Emerging cancer incidence, mortality, hospitalisation and associated burden among Australian cancer patients, 1982 - 2014: an incidence-based approach in terms of trends, determinants and inequality

Mahumud, Rashidul Alam ORCID: https://orcid.org/0000-0001-9788-1868 and Alam, Khorshed ORCID: https://orcid.org/0000-0003-2232-0745 and Dunn, Jeff ORCID: https://orcid.org/0000-0002-1180-3381 and Gow, Jeff ORCID: https://orcid.org/0000-0002-5726-298X (2019) Emerging cancer incidence, mortality, hospitalisation and associated burden among Australian cancer patients, 1982 - 2014: an incidence-based approach in terms of trends, determinants and inequality. BMJ Open, 9 (12):e031874. pp. 1-19.

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Objective Cancer is a leading killer worldwide, including Australia. Cancer diagnosis leads to a substantial burden on the individual, their family and society. The main aim of this study is to understand the trends, determinants and inequalities associated with cancer incidence, hospitalisation, mortality and its burden over the period 1982 to 2014 in Australia. Settings The study was conducted in Australia. Study design An incidence-based study design was used. Methods Data came from the publicly accessible Australian Institute of Health and Welfare database. This contained 2 784 148 registered cancer cases over the study period for all types of cancer. Erreygers' concentration index was used to examine the magnitude of socioeconomic inequality with regards to cancer outcomes. Furthermore, a generalised linear model was constructed to identify the influential factors on the overall burden of cancer. Results The results showed that cancer incidence (annual average percentage change, AAPC=1.33%), hospitalisation (AAPC=1.27%), cancer-related mortality (AAPC=0.76%) and burden of cancer (AAPC=0.84%) all increased significantly over the period. The same-day (AAPC=1.35%) and overnight (AAPC=1.19%) hospitalisation rates also showed an increasing trend. Further, the ratio (least-most advantaged economic resources ratio, LMR of mortality (M) and LMR of incidence (I)) was especially high for cervix (M/I=1.802), prostate (M/I=1.514), melanoma (M/I=1.325), non-Hodgkin's lymphoma (M/I=1.325) and breast (M/I=1.318), suggesting that survival inequality was most pronounced for these cancers. Socioeconomically disadvantaged people were more likely to bear an increasing cancer burden in terms of incidence, mortality and death. Conclusions Significant differences in the burden of cancer persist across socioeconomic strata in Australia. Policymakers should therefore introduce appropriate cancer policies to provide universal cancer care, which could reduce this burden by ensuring curable and preventive cancer care services are made available to all people.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Faculty/School / Institute/Centre: Historic - Institute for Resilient Regions - Centre for Health, Informatics and Economic Research (1 Aug 2018 - 31 Mar 2020)
Faculty/School / Institute/Centre: Current - Faculty of Business, Education, Law and Arts - No Department (1 Jul 2013 -)
Date Deposited: 16 Jan 2020 00:47
Last Modified: 10 Jun 2022 02:54
Uncontrolled Keywords: cancer burden, cancer incident, mortality, remoteness, socioeconomic inequalities
Fields of Research (2008): 01 Mathematical Sciences > 0104 Statistics > 010401 Applied Statistics
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified
14 Economics > 1402 Applied Economics > 140208 Health Economics
14 Economics > 1403 Econometrics > 140302 Econometric and Statistical Methods
Fields of Research (2020): 49 MATHEMATICAL SCIENCES > 4905 Statistics > 490501 Applied statistics
42 HEALTH SCIENCES > 4299 Other health sciences > 429999 Other health sciences not elsewhere classified
38 ECONOMICS > 3801 Applied economics > 380108 Health economics
38 ECONOMICS > 3802 Econometrics > 380202 Econometric and statistical methods
Socio-Economic Objectives (2008): C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920499 Public Health (excl. Specific Population Health) not elsewhere classified
Identification Number or DOI: https://doi.org/10.1136/bmjopen-2019-031874
URI: http://eprints.usq.edu.au/id/eprint/37539

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