Studies have found that indigenous patients have a higher incidence of fatal surgical complications
Toronto-Aboriginal patients have a higher incidence of complications after surgery; less likely to undergo life-saving procedures such as cardiac surgery and caesarean section; A recent study by an Aboriginal-led expert group shows that the waiting time for a kidney transplant is longer long.
Based on an in-depth study of mortality data from four studies, researchers at the Ottawa Hospital and the University of Ottawa also found that the probability of aboriginal people dying after surgery has increased by 30%.
Survey results- Published on Monday in the Journal of the Canadian Medical Association -Is the newest member of the team, the team is establishing a new research program to better understand the surgical experience of the Aboriginals, Métis and Inuit.
“Knowing the results of surgery and obtaining surgical services is the first step in tackling colonialism and structural racism in healthcare, so we can identify gaps and identify areas for improvement,” The lead researcher and Métis anaesthetist Jason Dr. McVicar said. Ottawa Hospital.
The latest projects he leads are known for their groundbreaking numbers.
Not only did the research team say that their study was the first to analyze all available surgical results data for indigenous peoples, but the research team itself also included Dr. Nadine Caron and Donna May, Canada’s first female surgeon of First Nations descent. Dr. Kimmaliardjuk, Canada’s first Inuk cardiac surgeon.
“For a long time, indigenous health research has been dominated by non-indigenous researchers…so we are very excited that Aboriginal, Inuit and Metis scholars dominate indigenous health research,” McVicar said. Support the surgical team I told CTVNews.ca during a telephone interview with Iqaluit.
Through 28 published studies, his team was able to collect information about 1.9 million patients, of which about 10% were patients (about 202,000 were identified as indigenous).
Overall, the data also show that compared with non-indigenous people, the rate of hospitalization and rehospitalization of indigenous patients and post-operative infection rates are also higher. The study also found that indigenous patients had lower rates of quality-of-life operations such as knee and hip replacements.
Dr. Daniel McIsaac, Associate Scientist and Anesthesiologist at the Ottawa Hospital and Associate Professor at the University of Ottawa, said: “Surgery is very important to good health.”
“Many major diseases require travel to the operating room. Therefore, unequal surgical opportunities and adverse postoperative consequences are a major problem.”
Canadian Data Doctor: We are sneaking
This study is unevenly consistent with the outcome of Aboriginal surgery in other high-income countries, but it turns out that Canada stands out in the lack of good data.
McVicar and his team found that surgical data on Canadian indigenous peoples was quite limited and of poor quality.
He said: “We are driving on the highway in the dark with extinguished lights, and we can’t even say that we are a ditch.” Researchers had to come up with various methods to determine the indigenous identity of patients, and none of them specifically targeted Inuit. The result of surgery for a person or a Métis person.
McVicar, who is also an assistant professor at the University of Ottawa, said that this means “we need better data” and said that these communities are often seen as a whole, rather than incredible diversity, uniqueness and a long history.
He called for better quality research and real-time results monitoring for indigenous patients. But he said that public health officials, hospitals and clinics have to face many obstacles in completing this work.
Staff in hospitals and clinics must figure out how to safely collect indigenous identity data that does not further marginalize patients who may have suffered systematic discrimination or racism in the healthcare system.
McVicar said: “Unless they feel safe, they don’t want to identify them as aboriginal, Inuit or Metis.” He suggested that hospitals or clinics can assign a health navigator to help patients find a supporter. People-They will also be able to speak their language.
Building this trust can also include allowing dietitians to provide “locally sourced traditional foods to help patients recover.” He said that from cleaners to nurses, from medical staff to anesthesiologists, to anesthesiologists, and then to surgeons, everyone should play a role to ensure that indigenous patients feel safe.
In order to do this effectively, McVicar urges greater respect and better partnerships with remote communities and institutions that have already done similar work (such as the First Nations Health Administration in British Columbia): “Because they are expert.”
He said: “These solutions will only succeed if the indigenous communities become equal partners in this process.” “To solve the systemic discrimination and racism in our healthcare system, we need to rebuild it… we It’s not about one-hour sensitivity training to solve this problem.”