Effect of ethnicity and rurality on treatment delays in patients with colorectal cancer in Northland, New Zealand.


BACKGROUND:Ethnic and rural disparities in medical treatment and outcomes have been demonstrated across a range of conditions, including colorectal cancer. Timely treatment and investigation of symptoms in patients with suspicion of cancer is likely to improve outcomes and patient experience. Achieving equity in timeliness of care is important in achieving the goal of equitable cancer outcomes outlined in the New Zealand cancer action plan. The aim of this study was to compare treatment times in patients with colorectal cancer, between Māori and non-Māori patients as well as urban and rural patients in Northland, New Zealand. METHODS:All adult patients diagnosed with colorectal adenocarcinoma from 2011 to 2016 were identified using hospital coding. Further information on the primary cohort was then obtained using the hospitals electronic results system, CONCERTO. The primary outcomes of interest were differences in delays to treatment between Māori and non-Māori as well as Urban versus rural residence. Secondary outcomes of interest included rate of emergency admission and treatment by curative intent in different groups. RESULTS:A total of 511 patients formed the primary cohort; 12% were Māori and were on average 6 years younger than non-Māori. Māori had a 6% higher emergency admission rate and a 5% higher rate of palliative treatment intent. No significant difference in treatment delay times was seen between different ethnicities or different domiciles. CONCLUSION:Ethnicity and rurality were not shown to affect treatment delays. Further research in this area is needed to help attain equitable outcomes for patients with colorectal cancer in New Zealand.


ANZ J Surg


ANZ journal of surgery


Matthews C,Walker M,McLaughlin S,Milloy M,Harmston C




Has Abstract


2020-08-31 00:00:00






  • Reconstruction of limited parotidectomy defects using the dermofat graft.

    abstract:BACKGROUND:Removal of part or all of the parotid gland may leave a visible contour defect and may also be associated with complications such as Frey's syndrome. These aesthetic and functional issues can be addressed using dermofat graft reconstruction. The aim of this study is to assess patient satisfaction and complic...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Pham M,Eviston TJ,Clark JR

    更新日期:2017-12-01 00:00:00

  • Delayed/non-union of upper limb fractures with bisphosphonates: systematic review and recommendations.

    abstract:BACKGROUND:Bisphosphonates (BPs) are widely used for the treatment of osteoporosis. Oversuppression of bone turnover with BPs may paradoxically limit the reserve capacity of bone to heal. The aim of this review was to study the predisposition of some patients to delayed/non-union of upper limb fractures associated with...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审


    authors: Ng AJ,Yue B,Joseph S,Richardson M

    更新日期:2014-04-01 00:00:00

  • Comparative analysis of emergency general surgery on-call structure and its impact on emergency appendicectomy outcomes.

    abstract:BACKGROUND:In Australia, there has been a shift from the traditional 'on-call' surgical model to the 'acute surgical unit' (ASU) model to improve outcomes in acute general surgery. Using emergency appendicectomy as a standardized procedure, we aimed to identify the different patterns of care between these on-call struc...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Gounder J,Dissanayake B,Burstow MJ,Yuide PJ,Naidu S,Lancashire RP,Chua TC

    更新日期:2021-01-18 00:00:00

  • Extended medial gastrocnemius myocutaneous flap in repair of the quadriceps extension mechanism.

    abstract::The gastrocnemius muscle is versatile in flap repair of defects from anterior knee to lower leg. We describe a case of extensor reconstruction using an extended medial gastrocnemius myocutaneous flap. A medial gastrocnemius flap was raised distal to its musculotendinous insertion. At its point of rotation, it was anch...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Warrier SK,Mah E,Morrison WA

    更新日期:2006-12-01 00:00:00

  • Influence of screw to joint distance on articular subsidence in tibial-plateau fractures.

    abstract:BACKGROUND:Tibial-plateau fractures with depressed osteochondral fragments have a high incidence of articular subsidence post reduction. Locking plates aim to prevent this via 'raft' screws below the subchondral bone. However, differences in plate design and patient anatomy result in variability of screw position in re...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Ye X,Huang D,Perriman DM,Smith PN

