{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:39:52Z","timestamp":1747183192263,"version":"3.40.5"},"reference-count":17,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T00:00:00Z","timestamp":1604275200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Significant health disparities exist between M\u0101ori and non\u2010M\u0101ori patients in New Zealand. M\u0101ori patients treated medically for their thyroid disease are less likely to be euthyroid. The prevalence of thyroid disease and characteristics of M\u0101ori presenting for thyroid surgery has not been well studied. We aim to assess the differences in ethnic representation for thyroid surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis of cases performed between 2009 and 2019 at the Otolaryngology\/Head and Neck Department in Waikato District Health Board (DHB) was completed. All patients who received a thyroid operation were included and divided into M\u0101ori and non\u2010M\u0101ori groups. Clinical and operation notes were reviewed and the duration of presenting symptoms, weight, volume and diagnosis of the thyroid gland were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 93 patients were included in our study, of whom 71 patients were female and 22 male with 37 being M\u0101ori and 56 non\u2010M\u0101ori. M\u0101ori patients had significantly higher rates of retrosternal extension, compressive symptoms, post\u2010operative complications, delayed presentation and larger thyroid goitres when compared to non\u2010M\u0101ori (<jats:italic>P<\/jats:italic> &lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our study confirms that there is a significant ethnic disparity for M\u0101ori patients requiring thyroid surgery. This highlights an additional poor health outcome for M\u0101ori compared to non\u2010M\u0101ori patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.16410","type":"journal-article","created":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T11:40:18Z","timestamp":1604317218000},"page":"2527-2531","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Ethnic disparities for thyroid surgery"],"prefix":"10.1111","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9386-9658","authenticated-orcid":false,"given":"Johnny","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Waikato Hospital  Hamilton New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"AK","family":"Ebrahim","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Waikato Hospital  Hamilton New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,11,2]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60914-4"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-019-1082-3"},{"key":"e_1_2_7_4_1","unstructured":"Ministry of Health \u2013 New Zealand.New Zealand Cancer Registry (NZCR).2020. 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