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- W4252085265 abstract "Background: Many disparities in health care access and outcomes between Maori and European New Zealanders have been reported but little is known about access to and outcomes following heart transplantation (HT). We compared demographic, clinical and outcome data between Maori (M) and non-Maori (NM) HT recipients. Methods: A retrospective analysis was performed of all patients who underwent HT over a 25 year period (1987–2012). Demographic and clinical information including self nominated race was collected from patient records and outcomes compared. Results: Of 253 patients transplanted, 176 were European, 47 M (19%), 10 Pacific Islanders and 20 of other ethnicities. Recipients were divided into two groups – M and NM and compared. Median age (both 46 years), gender (17% vs 21% female), waiting time (90 vs 76 days) and diagnosis (dilated cardiomyopathy – 62% vs 58%) were similar for M and NM. M recipients were heavier (81 vs 71 kg, p < 0.0001), of higher BMI (27 vs 24, p < 0.0001) and were more commonly blood group A (58% vs 38%) than NM. Although both groups had a similar probability of survival at five years (79% vs 78%) 10 year actuarial survival was significantly less in M than NM (54% vs 67% p = 0.02). Conclusion: M are heavier and more likely to be blood group A, which has implications for the donor organ allocation process. The reasons for the diverging outcomes after five years require further investigation." @default.
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- W4252085265 date "2013-01-01" @default.
- W4252085265 modified "2023-09-26" @default.
- W4252085265 title "Heart Transplantation in New Zealand Maori: A Comparison of Demographics and Outcomes with Non-Maori" @default.
- W4252085265 doi "https://doi.org/10.1016/j.hlc.2013.05.601" @default.
- W4252085265 hasPublicationYear "2013" @default.
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