Home > Review Articles > Ethnic disparities > Ethnicity, sex, and socioeconomic disparities in the treatment of traumatic rotator cuff injuries in Aotearoa/New Zealand

Ethnicity, sex, and socioeconomic disparities in the treatment of traumatic rotator cuff injuries in Aotearoa/New Zealand

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Authors:
Summary:

A large nationwide study has demonstrated the economic burden of rotator cuff injuries, as well as disparities in injury claims and management. The study assessed 351,554 claims for traumatic rotator cuff injuries in the Accident Compensation Corporation database between January 2010 and December 2018. The total cost of these injuries was more than NZ$960 million, with the greatest proportion of costs for vocational support (49.8%), then surgery (26.3%), rehabilitation (13.1%) and radiology (8.1%). Asian, Māori, and Pasifika peoples were under-represented in the proportion of total claims and had lower rates of surgery than Europeans. In addition, Māori had a higher proportion of costs spent on vocational support and lower proportions spent on radiology, rehabilitation, and surgery than Europeans. Compared with females, males had a higher number and higher cost of claims and were more likely to have surgery. Areas of high socioeconomic deprivation had the lowest number of claims compared with areas of low deprivation

Comment:
A bit left field but interesting study, I’ll certainly be monitoring my practice, checking that the investigation and management of this very common condition is equitable.
Reference: J Shoulder Elbow Surg. 2023;32(1):121-132.
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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