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Incidence and management of high grade glioma in Māori and non-Māori patients

Making Education Easy

From Māori Health Review Issue 30
Authors:
  • Alexander H et al
Summary:

These researchers retrospectively analysed data from 301 patients undergoing surgery for high-grade glioma (HGG) in New Zealand between 1993 and 2003. The study aimed to determine the relationship of ethnicity with incidence, treatment and survival. Age standardised incidence rates for HGG did not differ between Māori and non-Māori patients (4.2 vs 4.1 per 100,000 person years). Māori were more likely to have complete tumour resection (OR, 3.59) but waited 1.32 times longer for radiotherapy. Median survival was 29 weeks, with poorer survival in Māori compared to non-Māori (HR, 1.55).

Comment:
An example of researching the health care pathway – and that it’s not enough to stop at incidence rates when they appear ‘equal’. As the researchers have shown, despite equal rates in occurrence and initial treatment, the disparities in long-term treatment appear to contribute to poo
Reference: J Clin Neurosci. 2010;17(9):1144-7.
Abstract
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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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