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Trends in myeloma incidence, mortality and survival in New Zealand (1985–2016)

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Summary:

This analysis included all new registrations of and deaths from myeloma recorded by the Ministry of Health, New Zealand, between 1985 and 2016. A total of 7,826 New Zealanders were registered with myeloma during the study period. Since 1985, the incidence of myeloma has significantly increased since 1985; the age-specific incidence of myeloma increased significantly for men. The incidence of myeloma is higher among Māori and in non-Māori, and higher in men than in women. Overall mortality rates have fallen since the late 1990s. Throughout the study period, mortality rates were uniformly higher among men compared with women. Mortality has fallen since 1995–1999 for women, and since about 2000–2004 for men. Myeloma mortality was highest in Māori men. While survival has improved significantly since 1990, the risk of death remains higher among Māori than among non-Maori.

Comment:
Having lost a whānau member to myeloma last year – haere, haere, haere atu ra e te rangatira e Quyen – this is a health issue close to my heart. A similar pattern to that of other cancers – higher incidence, poor survival rates – so further research is recommended.
Reference: Cancer Epidemiol 2019;60:55-9
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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