{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:39:00Z","timestamp":1747183140436,"version":"3.40.5"},"reference-count":29,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T00:00:00Z","timestamp":1704326400000},"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":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Published research suggests Indigenous peoples are less likely to receive analgesia in acute pain settings however there is limited data on the indigenous New Zealand M\u0101ori population. The aim of this exploratory pilot study was to compare management between M\u0101ori and non\u2010M\u0101ori for acute fracture pain in a regional trauma centre.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review was undertaken for 120 patients with isolated tibial shaft fractures presenting at a tertiary level trauma center between 2015 and 2020. Outcome measures reflected the patient journey including type of analgesia charted pre\u2010hospital, in the ED and on the ward.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of 104 matched patients, 48 (46%) were M\u0101ori and 65% were male. Fewer M\u0101ori received pre\u2010hospital analgesia compared with non\u2010M\u0101ori (odds ratio 0.29, p\u2009=\u20090.006). Pain scores were similar on arrival to ED (6.1\u2009\u00b1\u20093.5 versus 5.4\u2009\u00b1\u20092.7, p\u2009=\u20090.2). Once at hospital, there were similar rates of prescribed analgesia (paracetamol, NSAIDs, synthetics, or opioids) both in ED and the ward. Time to analgesia were also similar for both groups (72\u2009\u00b1\u200971\u2009min versus 65\u2009\u00b1\u200963\u2009min, <jats:italic>P<\/jats:italic>\u2009&gt;\u20090.9).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>We found differences in pre\u2010hospital administration of analgesia between M\u0101ori and non\u2010M\u0101ori patients with tibial shaft fractures. However once in hospital although there was a trend towards lower prescribing for M\u0101ori, there were no significant differences. Exploring the reasons underpinning this difference and the development of robust analgesic guidelines for tibial shaft fractures may help in reducing this inequity in care, particularly in the pre\u2010hospital setting.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18848","type":"journal-article","created":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T11:15:34Z","timestamp":1704366934000},"page":"241-245","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An exploratory study of acute analgesia in tibial shaft fractures: a comparison between M\u0101ori and Non\u2010M\u0101ori"],"prefix":"10.1111","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1378-4361","authenticated-orcid":false,"given":"Ruth","family":"Tan","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Waikato Hospital  Hamilton New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1197-1967","authenticated-orcid":false,"given":"Martin","family":"Coia","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Waikato Hospital  Hamilton New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1704-120X","authenticated-orcid":false,"given":"Mei Lin","family":"Tay","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Auckland  Auckland New Zealand"},{"name":"Department of Orthopaedic Surgery North Shore Hospital  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8518-8780","authenticated-orcid":false,"given":"Joseph F.","family":"Baker","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Waikato Hospital  Hamilton New Zealand"},{"name":"Department of Surgery University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,1,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)00345-7"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)66801-8"},{"key":"e_1_2_7_4_1","unstructured":"New Zealand Ministry of Health.Mortality web tool [Internet].2019[Cited 23 Nov 2022.] Available from URL:https:\/\/minhealthnz.shinyapps.io\/mortality-web-tool\/"},{"key":"e_1_2_7_5_1","unstructured":"New Zealand Ministry of Health.Annual Update of Key Results 2020\/21: New Zealand Health Survey [Internet].2021[cited 27 Oct 2022.] Available from URL:https:\/\/www.health.govt.nz\/publication\/annual-update-key-results-2020-21-new-zealand-health-survey"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.4104\/pcrj.2013.00068"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2016.03.004"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.14310"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2022.06.010"},{"key":"e_1_2_7_10_1","first-page":"15","article-title":"Disparities in post\u2010operative mortality between M\u0101ori and non\u2010indigenous ethnic groups in New Zealand","volume":"134","author":"Gurney J","year":"2021","journal-title":"N. 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