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The impact of the COVID-19 pandemic on cancer diagnosis and service access in New Zealand

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From Māori Health Review Issue 91
Authors:
  • Gurney JK et al.
Summary:

Analysis of national-level data demonstrated a 40% decline in cancer registrations during the New Zealand lockdown for COVID-19 in March-April 2020, as well as a sharp decline in endoscopies, compared with the 2018–2019 period. However, both recovered to pre-lockdown levels over subsequent months. The impact on cancer surgery and medical oncology was minimal, but radiation therapy attendance decreased by 8%. With the exception of lung cancer, there was no evidence of exacerbation in inequities for service access between ethnic groups.

Comment:
Although it is good to know that health services have responded following COVID-19 and its lockdowns, to ensure timely diagnosis and treatment of most cancers, there continues to be inequities in lung cancer. The authors noted that bronchoscopies among Māori were reduced by nearly 28% compared with a 15% reduction for non- Māori/non-Pacific. Given that lung cancer is the most common cause of death for Māori, understanding this decline is critical.
Reference: Lancet Reg Health West Pac. 2021 May;10:100127.
Abstract
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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.

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