Home > Review Articles > Ethnicity data > Regional and ethnic projections of gastric cancer incidence in Aotearoa New Zealand to 2045: identifying opportunities for targeted action

Regional and ethnic projections of gastric cancer incidence in Aotearoa New Zealand to 2045: identifying opportunities for targeted action

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Summary:

A modelling study has found that absolute gastric cancer cases in New Zealand are projected to increase, particularly in Māori and Pacific peoples and in regions experiencing rapid population growth. The New Zealand Cancer Registry was used to identify gastric cancer registrations from 2001 to 2022 and link these to population estimates and projections. By 2045, gastric cancer cases were predicted to reach approximately 725 per year, a 47.7% increase on current numbers, despite the age-standardised rate decreasing from 5.9 to 5.3 per 100,000. Increased absolute numbers were seen for all regions, with the Northern Region showing the largest rise. By ethnic group, the highest current incidence and proportional increase in projected cases was seen for Māori and Pacific peoples, although there was a modest decline in incidence rates for all ethnic groups.

Comment:
While lung, breast and colorectal cancers remain the leading causes of cancer mortality, gastric cancer disproportionately affects Māori and Pacific peoples and carries substantial morbidity through gastrectomy alongside premature mortality – so these predictions are concerning. As discussed in the last issue of Māori Health Review, addressing Helicobacter pylori infection will reduce these inequities through primary prevention.
Reference: N Z Med J. 2026;139(1634):51-64.
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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