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We observed a 9.2% mortality rate in Maori patients who underwent elective surgery compared with 1.8% in non-Maori patients. Although these proportions are based on small numbers, the mortality rate for Maori patients is considerably higher than the 3% to 7% guideline provided http://www.selleckchem.com/products/BIBF1120.html by the British Association of Coloproctology.31, 32 In terms of oncology treatment, >50% of all Maori patients who received adjuvant chemotherapy waited for >8 weeks to start their treatment compared with slightly more than 25% of non-Maori recipients. At the time of the current study, adjuvant cancer therapy was provided almost exclusively through public hospitals; therefore, this finding supports previous research suggesting that Maori patients may receive a lower quality of public hospital care compared with European New Zealanders.33 Ethnic inequalities in treatment may arise at the level of health systems, healthcare processes, and individual patients.7, 8 Our study produced no evidence http://www.selleckchem.com/products/Metformin-hydrochloride(Glucophage).html that Maori patients refuse treatment more often than non-Maori patients, and http://www.selleck.cn/products/carfilzomib-pr-171.html of non-Maori patients. Public hospitals without cancer centers are spread throughout New Zealand and vary from large urban facilities with several hundred beds to small rural hospitals with