Bronchiectasis Among Adult First Nations Indigenous People - A Scoping Review
Background: Among First Nations adults living in OECD nations bronchiectasis appears at a particularly heightened rate, due to high childhood incidence, and high prevalence of associated risk factors. To date, however, the extent of the bronchiectasis disease burden among adult First Na-tions people...
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crbenthamsciepub:10.2174/1573398x19666221212164215 2024-06-23T07:52:48+00:00 Bronchiectasis Among Adult First Nations Indigenous People - A Scoping Review Heraganahally, Subash S. Howarth, Timothy Heraganahally, Sanjana S. 2023 http://dx.doi.org/10.2174/1573398x19666221212164215 https://www.eurekaselect.com/article/download?doi=10.2174/1573398X19666221212164215 https://www.eurekaselect.com/211887/article en eng Bentham Science Publishers Ltd. https://creativecommons.org/licenses/by/4.0/legalcode Current Respiratory Medicine Reviews volume 19, issue 1, page 36-51 ISSN 1573-398X journal-article 2023 crbenthamsciepub https://doi.org/10.2174/1573398x19666221212164215 2024-06-13T04:10:31Z Background: Among First Nations adults living in OECD nations bronchiectasis appears at a particularly heightened rate, due to high childhood incidence, and high prevalence of associated risk factors. To date, however, the extent of the bronchiectasis disease burden among adult First Na-tions people has not been formally assessed. Methods: Two databases (Pubmed and Scopus) were reviewed for English literature published from January 2000 to March 2022 pertaining to bronchiectasis among adult First Nations indigenous people residing in OECD nations. All studies that reported on prevalence, incidence, or outcomes (i.e., hospitalisations, mortality) directly associated with bronchiectasis were included. Studies that did not provide indigenous specific, bronchiectasis specific data, or were paediatric studies were ex-cluded. Participant numbers and demographics, bronchiectasis prevalence or incidence, respiratory comorbidities and outcomes including mortality, hospitalisations or univariate or multivariate mod-elling to describe the risk of bronchiectasis and outcomes were tabulated. Results: Twenty-five studies were included, drawn from Australia (n=16), New Zealand (n=7) and North America (n=1), with most studies (n=21) reporting on referred populations. A median num-ber of participants was 241 (range 31 to 1765) (excluding nationwide hospitalisation datasets (n=3)) with a mean age of 48.4 years, and 55% females. The hospital admission rate for bronchiectasis was 3.5x to 5x higher among Māori compared to non-Māori New Zealanders, and 5x higher in indige-nous compared to non-indigenous Australians. Mortality ranged from 10 to 56% on follow-up. Conclusion: Bronchiectasis disease burden is higher among adult First Nations indigenous popula-tions, presenting earlier with high mortality and hospitalisation rate. Further studies are required to address this inequality. Article in Journal/Newspaper First Nations Bentham Science Publishers New Zealand Current Respiratory Medicine Reviews 19 1 36 51 |
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Background: Among First Nations adults living in OECD nations bronchiectasis appears at a particularly heightened rate, due to high childhood incidence, and high prevalence of associated risk factors. To date, however, the extent of the bronchiectasis disease burden among adult First Na-tions people has not been formally assessed. Methods: Two databases (Pubmed and Scopus) were reviewed for English literature published from January 2000 to March 2022 pertaining to bronchiectasis among adult First Nations indigenous people residing in OECD nations. All studies that reported on prevalence, incidence, or outcomes (i.e., hospitalisations, mortality) directly associated with bronchiectasis were included. Studies that did not provide indigenous specific, bronchiectasis specific data, or were paediatric studies were ex-cluded. Participant numbers and demographics, bronchiectasis prevalence or incidence, respiratory comorbidities and outcomes including mortality, hospitalisations or univariate or multivariate mod-elling to describe the risk of bronchiectasis and outcomes were tabulated. Results: Twenty-five studies were included, drawn from Australia (n=16), New Zealand (n=7) and North America (n=1), with most studies (n=21) reporting on referred populations. A median num-ber of participants was 241 (range 31 to 1765) (excluding nationwide hospitalisation datasets (n=3)) with a mean age of 48.4 years, and 55% females. The hospital admission rate for bronchiectasis was 3.5x to 5x higher among Māori compared to non-Māori New Zealanders, and 5x higher in indige-nous compared to non-indigenous Australians. Mortality ranged from 10 to 56% on follow-up. Conclusion: Bronchiectasis disease burden is higher among adult First Nations indigenous popula-tions, presenting earlier with high mortality and hospitalisation rate. Further studies are required to address this inequality. |
format |
Article in Journal/Newspaper |
author |
Heraganahally, Subash S. Howarth, Timothy Heraganahally, Sanjana S. |
spellingShingle |
Heraganahally, Subash S. Howarth, Timothy Heraganahally, Sanjana S. Bronchiectasis Among Adult First Nations Indigenous People - A Scoping Review |
author_facet |
Heraganahally, Subash S. Howarth, Timothy Heraganahally, Sanjana S. |
author_sort |
Heraganahally, Subash S. |
title |
Bronchiectasis Among Adult First Nations Indigenous People - A Scoping Review |
title_short |
Bronchiectasis Among Adult First Nations Indigenous People - A Scoping Review |
title_full |
Bronchiectasis Among Adult First Nations Indigenous People - A Scoping Review |
title_fullStr |
Bronchiectasis Among Adult First Nations Indigenous People - A Scoping Review |
title_full_unstemmed |
Bronchiectasis Among Adult First Nations Indigenous People - A Scoping Review |
title_sort |
bronchiectasis among adult first nations indigenous people - a scoping review |
publisher |
Bentham Science Publishers Ltd. |
publishDate |
2023 |
url |
http://dx.doi.org/10.2174/1573398x19666221212164215 https://www.eurekaselect.com/article/download?doi=10.2174/1573398X19666221212164215 https://www.eurekaselect.com/211887/article |
geographic |
New Zealand |
geographic_facet |
New Zealand |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Current Respiratory Medicine Reviews volume 19, issue 1, page 36-51 ISSN 1573-398X |
op_rights |
https://creativecommons.org/licenses/by/4.0/legalcode |
op_doi |
https://doi.org/10.2174/1573398x19666221212164215 |
container_title |
Current Respiratory Medicine Reviews |
container_volume |
19 |
container_issue |
1 |
container_start_page |
36 |
op_container_end_page |
51 |
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1802644207014248448 |