Testicular cancer: a 13-year retrospective review of ethnic disparities in the Waikato region, New Zealand.

Autor: Hari Dass P; Waikato District Health Board, Hamilton, New Zealand., B Jameson M; Waikato District Health Board, Hamilton, New Zealand.; Waikato Clinical Campus, University of Auckland, Hamilton, New Zealand.
Jazyk: angličtina
Zdroj: Internal medicine journal [Intern Med J] 2020 Nov; Vol. 50 (11), pp. 1344-1349.
DOI: 10.1111/imj.14681
Abstrakt: Background: The testicular cancer incidence in New Zealand is rising. We evaluated if testicular cancer outcomes differed by ethnicity in NZ.
Aims: To study if ethnic disparities existed among testicular cancer patients and their outcomes treated at Waikato Regional Cancer Centre.
Methods: Retrospective review of testicular cancer cases in the Medical Oncology database, Waikato Hospital, between 2001 and 2013 inclusive.
Results: Three hundred and twenty-five patients were seen, with median follow up of survivors being 101 (range 13-230) months. 95 (29.2%) were Māori, 210 (64.6%) NZ European and 20 (6.1%) of other ethnicity. One hundred and eighty-two patients were diagnosed with seminoma and 143 with non-seminoma. Māori represented 27.5% of seminoma and 31.4% of non-seminoma patients. Median age at diagnosis was 39 years for seminoma and 30 years for non-seminoma; Māori were significantly younger than non- Māori for both seminoma (median age 35 versus 42 years) and non-seminoma (median age 28 vs 34 years, respectively). While stage distribution of seminoma at diagnosis was similar for Māori and non-Māori (chi-squared P = 0.31), significantly more Māori had higher-stage non-seminoma than non-Māori (stage III in 44% and 22%, respectively, chi-squared P = 0.014). Survival for seminoma (logrank P = 0.19) and non-seminoma (logrank P = 0.89) patients did not differ significantly by ethnicity.
Conclusions: Māori patients were younger at diagnosis of testicular cancer and presented with more advanced non-seminoma testicular tumours compared with non-Māori but survival was comparable.
(© 2019 Royal Australasian College of Physicians.)
Databáze: MEDLINE
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