The responsiveness of surgical research to Māori in Aotearoa, New Zealand—a scoping reviewResearch in context
Summary: Background: Māori, the Indigenous people of Aotearoa, New Zealand (NZ), experience significant inequities in access to surgery and postoperative outcomes. This scoping review aimed to present a synopsis of the extent and nature of research concerning Māori in surgery in NZ and evaluated th...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-02-01
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| Series: | The Lancet Regional Health. Western Pacific |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666606525000240 |
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| author | Jamie-Lee Rahiri Noah Appleby Makayla Kahi Annaliese Wheeler Jason Tuhoe Shanthi Ameratunga Rachelle Love Wiremu MacFater Matire Harwood |
| author_facet | Jamie-Lee Rahiri Noah Appleby Makayla Kahi Annaliese Wheeler Jason Tuhoe Shanthi Ameratunga Rachelle Love Wiremu MacFater Matire Harwood |
| author_sort | Jamie-Lee Rahiri |
| collection | DOAJ |
| description | Summary: Background: Māori, the Indigenous people of Aotearoa, New Zealand (NZ), experience significant inequities in access to surgery and postoperative outcomes. This scoping review aimed to present a synopsis of the extent and nature of research concerning Māori in surgery in NZ and evaluated the responsiveness of this evidence base to Māori using two Indigenous frameworks. Methods: Utilising a Kaupapa Māori methodological stance, a scoping review of all studies related to Māori and surgical care in NZ (2000–2024) was performed. The studies underwent thorough evaluation using the CONSIDER and MĀORI frameworks to assess responsiveness to Indigenous Māori. Findings: A total of 254 studies were included, most being quantitative (N = 230, 91%) and most categorised under General Surgery (N = 139, 55%). Māori responsiveness assessments of each study highlighted significant shortcomings, with 96% of studies (N = 243/254) rated as low quality as per the adapted CONSIDER framework and 68% (N = 172/254) rated as low quality in accordance with the MĀORI framework. More than half of all studies (55%) did not report Māori leadership, governance, and co-authorship. Studies that utilised Kaupapa Māori research were more likely to be considered high-quality. Interpretation: This study shows that the current surgical evidence base is not responsive to Māori. It calls for a review of research practices and encourages monitoring of the surgical evidence base for all Indigenous peoples. Funding: This study was supported by a Health Research Council of New Zealand Health Delivery Research Activation Grant (21/860) and Māori Health Knowledge Translation Grant (25/234). The funders had no role in the study design, conception, data collection, analysis, interpretation, or report writing. They also had no role in submitting our study for publication. |
| format | Article |
| id | doaj-art-442661caf23749e5ad4c4c6207340299 |
| institution | Kabale University |
| issn | 2666-6065 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Lancet Regional Health. Western Pacific |
| spelling | doaj-art-442661caf23749e5ad4c4c62073402992025-02-11T04:35:31ZengElsevierThe Lancet Regional Health. Western Pacific2666-60652025-02-0155101487The responsiveness of surgical research to Māori in Aotearoa, New Zealand—a scoping reviewResearch in contextJamie-Lee Rahiri0Noah Appleby1Makayla Kahi2Annaliese Wheeler3Jason Tuhoe4Shanthi Ameratunga5Rachelle Love6Wiremu MacFater7Matire Harwood8Te Piringa Kōtuku, Tuhauora Medical Associates, 75 Shortland Rd, Auckland, 1010, New Zealand; Department of General Practice and Primary Health Care, The University of Auckland, 85 Park Road, Grafton, Auckland, 1010, New Zealand; Corresponding author. Te Piringa Kōtuku, Tuhauora Medical Associates, 75 Shortland Road, Auckland, 1010, New Zealand.Medical Students, Faculty of Medical and Health Sciences, The University of Auckland, 85 Park Road, Grafton, Auckland, 1010, New ZealandMedical Students, Faculty of Medical and Health Sciences, The University of Auckland, 85 