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VOLUME 10, 2009  Issue Number 5 , 729-733
DownLoad : 729 b Roder.pdf
REVIEWS
Cancer in Aboriginal and Torres Strait Islander People of Australia
David Roder and David Currow 729
Abstract
Aboriginal and Torres Strait Islander Australians have a cancer incidence for all sites combined equivalent
to or slightly lower than for other Australians. They have a higher incidence of cancers of the cervix, liver and
gallbladder, oesophagus, unknown primary site, mouth and throat, lung and pancreas, but a lower incidence of
cancers of the prostate, female breast, colon/rectum and skin (melanoma). Case survivals are lower for Aboriginal
and Torres Strait Islander patients, partly due to an excess of cancer types with a high case fatality, relatively
low numbers with a low case fatality, and due to more advanced cancer stages at diagnosis. After accounting for
these factors, Aboriginal and Torres Strait Islander Australians still fare worse, probably due to elevated comorbidity
and less complete care resulting from geographic remoteness, limited access to transport and
accommodation services, and sometimes a cultural disconnect with mainstream services.
Key Words: Aboriginal Australians - Torres Strait Islanders - cancer - comparisons
 
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