Protecting Indigenous Māori in surgical research: a collective stance

Rahiri, Jamie‐Lee; Koea, Jonathan; Pitama, Suzanne; Harwood, Matire; Aramoana, Jaclyn; Brown, Lisa Jo; Love, Rachelle L.; Curtis, Elana; Reid, Papaarangi; Ronald, Maxine

doi:10.1111/ans.16356

Cited by 7 publications

(8 citation statements)

References 9 publications

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“…For non-indigenous researchers aiming to produce research responsive to M aori, utilizing frameworks enhancing M aori responsiveness and safety in surgical research is essential. 12,13 These efforts aim to acknowledge the importance of te ao M aori and m atauranga M aori in the surgical literature. Shifting selection criteria to recognize and value KM research may redirect focus from 'who leads' to 'who benefits'.…”

Section: Discussionmentioning

confidence: 99%

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Review of Māori equity in surgical trainee selection

Fisher,

Bird,

McCombie

et al. 2024

ANZ Journal of Surgery

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BackgroundThe Royal Australasian College of Surgeons (RACS) aims to achieve Māori health equity and cultural safety within the surgical workforce. The RACS Māori Health Strategy and Action Plans encourage Surgical Education and Training (SET) selection criteria that recognizes and credit applicants who identify as Māori or demonstrate competence in Māori health issues. This study investigates the current SET selection criteria for Māori entering surgical specialties.MethodsThe selection criteria for each surgical speciality for the proposed 2024 intake were examined through a documentary analysis. Criteria were reviewed for applicability to Māori identification and/or cultural competency.ResultsCriteria related to Māori identification and/or cultural competency make up 6%, 2%, and 1.5% of Otolaryngology and Head and Neck, General, and Vascular Surgery total SET selection score respectively. Criteria related to Māori identification and/or cultural competency make up 9% and 0.1% of Orthopaedic and Plastics and Reconstructive Surgery ranking scores for interview eligibility respectively. Cardiothoracic Surgery, Paediatric Surgery, Neurosurgery and Urology specialties do not incorporate any criteria appertaining to Māori. Allocation of research‐related points determined by authorship may disincentivize Māori trainees.ConclusionsSome surgical specialties fail to recognize or credit Māori identification and cultural competency in SET selection criteria. There is a need for regular auditing to ensure SET criteria align with the RACS aspirations for Māori health equity and cultural safety within the surgical workforce.

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Section: Discussionmentioning

confidence: 99%

“…This study utilizes the M aori framework in its study design. 12 This framework, developed by Rahiri et al, can be utilized to enhance the responsiveness and safety for M aori within surgical research. Researchers should be encouraged to utilize this framework to produce decolonized research in surgery.…”

Section: Aori Framework and Positionality Statementmentioning

confidence: 99%

Review of Māori equity in surgical trainee selection

Fisher,

Bird,

McCombie

et al. 2024

ANZ Journal of Surgery

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“…Under the guidance of a Māori health responsiveness committee, each included study will be assessed as to its responsiveness to Māori in accordance with the Māori framework (figure 1). 21 The pool of Kaupapa Māori health clinical academics is very small and so a committee was deemed important to adequately critique the included studies in assessing their responsiveness to Māori. Where more information is required, for instance, whether there is uncertainty on whether coauthors on included studies identify as Māori, attempts to contact the corresponding authors of included articles will also be made.…”

Section: Methods and Analysismentioning

confidence: 99%

Understanding surgical disease and care for Māori in Aotearoa: protocol for a scoping review

et al. 2022

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IntroductionMāori continue to experience inequitable healthcare and health outcomes compared with other New Zealanders. A narrative review conducted in 2016 described disparities in access to and through the surgical care pathway for Māori from a limited pool of small retrospective cohort studies. This review only targeted studies that specifically investigated surgical care for Māori; however, many other studies have performed subanalyses for Māori as part of bigger ethnographic epidemiological studies and Indigenous health has become more topical in Australasia since this review was conducted. Health disparities and inequities in surgical care for Māori are still not well understood. This scoping review aims to report the nature and extent of disparities in surgical disease and care for Māori.Methods and analysisA scoping review will be performed in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews Checklist. This study will be informed by Kaupapa Māori research methodology. Electronic searches of PubMed, MEDLINE, Embase and Cumulative Index to Nursing and Allied Health Literature Plus will be performed between 19 February and 19 March 2022. Two authors will independently identify and retrieve relevant texts in an iterative manner and examine how responsive each of the included studies are to Māori using the recently described Māori framework—a framework designed to guide researcher responsiveness to Māori.Ethics and disseminationEthical approval has not been sought as our review will only include published and publicly accessible data. We will publish the review in an open access peer-reviewed surgical journal. This protocol has been registered in Open Science Framework (10.17605/OSF.IO/NP4H3).

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“…This research was performed in accordance with the Te Ao Māori Framework to ensure a non-deficit and anti-racist approach to research involving Māori and, specifically, Māori data. 20 Given that Māori comprise nearly half the population of Te Tairāwhiti and that recent research has reported that Māori experience higher prevalence of AAA and higher rates of mortality after AAA repair, it was important that this study had local Māori oversight (J-LR and AM) to ensure that this research is responsive to Māori from and residing in Te Tairāwhiti. 21…”

Section: Responsiveness To Māorimentioning

confidence: 99%

A retrospective cohort study of incidental abdominal aortic aneurysms on routine abdominal computed tomography scans in Te Tairāwhiti (2018–2019)

Kee,

Clifford,

Maloney

et al. 2024

NZMJ

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aim: Ruptured abdominal aortic aneurysm (rAAA) is associated with a high mortality rate which is especially significant in rural and provincial regions. In Aotearoa New Zealand, Māori experience higher rates of AAA and worse overall medium-term survival following AAA repair. This study aimed to understand the prevalence of incidental AAA on routine abdominal CT scans over 12 months. method: A retrospective review of all abdominal CT scans performed on patients ≥50 years at Gisborne Hospital between 1 December 2018–1 December 2019 was performed. results: A total of 811 scans were reviewed, with 42 incidental AAA detected (5.2%). The majority of incidental AAA were in males aged ≥65 (65.8%), with a higher prevalence for Māori compared to New Zealand European (NZE) (16.2% vs 8.1%, p=0.052). This pattern was also seen in females, aged ≥65 (10.9% in Māori vs 3.8% in NZE, p=0.047). conclusion: The detection of AAA on routine abdominal CT scans appears to be a useful adjunct in lieu of targeted AAA screening in our region. A high prevalence of incidental AAA (5.2%) over 12 months, with a significantly higher prevalence noted in Māori males and females ≥65 years (16.2% and 10.9%) was observed.

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Protecting Indigenous Māori in surgical research: a collective stance

Cited by 7 publications

References 9 publications

Review of Māori equity in surgical trainee selection

Review of Māori equity in surgical trainee selection

Understanding surgical disease and care for Māori in Aotearoa: protocol for a scoping review

A retrospective cohort study of incidental abdominal aortic aneurysms on routine abdominal computed tomography scans in Te Tairāwhiti (2018–2019)

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