Sanjeewa Seneviratne|Ross Lawrenson|Vernon Harvey|Reena Ramsaroop|Mark Elwood|Nina Scott|Diana Sarfati|Ian Campbell
Stage of breast cancer at diagnosis in New Zealand: impacts of socio-demographic factors, breast cancer screening and biology
University of Auckland|University of Auckland|Auckland District Health Board|Auckland District Health Board|University of Auckland|Waikato District Health Board|University of Otago|University of Auckland
examination factors associated late stage diagnosis breast cancer useful identify areas amenable intervention study analyses trends cancer stage diagnosis impact sociodemographic cancer biological screening characteristics cancer stage populationbased series women invasive breast cancer new zealandall women diagnosed invasive breast cancer 2000 2013 identified two regional breast cancer registries factors associated advanced stages iii iv metastatic stage iv cancer diagnosis analysed univariate multivariate models adjusting covariatesof 12390 women included study 2448 197 advanced 575 46 metastatic diagnosis mori 186 139249 pacific 281 203387 compared nz european ethnicity urban 200 137292 compared main urban residency nonscreen 603 441824 compared screen detection significantly associated metastatic cancer diagnosis multivariate analysis steady increase rate metastatic cancer seen increased 38 20002003 50 20102013 period p 0042providing equitable high quality primary care increasing mammographic screening coverage needs looked possible avenues reduce latestage cancer diagnosis reduce ethnic socioeconomic geographical disparities stage breast cancer diagnosis new zealand