{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T22:54:13Z","timestamp":1769381653957,"version":"3.49.0"},"reference-count":17,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,9,13]],"date-time":"2018-09-13T00:00:00Z","timestamp":1536796800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003354","name":"Garnett Passe and Rodney Williams Memorial Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003354","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011371","name":"Royal Australasian College of Surgeons","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011371","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>This study aimed to compare the incidence and outcomes of Maori and non\u2010Maori children with otitis media with effusion who underwent myringotomy plus ventilation tube insertion (MVTI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>De\u2010identified extraction of Auckland District Health Board (ADHB) morbidity records belonging to all children who underwent an MVTI procedure between January 1996 and June 2016 at Starship Children's Hospital was performed. Demographic, procedural and outcome data were analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 11\u2009941 children aged less than 10\u2009years underwent at least one MVTI procedure in the Auckland region from January 1996 to June 2016. Of those, 2387 (20%) were Maori and 9554 (80%) were non\u2010Maori. There was no difference in gender, age, length of stay, 30\u2010day readmissions or complications between Maori and non\u2010Maori at index or subsequent surgeries. Maori were not more likely than non\u2010Maori to require subsequent MVTI (<jats:italic>P<\/jats:italic>\u2009=\u20090.13). There was no difference between Maori and non\u2010Maori rates of having MVTI alone (<jats:italic>P<\/jats:italic>\u2009=\u20090.11) or MVTI with adenoidectomy \u00b1 tonsillectomy (<jats:italic>P<\/jats:italic>\u2009=\u20090.61).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Some epidemiological evidence suggests that Maori have a higher incidence of middle ear disease in the community. However, this study indicates that there is no difference in the post\u2010operative course between Maori and non\u2010Maori children.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.14788","type":"journal-article","created":{"date-parts":[[2018,9,13]],"date-time":"2018-09-13T09:54:49Z","timestamp":1536832489000},"page":"1141-1144","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Surgical treatment of otitis media with effusion in Maori children"],"prefix":"10.1111","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7521-8421","authenticated-orcid":false,"given":"James","family":"Johnston","sequence":"first","affiliation":[{"name":"Department of Surgery The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holly","family":"McLaren","sequence":"additional","affiliation":[{"name":"Department of Surgery The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murali","family":"Mahadevan","sequence":"additional","affiliation":[{"name":"Department of Surgery The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard G.","family":"Douglas","sequence":"additional","affiliation":[{"name":"Department of Surgery The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,9,13]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"ReidP RobsonB. Understanding health inequities. In: Robson B Harris R (eds).Hauora: M\u0101ori Standards of Health IV: A Study of the Years 2000\u20132005. Wellington: Te R\u014dp\u016b Rangahau Hauora a Eru P\u014dmare 2005; pp. 3\u201310."},{"key":"e_1_2_8_3_1","unstructured":"Ministry of Health. Tatau Kahukura: Maori Health Statistics. [Updated 8 Oct 2015; Cited 3 Apr 2018.] Available from URL:https:\/\/www.health.govt.nz\/our\u2010work\/populations\/maori\u2010health\/tatau\u2010kahukura\u2010maori\u2010health\u2010statistics"},{"key":"e_1_2_8_4_1","first-page":"10","article-title":"Ethnic differences in acute hospitalisations for otitis media and elective hospitalisations for ventilation tubes in New Zealand children aged 0\u201014 years","volume":"128","author":"McCallum J","year":"2015","journal-title":"N. Z. Med. J."},{"key":"e_1_2_8_5_1","first-page":"6","article-title":"Vaccination to prevent otitis media in New Zealand","volume":"124","author":"Walls T","year":"2011","journal-title":"N. Z. Med. J."},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815624409"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)15495-0"},{"key":"e_1_2_8_8_1","first-page":"1","article-title":"Clinical practice guideline: tympanostomy tubes in children","volume":"149","author":"Rosenfeld RM","year":"2013","journal-title":"Otolaryngol. Head Neck Surg."},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2012.02469.x"},{"key":"e_1_2_8_10_1","unstructured":"New Zealand Health Technology Assessment (NZHTA). Screening programmes for the detection of otitis media with effusion and conductive hearing loss in pre\u2013school and new entrant school children \u2013 an appraisal of the literature. Report 3. [Updated 1998; Cited 3 Apr 2018.] Available from URL:http:\/\/nzhta.chmeds.ac.nz\/publications\/nzhta3.pdf"},{"key":"#cr-split#-e_1_2_8_11_1.1","unstructured":"NZ Child and Youth Epidemiology Service (NZCYES). The Health Status of Children and Young People in the Northern District Health Boards. Report. [Updated Nov 2011"},{"key":"#cr-split#-e_1_2_8_11_1.2","unstructured":"Cited 3 Apr 2018.] Available from URL:http:\/\/countiesmanukau.health.nz\/assets\/About\u2010CMH\/Performance\u2010and\u2010planning\/health\u2010status\/2011\u2010health\u2010status\u2010ofchildren\u2010young\u2010people\u2010in\u2010NorthernDHBs.pdf"},{"key":"e_1_2_8_12_1","unstructured":"NZ Child and Youth Epidemiology Service (NZCYES). The Health Status of Children and Young People in Otago. Report. [Updated Nov 2008; Cited 3 Apr 2018.] Available from URL:http:\/\/www.otago.ac.nz\/nzcyes\/otago086007.pdf"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100115555"},{"key":"e_1_2_8_14_1","unstructured":"Greville Consulting for National Audiology Centre. New Zealand Vision and Hearing Screening Report \u2013 July 2005 to June 2006. [Updated Dec 2006; Cited 3 Apr 2018.] Available from URL:www.grevilleconsulting.co.nz"},{"key":"e_1_2_8_15_1","first-page":"127","article-title":"Are hearing losses among young Maori different to those found in the young NZ European population?","volume":"18","author":"Digby JE","year":"2014","journal-title":"N. Z. Med. J."},{"key":"e_1_2_8_16_1","first-page":"68","article-title":"Not in my hospital? Ethnic disparities in quality of hospital care in New Zealand: a narrative review of the evidence","volume":"122","author":"Rumball\u2010Smith JML","year":"2009","journal-title":"N. Z. Med. J."},{"key":"e_1_2_8_17_1","unstructured":"Statistics New Zealand. NZ. Stat DataHub. [Cited 3 Apr 2018]. 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