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. 2021 Jul 29;80(1):1946324. doi: 10.1080/22423982.2021.1946324
GASTROINTESTINAL DISEASES (n = 4)
Author (year, journal) Setting Topic Populations’ characteristics Outcomes Main results STROBE
Beres (2010, J Pediatr Surg) (123)
  • Northern Canada

  • Retrospective

Appendicitis
Hospitalisation, Surgery
  • Northern Indigenous people (Gr 1)

  • Local population (Gr 2)

  • Children

  • F/M

Type of appendectomy (%) (p=0.02)
Length of stay (days) (p = 0.98)
Intervals between arrival and operating room
Mean operative time
Laparoscopic: Gr 1: 57%; Gr 2: 73%
Open: Gr 1: 43%; Gr 2: 27%
Gr 1: 2.9 ± 2.0; Gr 2: 2.9 ± 3.0
Gr 1: 10.3h; Gr 2: 7.0h (p = 0.0002)
Gr 1: 49.0 ± 20.2 min; Gr 2: 54.5 ± 17.6 min
15/22
Carey (1977, Can Assoc Radiol J) (124)
  • Ontario

  • Case reports

Lead shot appendicitis
Hospitalisation
  • Inuit people

  • 56 and 57 y.o.

  • F/M

Type of treatment CASE 1: Rectal suppositories to clear the lead shot (no effect). Sigmoidoscopy to evacuate the lead shot (no success). Laparotomy to remove the appendix, 3 lead shots, to mobilise lead shots through the rectum. 2 weeks after the surgery, enemas, purgatives and repeated sigmoidoscopy were done to dislodge the lead shots still present (no success). Another surgery was done to remove the rest of the lead shots.
CASE 2: Catheterisation of bladder (wrong diagnosis of urinary retention). Sigmoidoscopy (no success). Barium examination of the colon. Open appendicectomy for peritonitis.
7/13
Cohen (1989, Am J Public Health) (120)
  • Manitoba

  • Retrospective

Gall bladder diseases
Hospitalisation, Surgery
  • First Nations (Gr 1)

  • Non-First Nations (Gr 2)

  • All ages


F/M
% of patients who received their operation from a general practitioner Gr 1: 34.2%; Gr 2: 18% 14/22
Harper (2015, Int J Circumpol Heal) (29)
  • Labrador and Nunavut

  • Cross-sectional

Acute gastrointestinal illness
Primary care visits
  • Inuit people

  • All ages

  • Male/Female

% of patients who visited clinic or hospital (95% CI)
Reasons for not seeking care Rigolet/Iqaluit
Rigolet: 4.8% (1.5-14.4)
Iqaluit: 16.9% (11.2-24.7)
Illness not serious enough: 82%/50%; Would not make a difference: 2%/10%; Dislikes or distrusts doctors or nurses: 2%/3%; On the land: 5%/1%; Language barriers: 0%/0%
16/22