Advancing Bronchiectasis Care in Adult Indigenous People – An Australian Rural and Remote Perspective

Boyton RJ, Altmann DM, Bronchiectasis. Current concepts in Pathogenesis, Immunology, and microbiology. Annu Rev Pathol. 2016;11:523–54. https://doi.org/10.1146/annurev-pathol-012615-044344.

Article  PubMed  CAS  Google Scholar 

Howarth T, Heraganahally SS, Heraganahally SS. Bronchiectasis among adult first nations Indigenous people – A scoping review. Curr Respir Med Rev. 2023;19:36–51.

Article  Google Scholar 

Blackall SR, Hong JB, King P, Wong C, Einsiedel L, Rémond MGW, Woods C, Maguire GP. Bronchiectasis in Indigenous and non-indigenous residents of Australia and new Zealand. Respirology. 2018;23:743–9.

Article  PubMed  Google Scholar 

Mehra S, Chang AB, Lam CK, Campbell S, Mingi JJ, Thomas I, Horwood S, Maguire G, Heraganahally SS. Bronchiectasis among Australian aboriginal and Non-Aboriginal patients in the regional and remote population of the Northern territory of Australia. Rural Remote Health. 2021;21(2):6390. https://doi.org/10.22605/RRH6390.

Article  PubMed  Google Scholar 

Roberts ME, Lowndes L, Milne DG, Wong CA. Socioeconomic deprivation, readmissions, mortality and acute exacerbations of bronchiectasis. Int Med J. 2012;42(6):e129–136.

Article  CAS  Google Scholar 

Hill AT, Sullivan AL, Chalmers JD, De Soyza A, Elborn SJ, Floto AR, Grillo L, Gruffydd-Jones K, Harvey A, Haworth CS, Hiscocks E, Hurst JR, Johnson C, Kelleher PW, Bedi P, Payne K, Saleh H, Screaton NJ, Smith M, Tunney M, Whitters D, Wilson R, Loebinger MR. British thoracic society guideline for bronchiectasis in adults. Thorax. 2019;74(Suppl 1):1–69. https://doi.org/10.1136/thoraxjnl-2018-212463.

Article  PubMed  Google Scholar 

Polverino E, Goeminne PC, McDonnell MJ, Aliberti S, Marshall SE, Loebinger MR, Murris M, Cantón R, Torres A, Dimakou K, De Soyza A, Hill AT, Haworth CS, Vendrell M, Ringshausen FC, Subotic D, Wilson R, Vilaró J, Stallberg B, Welte T, Rohde G, Blasi F, Elborn S, Almagro M, Timothy A, Ruddy T, Tonia T, Rigau D, Chalmers JD. European respiratory society guidelines for the management of adult bronchiectasis. Eur Respir J. 2017;50(3):1700629. https://doi.org/10.1183/13993003.00629-2017.

Article  PubMed  Google Scholar 

Chang AB, Bell SC, Byrnes CA, Dawkins P, Holland AE, Kennedy E, King PT, Laird P, Mooney S, Morgan L, Parsons M, Poot B, Toombs M, Torzillo PJ, Grimwood K. Thoracic society of Australia and new Zealand (TSANZ) position statement on chronic suppurative lung disease and bronchiectasis in children, adolescents and adults in Australia and new Zealand. Respirology. 2023;28(4):339–49. https://doi.org/10.1111/resp.14479.

Article  PubMed  PubMed Central  Google Scholar 

Kruavit A, Fox M, Pearson R, Heraganahally S. Chronic respiratory disease in the regional and remote population of the Northern territory top end: a perspective from the specialist respiratory outreach service. Aust J Rural Health. 2017;25:275–84.

Article  PubMed  Google Scholar 

Heraganahally SS, Wasgewatta SL, McNamara K, Eisemberg CC, Budd RC, Mehra S, Sajkov D. Chronic obstructive pulmonary disease in aboriginal patients of the Northern territory of australia: A landscape perspective. Int J Chron Obstruct Pulmon Dis. 2019;14:2205–17.

