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Assessing differences in CVD risk and risk management for Mäori and non-Mäori

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Authors:
Summary:

PREDICT-CVD is an opportunistic cardiovascular risk assessment and management programme. This study compared the cardiovascular disease risk factor status and risk management of Mäori with non-Mäori using data from over 20,000 PREDICT-CVD assessments carried out between 2002 and 2006. The population assessed comprised 1,450 (7%) Mäori and 19,164 non-Mäori (93%). At assessment, Mäori were an average of 3 years younger than non-Mäori. Compared to non-Mäori, Mäori patients had higher rates of cardio- vascular risk factors including smoking and diabetes. Blood pressure and TC/HDL levels were also higher in Mäori patients. Mäori with a history of CVD were more likely to receive medications including anticoagulants, blood pressure-lowering and lipid-lowering drugs. However revascularisation procedures were 50% less likely to be received by Mäori compared to non-Mäori with a history of ischaemic heart disease.

Comment:
PREDICT-CVD was developed as an aid for GP’s to assess and manage CVD risk. It has been shown to improve risk assessment and risk factor documentation. For primary care services utilising PREDICT-CVD in Auckland, it appears to improve the drug based management of CVD for Mäori but Mäori with IHD received significantly fewer revascularisation procedures than non-Mäori, a finding that is consistent with other studies. The large cohort, quality of information and robust analysis of data signal that we will hear more about this study in the future.
Reference: JNZMA. 2007; 120(1250)
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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