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A review of cervical cancer occurrences in New Zealand 2008–2012

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Authors:
Summary:

These researchers reviewed screening histories of women diagnosed with confirmed or possible cervical cancer between 1 January 2008 and 31 December 2012 in order to identify where improvements could be made to the National Cervical Screening Programme. A total of 772 confirmed diagnoses of cervical cancer were identified; the incidence rate was 6.9 per 100,000 women per year. Of 644 women aged 25–69 years with cervical cancer, just 13% had undergone regular cervical cancer screening according to national guidelines. Pacific and Asian Women (54% and 59%, respectively) were less likely than European or Māori women (76% and 73%, respectively) to have ever had a cervical screen. Adequate screening (defined as no between-screen interval of more than 3 years during the 6 months to 7 years before diagnosis) was low amongst Māori and Pacific women (6% and 5%, respectively) and less than that of European or Asian women (18% and 11%, respectively). Women residing in areas of greater socioeconomic deprivation were less likely to have had screens at most time intervals and were less likely to have regular screens than women who were residing in less deprived areas. A significant proportion (37%) of women who developed cervical cancer had undergone screening in the preceding 3-year screening interval prior to their cancer diagnosis.

Comment:
As primary prevention and early diagnosis are key to eliminating the remaining inequalities in cervical cancer between Māori and non-Māori women, it is critical that we focus on improving screening rates. From experience, hard work, a clinic champion to lead the team and a programme that focuses on achieving equity (i.e. developed to work for women missing out) have proven effective.
Reference: N Z Med J. 2018;131(1472):53-63
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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