{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T16:55:39Z","timestamp":1772988939074,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>M\u0101ori face notable survival disparities for head and neck cancer (HNC). New studies on HNC disparities with a rural lens are limited. This study aims to assess differences in HNC survival and treatment between M\u0101ori and Europeans in the Mid Central region of New Zealand (NZ), identify survival\u2010correlating factors, and highlight areas for health system improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      This retrospective study examined M\u0101ori and European patients managed through the Mid Central Regional Head and Neck Meeting for HNC from 2014 to 2020. Data on mortality, treatment modalities, demographics, comorbidities, Eastern Cooperative Oncology Group (ECOG) status, smoking and disease characteristics were collected from electronic patient records. Statistical analysis included Fisher's exact test, Welch's\n                      <jats:italic>t<\/jats:italic>\n                      test, Wilcoxon rank\u2010sum tests, Kaplan\u2013Meier curves and Cox Proportional Hazard regression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study included 49 M\u0101ori and 318 European patients. Overall HNC 5\u2010year survival was 76%, with no statistically significant difference between M\u0101ori and Europeans. M\u0101ori were diagnosed an average of 7\u2009years younger and were more likely to present with stage 4 disease. No significant differences between the groups were observed in treatment goal, modality, or delay. One\u2010quarter of all patients received treatment beyond the 62\u2010day target set by the Ministry of Health (MOH).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although no difference in 5\u2010year survival was found, M\u0101ori continue to experience poorer outcomes in other ways. The identified disparities emphasise the need to improve social determinants of health, cultural safety of service, and primary care. Future research should identify specific barriers and assess the effectiveness of transitions from primary to secondary care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70155","type":"journal-article","created":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T06:48:47Z","timestamp":1746514127000},"page":"1847-1854","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Health Disparities of Head and Neck Cancer in M\u0101ori and European in Mid Central New Zealand 2014\u20132020"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-8207-8941","authenticated-orcid":false,"given":"Mengqi","family":"Yuan","sequence":"first","affiliation":[{"name":"Otolaryngology Department Palmerston North Hospital  Palmerston North New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Fong","sequence":"additional","affiliation":[{"name":"Health Information and Data Quality Palmerston North Hospital  Palmerston North New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Te Paiho","sequence":"additional","affiliation":[{"name":"Pae Ora M\u0101ori Health Palmerston North Hospital  Palmerston North New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Peel","sequence":"additional","affiliation":[{"name":"Radiation Oncology Department Palmerston North Hospital  Palmerston North New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joy","family":"Hu","sequence":"additional","affiliation":[{"name":"Otolaryngology Department Palmerston North Hospital  Palmerston North New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aneesh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Otolaryngology Department Palmerston North Hospital  Palmerston North New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.canep.2015.02.004"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.14639\/0392-100X-1246"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415-022-5166-x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.13004"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1200\/GO.20.00028"},{"key":"e_1_2_9_7_1","volume-title":"Cancer Trends: Trends in Cancer Survival by Ethnic and Socioeconomic Group, New Zealand 1991\u20132004","author":"Soeberg M.","year":"2012"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.canep.2023.102393"},{"key":"e_1_2_9_9_1","unstructured":"R.Boast \u201cTe Ara \u2010 the Encyclopedia of New Zealand \u201d2008Te tango Whenua \u2010 M\u0101ori land alienation https:\/\/teara.govt.nz\/en\/te\u2010tango\u2010whenua\u2010maori\u2010land\u2010alienation\/print."},{"key":"e_1_2_9_10_1","unstructured":"Ministry of Culture and Heritage \u201cNZ History \u201d2016Obtaining Land https:\/\/nzhistory.govt.nz\/politics\/treaty\/the\u2010treaty\u2010in\u2010practice\/obtaining\u2010land."},{"key":"e_1_2_9_11_1","unstructured":"Te Puni Kokori Ministry of M\u0101ori Development \u201cWhy Whenua Matters \u201d2023Tupu.nz https:\/\/www.tupu.nz\/en\/tuhono\/about\u2010maori\u2010land\u2010in\u2010new\u2010zealand\/why\u2010whenua\u2010matters."},{"key":"e_1_2_9_12_1","unstructured":"M.DurieandManatu Hauora Ministry of Health \u201cM\u0101ori Health Models \u2010 Te Whare Tapa Wha \u201d2023 https:\/\/www.health.govt.nz\/our\u2010work\/populations\/maori\u2010health\/maori\u2010health\u2010models\/maori\u2010health\u2010models\u2010te\u2010whare\u2010tapa\u2010wha."},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2014.03.009"},{"key":"e_1_2_9_14_1","unstructured":"Cancer Australia \u201cNational Cancer Control Indicators. 5\u2010Year Relative Survival From Diagnosis \u201d2022 https:\/\/ncci.canceraustralia.gov.au\/outcomes\/relative\u2010survival\u2010rate\/5\u2010year\u2010relative\u2010survival\u2010diagnosis."},{"key":"e_1_2_9_15_1","unstructured":"National Cancer Institute. 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