Home > Review Articles > Ethnicity data > Ethnic and geographic variations in the incidence of pancreatitis and post-pancreatitis diabetes mellitus in New Zealand: a nationwide population-based study

Ethnic and geographic variations in the incidence of pancreatitis and post-pancreatitis diabetes mellitus in New Zealand: a nationwide population-based study

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From Māori Health Review Issue 66
Authors:
  • Pendharkar SA et al.
Summary:

This analysis of data from all district health boards in New Zealand investigated the incidence of acute pancreatitis (AP), chronic pancreatitis (CP), and post-pancreatitis diabetes mellitus (DP) and the effect of ethnic and geographic variations. The study period was from 1 January 2006 to 31 October 2015. On average, 2,072 new cases of AP, CP and DP were diagnosed in New Zealand every year. Crude incidence rates (per 100,000 population per year) were 58.42 for AP, 3.97 for CP, and 7.95 for DP. Māori had the highest incidence of AP (95.21 per 100,000 population per year), CP (6.27 per 100,000 population per year), and DP (18.23 per 100,000 population per year). Across all age groups, the incidence of AP and DP was at least 1.8 and 2.6 times higher in Māori than in New Zealand Europeans, and Pacific people were more likely to develop DP than New Zealand Europeans in every age group, ranging from 1.90 times in the 45–49 group to 6.86 in the ≥75 group. Auckland/Northland had the highest incidence of AP (135.25 per 100,000 population), and CP (9.03 per 100,000 population), while Lakes/Waikato had the highest incidence of DP (20.64 per 100,000 population) in New Zealand.

Comment:
I thought this provided very important information, and the fact that we can have such comprehensive data reflects the excellent quality of health information, particularly ethnicity data, here in Aotearoa. Yes, we could do better, as ethnicity audits show, but I look at research like this and can’t help thinking that we are world leaders in terms of having access to exceptional ethnicity data to monitor health outcomes.
Reference: N Z Med J. 2017;130(1450):55-68
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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