    更新日期:2019-04-01 00:00:00

  • Necrotizing myositis: highlighting the hidden depths - case series and review of the literature.

    abstract:BACKGROUND:Necrotizing myositis (NM) is a life-threatening emergency. It causes focal muscle necrosis without abscess formation or extensive involvement of the overlying fascia and soft tissue. It is a clinical diagnosis requiring a high index of clinical suspicion. Usual presentation can readily be mistaken to represe...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审


    authors: Khanna A,Gurusinghe D,Taylor D

    更新日期:2020-01-01 00:00:00

  • Surgical management of ductal carcinoma in situ in Australia in 1995.

    abstract:BACKGROUND:In the present paper we describe the presentation and management of ductal carcinoma in situ (DCIS) of the breast in women in Australia in 1995. This representative, national data set provides a historical comparator for studies examining DCIS management that follow. METHODS:Surgeons identified by populatio...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Shugg D,White VM,Kitchen PR,Pruden M,Collins JP,Hill DJ

    更新日期:2002-10-01 00:00:00

  • Changing pattern of adrenalectomy at a tertiary referral centre 1970-2000.

    abstract:BACKGROUND:In 1987, a report from this unit described the changing indications for open adrenalectomy over a 15-year period. The indications for adrenalectomy had switched from it being the principal therapeutic procedure used in advanced breast cancer in the early 1970s, to being predominately performed for Cushing's ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Sidhu S,Bambach C,Pillinger S,Reeve T,Stokes G,Robinson B,Delbridge L

    更新日期:2002-07-01 00:00:00

  • Neutrophil-to-lymphocyte ratio predicts anastomotic dehiscence.

    abstract:BACKGROUND:Anastomotic dehiscence (AD) is the most feared complication following colonic and rectal anastomosis. Multiple attempts have been made to correlate the levels of biomarkers to the risk of AD. This study attempts to compare C-reactive protein (CRP), procalcitonin (PCT) and neutrophil-to-lymphocyte ratio (NLR)...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Walker PA,Kunjuraman B,Bartolo DCC

    更新日期:2018-01-27 00:00:00

  • 'Ao' or eponyms: the classification of wrist fractures.

    abstract::Abraham Colles had the good fortune to describe the most common fracture about the wrist but, because its description was published in a provincial journal, it received little attention and was almost never referred to in his lifetime. The same can be said of Claude Pouteau who described the same fracture in another l...

    journal_title:ANZ journal of surgery

    pub_type: 历史文章,杂志文章


    authors: Thurston AJ

    更新日期:2005-05-01 00:00:00

  • Internal pancreatic fistulas with pancreatic ascites and pancreatic pleural effusions: recognition and management.

    abstract:BACKGROUND:Internal pancreatic fistulas are well recognized complications of chronic pancreatitis. METHODS:Six patients with internal pancreatic fistulas were treated over a period of 5 years from 1995 to 1999. Four patients presented with ascites, one patient presented with ascites and bilateral pleural effusion and ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Kaman L,Behera A,Singh R,Katariya RN

    更新日期:2001-04-01 00:00:00

  • Prolonged surgical duration, higher body mass index and current smoking increases risk of surgical site infection after intra-articular fracture of distal femur.

    abstract:BACKGROUND:This study aimed to investigate incidence of surgical site infection (SSI) following the surgery of intra-articular fractures of distal femur. METHODS:Between July 2014 and December 2017, inpatient medical records of consecutive patients who had intra-articular fractures of distal femur treated by open redu...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Xu H,Yu L,Li Y,Gong Z

    更新日期:2019-06-01 00:00:00

  • Survey of trends in minimally invasive intervention for necrotizing pancreatitis.

    abstract:BACKGROUND:Minimally invasive techniques to manage infected pancreatic necrosis have been recently developed and changes in their pattern of use are unknown. The aims of this survey were to determine the trends in the role of minimally invasive techniques to manage infected complications of necrotizing pancreatitis and...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Loveday BP,Rossaak JI,Mittal A,Phillips A,Windsor JA

    更新日期:2011-01-01 00:00:00

  • Modified distally based sural adipofascial flap for reconstructing of leg and ankle.

