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Studies found that indigenous patients had a higher incidence of fatal surgical complications




Toronto-Indigenous patients had a higher incidence of postoperative complications. It was unlikely that he would undergo life-saving procedures such as heart surgery or caesarean section. A new study by a team of indigenous-led experts has increased the waiting time for kidney transplants.

Based on the details of mortality data from four previously published studies, researchers at Ottawa Hospital and the University of Ottawa also found that indigenous peoples were 30% more likely to die after surgery.

Survey results- Published in the Canadian Medical Association Journal on Monday -This is the latest from a team building a new research program to better understand the surgical experience of indigenous peoples, Metis and Inuit people.

“Understanding the outcome of surgery and access to surgical services is the first step in addressing colonialism and structural racism in health care, so we need to identify gaps and improve what. You can determine if there is one, “said Dr. Jason McVicker, a senior researcher at The and a Metis anesthesiologist. Ottawa Hospital.

The latest project he leads is noteworthy in its first number.

Not only did the team state that their study was the first to analyze all available surgical outcome data for indigenous peoples, but the team itself was the first Canadian female general surgeon of First Nations descendants. Includes Dr. Nadine Caron and Dr. Donamei Kimmaliardjuk, Canada’s first Inuk Cardiac Surgeon.

“For a long time, indigenous health research has been dominated by non-indigenous researchers … so I’m excited that indigenous health research is being led by indigenous, Inuit, and Metis scholars,” he said. Supported surgical teams I told CTV in a telephone interview in Iqaluit.

Using 28 published studies, his team was able to compile information about 1.9 million patients, about 10% (or about 202,000 patients) identified as indigenous.

Taken together, the data also showed that indigenous patients had a higher rate of readmissions and postoperative infections than non-indigenous peoples. We also found that indigenous patients had a lower proportion of quality of life surgery, such as knee and hip replacement.

“Access to surgery is essential for health,” said Dr. Daniel Makizak, an associate scientist and anesthesiologist at the University of Ottawa and an associate professor at the University of Ottawa, in a press release.

“Equal access to surgery and worse results after surgery are major problems, as many major illnesses require travel to the operating room.”

Doctor: We are driving in the dark

This study is consistent with indigenous surgical outcome inequality in other high-income countries, but Canada stands out in the lack of good data.

McVicar and his team found that surgical data on indigenous peoples in Canada were fairly limited and of poor quality.

“We’re driving at highway speeds in the dark, we’re turning off the lights, and we can’t even say we’re a ditch,” he said. Researchers had nothing to do with the surgical outcome of Inuit or Metis patients, and had to come up with different ways to determine the indigenous identity of the patient.

McVicar, an assistant professor at the University of Ottawa, said this meant “we need better data,” and these communities are monolithic rather than incredibly diverse, clear, and have their own rich history. Said that it is very often treated as.

He called for higher quality research and real-time result monitoring for indigenous patients. But he said public health authorities, hospitals and clinics had significant hurdles before them in achieving it.

Hospital and clinic staff need to understand how to safely collect indigenous identity data that does not further downplay patients who may already be experiencing systematic or racism in their healthcare system. There is.

“You wouldn’t want to identify them as indigenous peoples, Inuit, or Metis unless they feel safe,” said McVicker, a health navigator who also allows hospitals and clinics to speak their favorite language during medical visits. Suggested that can be assigned.

Building this trust also includes, for example, having a dietitian provide “traditional foods procured locally to help the patient on the path to healing.” He said that everyone, from cleaners to nurses, tidyers, anesthesiologists and surgeons, has a role to play in ensuring the safety of indigenous patients.

And to do that effectively, McVicar called for more respect and better partnerships with remote communities and institutions already doing similar work, such as the British Columbia Indigenous Health Department. It was.

“These solutions will only succeed if the indigenous communities are equal partners in the process,” he said.

“To deal with systematic and racist discrimination in our medical system, we need to rebuild it … and we’re not going to solve this with an hour of susceptibility training.”


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