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In this study, FB indications and outcomes between indigenous and non\u2010indigenous patients were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To assess the similarities and differences of FB indications and outcomes between indigenous and non\u2010indigenous patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Self\u2010reported indigenous status, resident locality and the primary indication for FB were assessed. The FB procedures details, results of microbiology, cytology and histopathology were compared between indigenous and non\u2010indigenous patients. Chest computed tomography (CT) was also analysed for its relationship to FB outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 403 patients, 111 (28%) were indigenous, and indigenous patients were younger (mean difference 11\u2009years) and had a higher proportion of remote residence (70% vs 13%). Malignancy (40%) and infection (31%) were the most common indications for FB, although indigenous patients reported significantly more haemoptysis (15% vs 9%). No differences were noted in findings of the preceding chest CT scans. For positive microbiology, indigenous patients had a higher presence of <jats:italic>Streptococcus pneumoniae<\/jats:italic> (30% vs 9%), while non\u2010indigenous patients had a higher presence of <jats:italic>Pseudomonas aeruginosa<\/jats:italic> (43% vs 11%) and mycobacteria (15% vs 4%). There was no significant difference between indigenous and non\u2010indigenous patients for a positive histopathology, particularly for a diagnosis of lung malignancy (58% vs 54%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study has demonstrated that adult indigenous patients requiring a FB are significantly younger, tend to reside in remote communities and demonstrate differing microbiology with no significant difference in the diagnostic outcomes for lung malignancy. Ethnic status or remoteness should not preclude indigenous patients to undergo a FB if clinically indicated.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.15865","type":"journal-article","created":{"date-parts":[[2022,7,5]],"date-time":"2022-07-05T13:33:36Z","timestamp":1657028016000},"page":"1634-1641","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Flexible bronchoscopy indications and outcomes between indigenous and non\u2010indigenous patients in the Northern Territory of Australia"],"prefix":"10.1111","volume":"53","author":[{"given":"Mohammad M.","family":"Seyedshahabedin","sequence":"first","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Royal Darwin Hospital  Darwin Northern Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3028-0376","authenticated-orcid":false,"given":"Timothy P.","family":"Howarth","sequence":"additional","affiliation":[{"name":"College of Health and Human Sciences Charles Darwin University  Darwin Northern Territory Australia"},{"name":"Darwin Respiratory and Sleep Health Darwin Private Hospital  Darwin Northern Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3674-5058","authenticated-orcid":false,"given":"Lin","family":"Mo","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Royal Darwin Hospital  Darwin Northern Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edwina","family":"Biancardi","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Royal Darwin Hospital  Darwin Northern Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0788-7137","authenticated-orcid":false,"given":"Subash S.","family":"Heraganahally","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Royal Darwin Hospital  Darwin Northern Territory Australia"},{"name":"Darwin Respiratory and Sleep Health Darwin Private Hospital  Darwin Northern Territory Australia"},{"name":"College of Medicine and Public Health, Flinders University  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,9,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(20)30105-3"},{"key":"e_1_2_8_3_1","volume-title":"The Global Impact of Respiratory Disease \u2013 Second Edition","author":"Forum of International Respiratory Societies","year":"2017"},{"key":"e_1_2_8_4_1","unstructured":"Australian Institute of Health and Welfare (AIHW).Chronic respiratory conditions.2020[cited 2022 April]. 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