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Ethnic disparities in rates of publicly funded bariatric surgery in New Zealand (2009–2014)

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Authors:
Summary:

New Zealand Government funding for bariatric surgery has steadily increased over the last few years, in an effort to cope with the growing obesity epidemic. Marked ethnic disparities in obesity rates exist in New Zealand, with rates amongst Māori and Pacific people being 3 to 5 times higher compared with all other ethnic groups within New Zealand. These researchers analysed reported census and hospitalisation discharge data from Statistics NZ and the New Zealand Ministry of Health, in order to calculate rates of publicly-funded bariatric surgery by self-identified ethnicity amongst morbidly obese individuals who underwent bariatric procedures between June 2009 and July 2014. The paper reports that the average number of publicly-funded bariatric procedures performed per 1,000 morbidly obese patients over the 5-year study period was 3.0 for European, 1.4 for Māori and 0.7 for Pacific ethnicities.

Comment:
Evidence increasingly suggests that bariatric surgery has an important role to play in managing obesity and other long-term complications (including type 2 diabetes). As these conditions are more prevalent for Māori, it is important to provide information about access to, and quality of care for, this effective intervention. Many DHBs are attempting to address inequities in bariatric surgery rates (including geographical and ethnic disparities). The authors suggest that a system approach is necessary.
Reference: ANZ J Surg. 2017 Oct 18. [Epub ahead of print]
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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