    abstract:BACKGROUND:While free flaps can be used in many cases to cover soft tissue defects in the distal leg and ankle in a single stage, factors such as diabetes and advanced age can interfere with success of vascular anastomoses. METHODS:Twenty-five patients with deep tissue exposure of the distal leg and ankle underwent re...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Yang C,Li Y,Geng S,Fu C,Sun J,Bi Z

    更新日期:2013-12-01 00:00:00

  • Evaluation of fresh frozen plasma usage at a tertiary care hospital in North India.

    abstract:BACKGROUND:Concerns regarding transfusion-transmitted infections and non-availability of blood components in developing nations, make it crucial to optimize fresh frozen plasma (FFP) transfusions and reduce wastage. METHODS:A concurrent prospective study of FFP usage was carried out in a tertiary care hospital in nort...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Chaudhary R,Singh H,Verma A,Ray V

    更新日期:2005-07-01 00:00:00

  • Computed tomography in acute abdominal pain: an overused investigation?

    abstract:BACKGROUND:The use of computed tomography (CT) for the evaluation of patients presenting to the emergency department (ED) with acute abdominal pain has increased. We set out to investigate its effectiveness. METHODS:A prospective study conducted at a tertiary referral centre between August and September 2012, utilizin...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Systermans BJ,Devitt PG

    更新日期:2014-03-01 00:00:00

  • Art of preserving health: studies on the medical supervision of physical exercise.

    abstract::To the ancient Greeks, physical exercise was an essential part of life, especially during adolescence and young adulthood. Long after the end of the Classical Greek era, Roman conquest brought a shift towards martial training, increased professionalism in athletic competition and a weak strand of restorative gymnastic...

    journal_title:ANZ journal of surgery

    pub_type: 历史文章,杂志文章


    authors: Thurston AJ

    更新日期:2009-12-01 00:00:00

  • Laser tenotomy and vocal process resection for bilateral midline vocal fold fixation.

    abstract:BACKGROUND:The present retrospective study presents the outcomes of a group of 21 patients with laryngeal obstruction caused by bilateral vocal fold fixation. All of these patients were treated by laser assisted muscle tenotomy and vocal process resection - a modification of the technique described by Michael and Eugen...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Havas TE,Priestley KJ

    更新日期:2003-05-01 00:00:00

  • Gastrin is not required for liver regeneration.

    abstract:BACKGROUND:Although several growth factors are known to be essential for liver regeneration, the role of gastrin remains controversial. METHODS:Liver regeneration was examined in wild-type (WT) and gastrin-deficient (gastrin KO) mice at days 2 and 10 after partial (40%) hepatectomy by measurement of liver weight. Hepa...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Dizdarevic A,Harun N,Malcontenti-Wilson C,Shulkes A,Christophi C,Baldwin GS

    更新日期:2008-01-01 00:00:00

  • Randomized blinded control trial into tourniquet tolerance in awake volunteers.

    abstract:BACKGROUND:The ability to tolerate a tourniquet is often the limiting factor to elective and emergent procedures of the upper limb performed under local anaesthesia. This study aims to demonstrate that upper limb tourniquets are more predictably and better tolerated when inflated to 200 mmHg than to the traditional inf...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Lim E,Shukla L,Barker A,Trotter DJ

    更新日期:2015-09-01 00:00:00

  • Laparoscopic cholecystectomy: Australian beginnings.

    abstract::Chance meetings in the USA and in France lead to the realization of the potential for cholecystectomy to be performed laparoscopically. Outlined are the steps taken to learn the technique and perform the first such operation in Australia (with unusual circumstances), immediately followed by the introduction of audit a...

    journal_title:ANZ journal of surgery

    pub_type: 历史文章,杂志文章


    authors: Hardy KJ

    更新日期:2011-12-01 00:00:00

  • Risk factors associated with perforated appendicitis in elderly patients presenting with signs and symptoms of acute appendicitis.

    abstract:BACKGROUND:The aim of this study was to identify factors associated with rupture in elderly patients with acute appendicitis. METHODS:The medical records of 601 consecutive patients >60 years of age with acute appendicitis between 1995 and 2005 were retrospectively reviewed. Historical, clinical and laboratory factors...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Sheu BF,Chiu TF,Chen JC,Tung MS,Chang MW,Young YR

