Cancer in Australian Aboriginal children: room for improvement.

摘要: Aim The study aims to analyse clinical data and outcome in Aboriginal non-Aboriginal children with cancer. Methods This is a retrospective case-note review of biological features, treatment survival malignancy who were treated at the Women's Children's Hospital, tertiary referral hospital, from January 1997 through March 2011. Two separate analyses performed: firstly, for each patient comparisons made two age, sex diagnosis-matched control patients; then secondly, results group patients compared whole patients. Results In first analysis, had significantly higher ‘remoteness index’ (6.14 vs. 0.95; P < 0.001) less likely be enrolled on trials. Survival analysis their matched controls showed trend towards inferior overall Indigenous (P = 0.066). In second tended have proportion leukaemias lymphomas an overrepresentation acute myeloid leukaemia (AML) (P = 0.009). The mean age among AML lymphoma was lower (AML: 3.5 8 years, P = 0.065; lymphoma: 7.5 11.9 P = 0.01). A died (P = 0.004). Conclusions Aboriginal present somewhat different pattern cancer, are studies seem increased mortality. There need improvement enrolment, delivery, care coordination suitably supported residential facilities.