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dc.contributor.authorBaade, Peter D
dc.contributor.authorYoulden, Danny R
dc.contributor.authorCoory, Michael D
dc.contributor.authorGardiner, Robert A
dc.contributor.authorChambers, Suzanne K
dc.date.accessioned2018-05-08T22:58:30Z
dc.date.available2018-05-08T22:58:30Z
dc.date.issued2011
dc.identifier.issn0025-729X
dc.identifier.urihttp://hdl.handle.net/10072/41606
dc.description.abstractObjective: To update our previous analysis of trends for prostate-specific antigen (PSA) testing, prostate cancer incidence, radical prostatectomy and prostate cancer mortality to assess whether men in rural and regional areas of Australia now have more equitable access to prostate cancer services, and improved outcomes. Design, setting and participants: Descriptive study using population-based data for Australian men aged 50-79 years from 1982 to the 2008-09 financial year (depending on data availability for each outcome measure). Main outcome measures: Age-standardised rates per 100 000 men and 5-year survival rates. Results: Overall, rates of PSA screening and radical prostatectomy increased, accompanied by reductions in mortality and improvements in survival throughout Australia. Incidence rates were similar for men in urban and rural areas. However, in the last year of data collection, for men in rural areas compared with urban areas, rates of PSA screening (21 267/100 000 v 24 606/100 000; P<0.01) and radical prostatectomy (182.2/100 000 v 239.2/100 000; P<0.01) remained lower, mortality remained higher (56.9/100 000 v 45.8/100 000; P<0.01), and survival outcomes continued to be poorer (5-year relative survival, 87.7% v 91.4%; P<0.01). Conclusions: With some limitations, these ecological data demonstrate that the use of diagnostic and treatment services among men living in rural areas of Australia remains lower than among their urban counterparts, their survival and mortality outcomes are poorer, and these differentials are continuing. There is an urgent need to explore further the reasons for these differences and to implement changes so these inequalities can be reduced.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent409205 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoeng
dc.publisherAustralasian Medical Publishing Company Pty. Ltd.
dc.publisher.placeAustralia
dc.publisher.urihttps://www.mja.com.au/journal/2011/194/6/urban-rural-differences-prostate-cancer-outcomes-australia-what-has-changed
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom293
dc.relation.ispartofpageto296
dc.relation.ispartofissue6
dc.relation.ispartofjournalMedical Journal of Australia
dc.relation.ispartofvolume194
dc.rights.retentionY
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode52
dc.titleUrban-rural differences in prostate cancer outcomes in Australia: what has changed?
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.rights.copyright© 2011 Australasian Medical Publishing Company. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
gro.date.issued2015-04-20T00:04:46Z
gro.hasfulltextFull Text
gro.griffith.authorChambers, Suzanne K.


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