Park Road, Grafton, Auckland, 1010, New ZealandDepartment of General Practice and Primary Health Care, The University of Auckland, 85 Park Road, Grafton, Auckland, 1010, New ZealandDepartment of General Practice and Primary Health Care, The University of Auckland, 85 Park Road, Grafton, Auckland, 1010, New ZealandSection of Epidemiology & Biostatistics, School of Population Health, The University of Auckland, 85 Park Road, Grafton, Auckland, New ZealandDepartment of Otorhinolaryngology, Christchurch Hospital, Te Whatu Ora – Health New Zealand, 2 Riccarton Avenue, Christchurch Central City, Christchurch, 4710, New ZealandBoard Member, Te Ohu Rata o Aotearoa – Māori Medical Practitioners Association, New ZealandDepartment of General Practice and Primary Health Care, The University of Auckland, 85 Park Road, Grafton, Auckland, 1010, New ZealandSummary: Background: Māori, the Indigenous people of Aotearoa, New Zealand (NZ), experience significant inequities in access to surgery and postoperative outcomes. This scoping review aimed to present a synopsis of the extent and nature of research concerning Māori in surgery in NZ and evaluated the responsiveness of this evidence base to Māori using two Indigenous frameworks. Methods: Utilising a Kaupapa Māori methodological stance, a scoping review of all studies related to Māori and surgical care in NZ (2000–2024) was performed. The studies underwent thorough evaluation using the CONSIDER and MĀORI frameworks to assess responsiveness to Indigenous Māori. Findings: A total of 254 studies were included, most being quantitative (N = 230, 91%) and most categorised under General Surgery (N = 139, 55%). Māori responsiveness assessments of each study highlighted significant shortcomings, with 96% of studies (N = 243/254) rated as low quality as per the adapted CONSIDER framework and 68% (N = 172/254) rated as low quality in accordance with the MĀORI framework. More than half of all studies (55%) did not report Māori leadership, governance, and co-authorship. Studies that utilised Kaupapa Māori research were more likely to be considered high-quality. Interpretation: This study shows that the current surgical evidence base is not responsive to Māori. It calls for a review of research practices and encourages monitoring of the surgical evidence base for all Indigenous peoples. Funding: This study was supported by a Health Research Council of New Zealand Health Delivery Research Activation Grant (21/860) and Māori Health Knowledge Translation Grant (25/234). The funders had no role in the study design, conception, data collection, analysis, interpretation, or report writing. They also had no role in submitting our study for publication.http://www.sciencedirect.com/science/article/pii/S2666606525000240Māori healthSurgeryEquityAotearoa New Zealand |
| spellingShingle | Jamie-Lee Rahiri Noah Appleby Makayla Kahi Annaliese Wheeler Jason Tuhoe Shanthi Ameratunga Rachelle Love Wiremu MacFater Matire Harwood The responsiveness of surgical research to Māori in Aotearoa, New Zealand—a scoping reviewResearch in context The Lancet Regional Health. Western Pacific Māori health Surgery Equity Aotearoa New Zealand |
| title | The responsiveness of surgical research to Māori in Aotearoa, New Zealand—a scoping reviewResearch in context |
| title_full | The responsiveness of surgical research to Māori in Aotearoa, New Zealand—a scoping reviewResearch in context |
| title_fullStr | The responsiveness of surgical research to Māori in Aotearoa, New Zealand—a scoping reviewResearch in context |
| title_full_unstemmed | The responsiveness of surgical research to Māori in Aotearoa, New Zealand—a scoping reviewResearch in context |
| title_short | The responsiveness of surgical research to Māori in Aotearoa, New Zealand—a scoping reviewResearch in context |
| title_sort | responsiveness of surgical research to maori in aotearoa new zealand a scoping reviewresearch in context |
| topic | Māori health Surgery Equity Aotearoa New Zealand |
| url | http://www.sciencedirect.com/science/article/pii/S2666606525000240 |
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