    更新日期:2007-08-01 00:00:00

  • Laparoscopic revision of gastric band surgery.

    abstract:AIM:To identify the outcome of laparoscopic revision of gastric band surgery with respect to percentage of excess weight lost (%EWL). METHODS:Analysis of a prospective database was then performed and %EWL was plotted with respect to time from initial procedure and also time from revision procedure. RESULTS:All revisi...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Bardsley S,Hopkins G

    更新日期:2010-05-01 00:00:00

  • The Auburn Elective Surgery Pilot Project.

    abstract:BACKGROUND:The aim of this project was to increase rates of day surgery, reduce elective surgical waiting lists, give patients a guaranteed date of surgery and improve operating theatre utilization. The guiding principle behind the project was to treat the administration of elective surgery as a separate business unit,...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Singh N,Brooke-Cowden GL,Whitehurst C,Smith D,Senior J

    更新日期:2005-09-01 00:00:00

  • Surgical wisdom and Genghis Khan's Pax Mongolica.

    abstract:BACKGROUND:The unrivalled conquests of Genghis Khan (CE c.1162-1227) led to the establishment of the Greater Mongolian Empire. By 1279, the Mongol dynasty controlled a vast Empire which, for the first time in history, unified Europe and China via the famous Silk Road. The ensuing century of peace and stability is refer...

    journal_title:ANZ journal of surgery

    pub_type: 历史文章,杂志文章


    authors: Köstenbauer J

    更新日期:2017-03-01 00:00:00

  • Mucinous appendiceal neoplasms with or without pseudomyxoma peritonei: a review.

    abstract::Mucinous appendiceal neoplasms (MANs) are rare tumours and the primary cause of pseudomyxoma peritonei. These tumours have a much more benign course than typical colorectal cancers, generally growing for many years before giving any clinical signs. The spectrum of presentations, tumour stages and the underlying cytolo...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审


    authors: Soucisse ML,Lansom J,Alshahrani MS,Morris DL

    更新日期:2020-08-05 00:00:00

  • Trainee surgeons and patient outcomes in carotid endarterectomy: a retrospective cohort study.

    abstract:BACKGROUND:In Australia and New Zealand, more than 2000 carotid endarterectomies are performed annually. The major morbidities arising from this procedure are post-operative stroke, cranial nerve injury and death. Carotid endarterectomy surgery is a key component of the vascular surgical training programme. We assessed...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Johnson NW,Smoll NR,Tan C,Brooks CE

    更新日期:2020-09-01 00:00:00

  • Questionnaire to aid priority and outcomes assessment in gallstone disease.

    abstract:BACKGROUND:Limited health resources necessitate prioritization for access to elective cholecystectomy in New Zealand. We aimed to develop and validate a patient questionnaire for determining the effect of gallstone disease on quality of life (QOL) and evaluate its potential role in appraising prioritization and outcome...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Chen TY,Landmann MG,Potter JC,van Rij AM

    更新日期:2006-07-01 00:00:00

  • Recovery of parathyroid function after total thyroidectomy: long-term follow-up study.

    abstract:BACKGROUND:To prevent postoperative hypoparathyroidism following total thyroidectomy, the parathyroid glands are preserved in situ and/or resected or devascularized parathyroid glands are autotransplanted. A retrospective investigation was conducted utilizing biochemical and specific endocrine assessments to evaluate t...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Kihara M,Miyauchi A,Kontani K,Yamauchi A,Yokomise H

    更新日期:2005-07-01 00:00:00

  • Mammary tuberculosis: analysis of thirty-eight patients.

    abstract::Thirty-eight patients with mammary gland tuberculosis were evaluated over a 5-year period presenting to the surgical unit of our institution. Unilateral involvement of the breast in a woman presenting at an average age of 29 years was the commonest observation. A lump in the breast with or without discharging sinuses ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Harris SH,Khan MA,Khan R,Haque F,Syed A,Ansari MM

    更新日期:2006-04-01 00:00:00