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Summary: Background: This study evaluates whether there are ethnic differences in time to surgery in women with early-stage (1–3a) breast cancer in four NZ urban regions between 2000 and 2020 pre- and post- Faster Cancer Treatment (FCT) implementation, which was introduced to address inequities in cancer outcomes. Methods: This retrospective analysis used Te Rēhita Mate Ūtaetae (Breast Cancer Foundation National Register), a prospectively maintained database of breast cancers from 2000 to 2020. Women with stage 3b, 3c, metastatic or bilateral cancers were excluded. Logistic regression models evaluated ethnic differences in time to surgery (≤31/>31 days as per FCT plan) with sequential adjustment for potential contributing factors (demographic, mode of diagnosis, tumour, treatment facility type and treatment). Subgroup analyses by pre- and post-FCT implementation date were undertaken. Findings: Of the 16,365 women included, 74.1% were NZ European (NZE), 10.2% were Māori, 6.1% were Pacific, and 9.2% were Asian. Wāhine Māori (Māori women) and Pacific women were more likely to experience delays in surgery >31 days, compared to NZE (maximally adjusted OR: 1.18; 95% CI:1.05, 1.33 and OR:1.42; 95% CI:1.22, 1.65, respectively)–deprivation and treatment facility type contributed most to this. Wāhine Māori experienced delay in the public system only. The associations did not differ between the pre- and post- FCT periods. Interpretation: Ethnic inequities exist with respect to time to surgery for women with early-stage breast cancer and these differences persist after FCT implementation. Funding: LB is supported by the Richard Stewart scholarship, the Royal Australasian College of Surgeons and Oxford Population Health.

Abstract Objectives The objective of this study is to investigate the influence of diabetes on breast cancer‐specific survival among women with breast cancer in Aotearoa/New Zealand. Methods This study included women diagnosed with invasive breast cancer between 2005 and 2020, with their information documented in the Te Rēhita Mate Ūtaetae—Breast Cancer Foundation National Register. Breast cancer survival curves for women with diabetes and those without diabetes were generated using the Kaplan–Meier method. The hazard ratio (HR) of breast cancer‐specific mortality for women with diabetes compared to women without diabetes was estimated using the Cox proportional hazards model. Results For women with diabetes, the 5‐year and 10‐year of cancer‐specific survival were 87% (95% CI: 85%–88%) and 79% (95% CI: 76%–81%) compared to 89% (95% CI: 89%–90%) and 84% (95% CI: 83%–85%) for women without diabetes. The HR of cancer‐specific mortality for patients with diabetes compared to those without diabetes was 0.99 (95% CI: 0.89–1.11) after adjustment for patient demographics, tumor characteristics, and treatments. Age at cancer diagnosis and cancer stage had the biggest impact on the survival difference between the two groups. When stratified by cancer stage, the cancer‐specific mortality between the two groups was similar. Conclusions While differences in survival have been identified for women with diabetes when compared to women without diabetes, these are attributable to age and the finding that women with diabetes tend to present with more advanced disease at diagnosis. We did not find any difference in survival between the two groups due to differences in treatment.

The three language versions of Ian Campbell's poem series about the old jacaranda tree in a university coutryard presented here comprise a poem series in which he first wrote a poem in French in 1989, then an Indonesian language version which was published in the literary pages of an Indonesian newspaper (in Bandung, West Java) in 2004, and finally in English. Campbell regards this whole process as emblematic of his explorations in trilingual poetics, namely what does a 'concept'/poem idea look like if done in three of the languages with which he has some degree of written knowledge or fluency: English, French and Indonesian. This mirrors the three-pronged approach he took in an earlier edition of PORTAL - Vol. 14, No 1, April 2017, where the three language versions he wrote on a single theme were in English, Spanish, and Indonesian.

Relatively little critical attention has been given specifically to 'assessments' and related processes in relation to race and racial inequalities in UK HEPs. Consequently, we know relatively little with regards to rather routine questions, such as: What are the assessment experiences of BAME students? To what extent is BAME student inclusion intrinsic to specific assessment types or connected to wider pedagogical practice? Or to the ways in which wider social and cultural factors intersect, influence and may contribute to the experiences (and performances) of different BAME-heritage students in particular forms of assessment? Drawing on (focus-group) interview-data of 44 BAME and White undergraduate students, findings illustrate how institutional- and cultural-processes which (dis)advantage students from different minority-ethnic backgrounds are deeply imbedded within assessment. They also sketch-out how these processes work to prioritise and marginalise specific racialised currencies, which are clustered unevenly in certain communities.