient cohort and workloads should be planned accordingly, particularly with the high incidence of comorbidities. |
| first_indexed | 2024-12-16T11:50:51Z |
| format | Article |
| id | doaj.art-51d5afaea89c443f8fa593565d09ad3a |
| institution | Directory Open Access Journal |
| issn | 1172-6156 |
| language | English |
| last_indexed | 2024-12-16T11:50:51Z |
| publishDate | 2020-01-01 |
| publisher | CSIRO Publishing |
| record_format | Article |
| series | Journal of Primary Health Care |
| spelling | doaj.art-51d5afaea89c443f8fa593565d09ad3a2022-12-21T22:32:42ZengCSIRO PublishingJournal of Primary Health Care1172-61562020-01-01123215224HC19113Prevalence of invasive cancer in a large general practice patient population in New ZealandRoss Lawrenson0Chris Bullen1Fraser Hodgson2Chunhuan Lao3Rawiri Keenan4Lynne Chepulis5Dong Hyun Kim6Waikato Medical Research Centre, University of Waikato, Private Bag 3105, Hamilton, New Zealand; and Strategy and Funding, Waikato District Health Board, Hamilton, New Zealand; and Corresponding author. Email: Ross.Lawrenson@waikatodhb.health.nzSchool of Population Health, University of Auckland, Auckland, New ZealandPinnacle Health, Hamilton, New ZealandWaikato Medical Research Centre, University of Waikato, Private Bag 3105, Hamilton, New ZealandWaikato Medical Research Centre, University of Waikato, Private Bag 3105, Hamilton, New ZealandWaikato Medical Research Centre, University of Waikato, Private Bag 3105, Hamilton, New ZealandSchool of Medicine, University of Auckland, Auckland, New ZealandABSTRACT INTRODUCTIONThe prevalence of cancer in the community is likely to be increasing due to an ageing population, implementation of cancer screening programmes and advances in cancer treatment. AIMTo determine the prevalence of primary invasive cancers in a large general practice patient population in New Zealand and to characterise the health-care status of these cancer patients. METHODSData were sourced from the patient management system of a large general practice (n=11,374 patients) in a medium-sized Waikato town and from the New Zealand Cancer Registry dataset to identify patients diagnosed with cancer between January 2009 and December 2018. RESULTSThere were 206 cancer diagnoses in 201 patients; 35 cancers were diagnosed in 1887 Māori patients (1.9%) and 171 in 9487 non-Māori patients (1.8%). The age-standardised prevalence was 3092/100,000 in Māori patients and 1971/100,000 in non-Māori patients. The most prevalent cancers were breast, male genital organ, digestive organ and skin cancers. In May 2019, 81 of 201 (40.8%) patients with cancer were receiving only usual care from their general practitioner, whereas 66 (32.8%) were having their cancer managed in secondary care. Comorbidities were common, including hypertension (38.8%), gastrointestinal disorders (29.9%) and mood disorders (24.4%). DISCUSSIONResults suggest that there may be disparities in cancer prevalence between Māori and non-Māori patients, although this needs to be confirmed in other general practices. Furthermore, primary care appears to be responsible for most of the care in this patient cohort and workloads should be planned accordingly, particularly with the high incidence of comorbidities.https://www.publish.csiro.au/hc/pdf/HC19113Cancer prevalenceNew Zealandcancer survivorsprimary health careregistries |
| spellingShingle | Ross Lawrenson Chris Bullen Fraser Hodgson Chunhuan Lao Rawiri Keenan Lynne Chepulis Dong Hyun Kim Prevalence of invasive cancer in a large general practice patient population in New Zealand Journal of Primary Health Care Cancer prevalence New Zealand cancer survivors primary health care registries |
| title | Prevalence of invasive cancer in a large general practice patient population in New Zealand |
| title_full | Prevalence of invasive cancer in a large general practice patient population in New Zealand |
| title_fullStr | Prevalence of invasive cancer in a large general practice patient population in New Zealand |
| title_full_unstemmed | Prevalence of invasive cancer in a large general practice patient population in New Zealand |
| title_short | Prevalence of invasive cancer in a large general practice patient population in New Zealand |
| title_sort | prevalence of invasive cancer in a large general practice patient population in new zealand |
| topic | Cancer prevalence New Zealand cancer survivors primary health care registries |
| url | https://www.publish.csiro.au/hc/pdf/HC19113 |
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