News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search

 


Māori men at 70% increased risk of dying of prostate cancer

August 14, 2014

Māori men at 70% increased risk of dying of prostate cancer than non-Māori men

Graeme Woodside, Chief Executive Officer of the Prostate Cancer Foundation of New Zealand says, “New Zealand has significant disparities in survival for Māori men living with prostate cancer. As a community, it is absolutely critical we support and empower clinicians and Māori men themselves to actively manage their health and seek early diagnosis of prostate cancer in order to reduce the mortality rate”.

A recent report of the Midlands Prostate Cancer Study conducted by University of Auckland (UniServices) and co-funded by the Health Research Council and Ministry of Health identified that there are approximately 3,000 men diagnosed with prostate cancer in New Zealand every year and Māori men are 72% more likely to die of prostate cancer once diagnosed than their non-Māori counterparts.

Principal investigator Professor Ross Lawrenson reports that Māori men are less likely to be diagnosed with prostate cancer than non-Māori men, but when diagnosed are twice as likely to have metastatic disease. Survival at 2 years for men diagnosed with metastatic disease is less than 40% and almost all these men have died from their cancer.

The statistics highlight significant inequities in New Zealand’s healthcare system between Māori and non-Maori men with regard to prostate cancer screening, diagnosis, treatment and health outcomes.

“Not only are Māori men being diagnosed too late, when their cancer is in an advanced stage, but the management and treatment of their prostate cancer is significantly different than that provided to non-Māori men,” says Professor Lawrenson.

“More work has to be conducted to inform and improve the pathways of care for men with prostate cancer. We need to make primary care practitioners aware of the inequities in access to screening between Māori and non-Māori men. Further research is also required to identify causes of the higher prostate cancer mortality rate for Māori men compared to non-Māori men,” added Professor Lawrenson.

It is more likely that Māori men are treated by orchidectomy (surgical removal of the testicles to stop most of the body's production of testosterone – required for cancer growth). They are also more likely to receive androgen deprivation treatment (ADT) than non-Māori men.

Whilst New Zealand has no national guidelines for the treatment of metastatic prostate cancer, European guidelines recommend first line therapy after PSA progression is Androgen Deprivation Therapy (ADT) as standard of care. Second line therapies include docetaxel, cabazitaxel[a], abiraterone[b] and enzalutamide [a].

“These more advanced treatments may provide Māori men with the opportunity to extend their life and enjoy a greater quality of life for their remaining time with whānau and be treated in the community or at home,” says Mr Woodside.

“Our Māori men deserve a higher priority when it comes to treatment options and access to advanced treatments for metastatic prostate cancer. Equity in the healthcare system is well overdue,” adds Mr Woodside.

[a] Not registered in New Zealand
[b] Registered, however still being considered by PHARMAC for funding in New Zealand

PROSTATE CANCER IN NEW ZEALAND:
• In New Zealand, prostate cancer is the most common cancer in men and the third most common cause of cancer death in men after lung cancer and bowel cancer.
• Approximately 3,000 new cases of prostate cancer are diagnosed each year.
• One in 13 men will develop prostate cancer before the age of 75.
• Approximately 600 men die from metastatic prostate cancer each year.
• Mãori men are 72 per cent more likely to die of prostate cancer once diagnosed than non-Mãori men.
• Between 10 and 20% of men with prostate cancer progress to advanced (metastatic) prostate cancer within 5 years of diagnosis.
• 20% of men witih metastatic prostate cancer do not receive Androgen Deprivation Therapy within their first year of diagnosis.

About Prostate Cancer Foundation of New Zealand:
Our mission: To provide an environment empowering men to make informed decisions about the diagnosis and treatment of prostate cancer. Throughout New Zealand, we offer peer support to men, and their families, who have been diagnosed with prostate cancer. We actively promote awareness of this disease through community education campaigns, and we support medical research into improved diagnosis and treatment outcomes. For more information visit www.prostate.org.nz or call 0800 4 PROSTATE

ENDS

© Scoop Media

 
 
 
 
 
Culture Headlines | Health Headlines | Education Headlines

 
Werewolf: Katniss Joins The News Team

From the outset, the Hunger Games series has dwelt obsessively on the ways that media images infiltrate our public and personal lives... From that grim starting point, Mockingjay Part One takes the process a few stages further. There is very little of the film that does not involve the characters (a) being on screens (b) making propaganda footage to be screened and (c) reacting to what other characters have been doing on screens. More>>

ALSO:

Scoop Review Of Books: Ko Witi Te Kaituhituhi

Witi Ihimaera, the distinguished Māori author and the first Māori to publish a book of short stories and a novel, has adopted a new genre with his latest book. But despite its subtitle, this book is a great deal more than a memoir of childhood. More>>

Werewolf: Rescuing Paul Robeson

Would it be any harder these days, for the US government to destroy the career of a famous American entertainer and disappear them from history – purely because of their political beliefs? You would hope so. In 1940, Paul Robeson – a gifted black athlete, singer, film star, Shakespearean actor and orator – was one of the most beloved entertainers on the planet. More>>

ALSO:

"Not A Competition... A Quest": Chapman Tripp Theatre Award Winners

Big winners on the night were Equivocation (Promising Newcomer, Best Costume, Best Director and Production of the Year), Kiss the Fish (Best Music Composition, Outstanding New NZ Play and Best Supporting Actress), and Watch (Best Set, Best Sound Design and Outstanding Performance). More>>

ALSO:

Film Awards: The Dark Horse Scores Big

An inspirational film based on real life Gisborne speed-chess coach An inspirational film based on real life Gisborne speed-chess coach Genesis Potini, made all the right moves to take out top honours along with five other awards at the Rialto Channel New Zealand Film Awards - nicknamed The Moas. More>>

ALSO:

Theatre: Ralph McCubbin Howell Wins 2014 Bruce Mason Award

The Bruce Mason Playwriting Award was presented to Ralph McCubbin Howell at the Playmarket Accolades in Wellington on 23 November 2014. More>>

ALSO:

One Good Tern: Fairy Tern Crowned NZ Seabird Of The Year

The fairy tern and the Fiji petrel traded the lead in the poll several times. But a late surge saw it come out on top with 1882 votes. The Fiji petrel won 1801 votes, and 563 people voted for the little blue penguin. More>>

Music Awards: Lorde Reigns Supreme

Following a hugely successful year locally and internationally, Lorde has done it again taking out no less than six Tuis at the 49th annual Vodafone New Zealand Music Awards. More>>

ALSO:

Get More From Scoop

 
 

LATEST HEADLINES

 
 
 
 
Health
Search Scoop  
 
 
Powered by Vodafone
NZ independent news