title: Outcome following heart transplantation in New Zealand Maori.
abstract: BACKGROUND
  Disparities in health care access and outcomes between Maori (M) and Non-Maori (NM) New Zealanders have been reported but little is known about access to and outcomes following heart transplantation (HT).
  
  
  METHODS
  A retrospective analysis was performed of M and NM who underwent HT in New Zealand. Demographic, clinical and outcome data were collected.
  
  
  RESULTS
  Of 253 patients transplanted, 176 were European, 47 M (19%) and 30 of other ethnicities. M and NM groups were compared. Median age (both 46 years), gender (17% vs 21% female), waiting time (90 vs 76 days) and diagnosis (dilated cardiomyopathy - 62% vs 58%) were similar for both groups. M were heavier (81 vs 71 kg, p<0.0001) and more were blood group A (58% vs 39%). Five year survival was similar (79% vs 78%) but 10 year survival was significantly reduced in M (54% vs 67% p=0.02).
  
  
  CONCLUSIONS
  The proportion of Maori who have undergone heart transplantation in New Zealand compares favourably with their proportion in the New Zealand population. The reasons for the adverse diverging outcomes after five years require further investigation.
authors.affiliation: Department of Medicine, University of Auckland; Auckland, New Zealand.
authors.forename: Fergus R D
authors.initials: FR
authors.lastname: Stewart
authors.affiliation: Department of Medicine, University of Auckland; Auckland, New Zealand; New Zealand Heart and Lung Transplant Service; Auckland, New Zealand; Auckland City Hospital, Cardiology Department; Auckland, New Zealand. Electronic address: PRuygrok@adhb.govt.nz.
authors.forename: Peter N
authors.initials: PN
authors.lastname: Ruygrok
authors.affiliation: New Zealand Heart and Lung Transplant Service; Auckland, New Zealand; Auckland City Hospital, Cardiology Department; Auckland, New Zealand.
authors.forename: Helen C
authors.initials: HC
authors.lastname: Gibbs
authors.affiliation: Auckland City Hospital, Cardiology Department; Auckland, New Zealand.
authors.forename: Karishma K
authors.initials: KK
authors.lastname: Sidhu
authors.affiliation: New Zealand Heart and Lung Transplant Service; Auckland, New Zealand; Auckland City Hospital, Cardiology Department; Auckland, New Zealand.
authors.forename: H Arthur
authors.initials: HA
authors.lastname: Coverdale
authors.affiliation: Middlemore Hospital, Cardiology Department; Auckland, New Zealand.
authors.forename: Wil
authors.initials: W
authors.lastname: Harrison
authors.affiliation: New Zealand Heart and Lung Transplant Service; Auckland, New Zealand; Auckland City Hospital, Cardiology Department; Auckland, New Zealand.
authors.forename: Cara
authors.initials: C
authors.lastname: Wasywich
mesh_terms: D000328:Adult; D018572:Disease-Free Survival; D005260:Female; D005500:Follow-Up Studies; D016027:Heart Transplantation / Q000941:ethics* / Q000401:mortality*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009520:New Zealand; D012189:Retrospective Studies; D015996:Survival Rate
keywords: Culture; Heart transplant; Maori; Outcomes