Home > Review Articles > Ethnic disparities > Provision and outcomes of publicly funded bariatric surgery in a metropolitan versus a provincial population of New Zealand

Provision and outcomes of publicly funded bariatric surgery in a metropolitan versus a provincial population of New Zealand

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From Māori Health Review Issue 112
Authors:
  • Whitcomb Cahill H et al.
Summary:

A 5-year observational cohort study has highlighted significant differences in the rate, type and outcomes of bariatric surgery between a metropolitan and provincial area in northern New Zealand. While patients in the metropolitan area were less obese and had a lower rate of diabetes than patients in the provincial area, they had a wider range of procedures performed. The bariatric surgery rate among those with class III obesity was 6.1 times higher in the metropolitan versus provincial cohort. Māori were underrepresented in both cohorts. Changes in national and regional policies are needed to ensure equitable care for patients with obesity in New Zealand, the study authors concluded.

Comment:
Reference: ANZ J Surg. 2024;94(10):1747-1751.
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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