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  • Variations in outcomes for Indigenous women with breast cancer in Australia: A systematic review

    Author(s)
    Dasgupta, P
    Baade, PD
    Youlden, DR
    Garvey, G
    Aitken, JF
    Wallington, I
    Chynoweth, J
    Zorbas, H
    Roder, D
    Youl, PH
    Griffith University Author(s)
    Youl, Philippa
    Baade, Peter D.
    Youlden, Danny R.
    Aitken, Joanne
    Dasgupta, Paramita
    Year published
    2017
    Metadata
    Show full item record
    Abstract
    This systematic review examines variations in outcomes along the breast cancer continuum for Australian women by Indigenous status. Multiple databases were systematically searched for peer-reviewed articles published from 1 January 1990 to 1 March 2015 focussing on adult female breast cancer patients in Australia and assessing survival, patient and tumour characteristics, diagnosis and treatment by Indigenous status. Sixteen quantitative studies were included with 12 rated high, 3 moderate and 1 as low quality. No eligible studies on referral, treatment choices, completion or follow-up were retrieved. Indigenous women had ...
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    This systematic review examines variations in outcomes along the breast cancer continuum for Australian women by Indigenous status. Multiple databases were systematically searched for peer-reviewed articles published from 1 January 1990 to 1 March 2015 focussing on adult female breast cancer patients in Australia and assessing survival, patient and tumour characteristics, diagnosis and treatment by Indigenous status. Sixteen quantitative studies were included with 12 rated high, 3 moderate and 1 as low quality. No eligible studies on referral, treatment choices, completion or follow-up were retrieved. Indigenous women had poorer survival most likely reflecting geographical isolation, advanced disease, patterns of care, comorbidities and disadvantage. They were also more likely to be diagnosed when younger, have advanced disease or comorbidities, reside in disadvantaged or remote areas, and less likely to undergo mammographic screening or surgery. Despite wide heterogeneity across studies, an overall pattern of poorer survival for Indigenous women and variations along the breast cancer continuum of care was evident. The predominance of state-specific studies and small numbers of included Indigenous women made forming a national perspective difficult. The review highlighted the need to improve Indigenous identification in cancer registries and administrative databases and identified key gaps notably the lack of qualitative studies in current literature.
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    Journal Title
    European Journal of Cancer Care
    DOI
    https://doi.org/10.1111/ecc.12662
    Note
    This publication has been entered into Griffith Research Online as an Advanced Online Version.
    Subject
    Oncology and Carcinogenesis not elsewhere classified
    Nursing
    Oncology and Carcinogenesis
    Public Health and Health Services
    Publication URI
    http://hdl.handle.net/10072/344520
    Collection
    • Journal articles

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    Tagline

    • Gold Coast
    • Logan
    • Brisbane - Queensland, Australia
    First Peoples of Australia
    • Aboriginal
    • Torres Strait Islander