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Trends in ischaemic heart disease: patterns of hospitalisation and mortality rates differ by ethnicity (ANZACS-QI 21)

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Authors:
Summary:

These researchers examined trends in ischaemic heart disease (IHD) events by ethnicity among all New Zealand residents aged 35–84 years during the period 2006–2015. A total of 145,929 people in this cohort experienced ≥1 IHD hospitalisation and/or and IHD death between 2006 and 2015. There was a steady decline in the number of people who experienced IHD events. However, while IHD mortality rates declined by 3.1–5.4% per year for most groups, the decline was only 1.3% per year among Pacific women. IHD hospitalisation rates declined significantly by 3.6–8.8% per year in all groups. Māori and Pacific people were over-represented for IHD mortality rates; Indians were overrepresented for IHD hospitalisations. Indians also had the highest ratio of hospitalisations to deaths. For every person who died from IHD in 2014/15, 7–8 Indians compared with only 3–4 Māori or Pacific people were hospitalised with IHD.

Comment:
An important reminder that IHD remains the most common cause of death for Māori. It is also the biggest contributor to the mortality gap between Māori and non-Māori, non-Pacific peoples. As the authors suggest, inequities appear to be due to differences in management at both primary and secondary care – more must be done to address this.
Reference: N Z Med J. 2018;131(1478):21-31
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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