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- Title
Equity of colonoscopy provision and quality in Māori and New Zealand Europeans.
- Authors
Harwood, Matire
- Abstract
Māori are significantly less likely to receive colonoscopy than NZ Europeans, according to a retrospective comparative study conducted at Whanganui Hospital. The study analysed 2962 colonoscopies (385 from Māori; 2577 from NZ Europeans) between September 2016 and March 2020. The rate of colonoscopy provision in participants aged ≥40 years was 6.1% among Māori versus 9.1% among NZ Europeans (p < 0.0001). However, colonoscopy completion rates, colonoscope withdrawal times and polyp detection rates were similar between Māori and NZ Europeans. While the adenoma detection rate was significantly lower in Māori than NZ Europeans (32.7% vs 40.0%; p = 0.028), this was not observed when participants were stratified by 10-year age cohorts. The authors concluded that improving equity requires the addition of colonoscopy provision rates, across ethnic groups, to other key performance indicators.
- Subjects
EQUITY (Law); COLONOSCOPY; PAKEHA (New Zealand people); PUBLIC health; ETHNIC groups
- Publication
Maori Health Research Review, 2021, Issue 93, p2
- ISSN
1178-6191
- Publication type
Article