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Te Oranga Pūkahukahu: Developing a Māori led approach to lung cancer screening

New Zealand

In Aotearoa New Zealand, lung cancer is a common cancer and cause of cancer deaths, especially for Māori. There are significant ethnic inequities in incidence and mortality and lung cancer is the largest contributor to the difference in life expectancy between Māori and non-Māori.

Project contact

  • Sue Crengle

Background

Survival is poor (12% 5-year survival) largely due to late stage at diagnosis but early stage (stage 1A) lung cancer has a much higher (>70%) 5-year survival.

Earlier detection of asymptomatic lung cancer through screening using low dose computerized tomography (LDCT) scans can shift the stage at diagnosis and reduce mortality.

Identifying effective strategies to support Māori participation in lung cancer screening is imperative; if Māori participation is not at least equal to non-Māori participation, existing serious inequities will be increased.

Aims

  • To determine the effectiveness of two invitation strategies; primary care vs a central hub, via a cluster randomised trial

  • To describe key outcomes that are required to inform a potential national lung cancer screening programme in Aotearoa New Zealand, and

  • To evaluate contextual implementation factors in order to optimise a future local screening programme

Project plan

This research will provide important information regarding the most effective and acceptable invitation strategy for Māori who are eligible for lung cancer screening in Aotearoa New Zealand. It will also provide a range of secondary outcomes relevant to the implementation of lung cancer screening more widely in Aotearoa New Zealand.

Publications and output

You can also watch Professor Crengle’s video about the project here.

Principal investigators

  • Kate Parker Waitemata District Health Board, New Zealand

  • Karen Bartholomew Waitemata District Health Board, New Zealand

  • Anne Fraser Waitemata District Health Board, New Zealand

  • Grace Steel Waitemata District Health Board, New Zealand

  • Billie Davis Waitemata District Health Board, New Zealand

  • Tayla Schaapveld Waitemata District Health Board, New Zealand

  • Donna Enoka Waitemata District Health Board, New Zealand

  • Sarah Colhoun University of Otago, New Zealand

Funding organisations

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