Article  PubMed  PubMed Central  Google Scholar 

Australian Bureau of Statistics. Estimates of aboriginal and Torres Strait Islander Australians 2020. s.l.: Australian Bureau of Statistics; 2021.

Google Scholar 

Howarth TP, Jersmann HPA, Majoni SW, Mo L, Ben Saad H, Ford LP, Heraganahally SS. The ‘ABC’ of respiratory disorders among adult Indigenous people: asthma, bronchiectasis and COPD among aboriginal Australians - a systematic review. BMJ Open Respir Res. 2023;10(1):e001738. https://doi.org/10.1136/bmjresp-2023-001738.

Article  PubMed  PubMed Central  Google Scholar 

Heraganahally SS, Howarth TP, Sorger L. Chest computed tomography findings among adult Indigenous Australians in the Northern territory of Australia. J Med Imaging Radiat Oncol. 2022;66(3):337–44. https://doi.org/10.1111/1754-9485.13295.

Article  PubMed  Google Scholar 

Gibbs C, Howarth T, Ticoalu A, Chen W, Ford PL, Abeyaratne A, Jayaram L, McCallum G, Heraganahally SS. Bronchiectasis among Indigenous adults in the top end of the Northern Territory, 2011–2020: a retrospective cohort study. Med J Aust. 2024;220(4):188–95. https://doi.org/10.5694/mja2.52204.

Article  PubMed  Google Scholar 

Heraganahally SS, Gibbs C, Ravichandran SJ, Erdenebayar D, Abeyaratne A, Howarth T. Factors influencing survival and mortality among adult aboriginal Australians with bronchiectasis—Ten-year retrospective study. Front Med. 2024;11:1366037. https://doi.org/10.3389/fmed.2024.1366037.

Article  Google Scholar 

Heraganahally SS, Gibbs C, Ravichandran SJ, Erdenebayar D, Chen W, Abeyaratne A, Jersmann H, Jayaram L, Howarth T. Retrospective cross-sectional study on bronchiectasis in adult aboriginal australians: disease characteristics and comparison with ethnically diverse global bronchiectasis registry cohorts. BMJ Open Respir Res. 2025;12:e002139. https://doi.org/10.1136/bmjresp-2023-002139.

Article  PubMed  PubMed Central  Google Scholar 

Heraganahally SS, Ghimire RH, Howarth T, Kankanamalage OM, Palmer D, Falhammar H. Comparison and outcomes of emergency department presentations with respiratory disorders among Australian Indigenous and non-Indigenous patients. BMC Emerg Med. 2022;22:11. https://doi.org/10.1186/s12873-022-00570-3.

Article  PubMed  PubMed Central  Google Scholar 

Pal A, Howarth TP, Rissel C, Messenger RL, Issac S, Connors C, Heraganahally SS. COPD disease knowledge, self-awareness and reasons for hospital presentations among a predominately Indigenous Australian cohort – a study to explore preventable hospitalization. BMJ Open Resp Res. 2022;9:e001295. https://doi.org/10.1136/bmjresp-2022-001295.

Article  PubMed  PubMed Central  Google Scholar 

Seyedshahabedin MM, Howarth TP, Mo L, Biancardi E, Heraganahally SS. Flexible bronchoscopy indications and outcomes between Indigenous and non-Indigenous patients in the Northern territory of Australia. Intern Med J. 2023;53(9):1634–41. https://doi.org/10.1111/imj.15865.

Article  PubMed  Google Scholar 

Heraganahally SS, Wasgewatta SL, McNamara K, Mingi JJ, Mehra S, Eisemberg CC, Maguire G. Chronic obstructive pulmonary disease with and without bronchiectasis in aboriginal Australians – a comparative study. Int Med J. 2020;50(12):1505–13. https://doi.org/10.1111/imj.14718.

Article  CAS  Google Scholar 

Nockles V, Hill E, Howarth TP, Browning S, Wurrawilya S, Ford PL, Hickey P, Edwards A, Heraganahally SS. Effects of environmental smoke exposure on respiratory Conditions—A report of an aboriginal man fire hunting for mud turtles in the top End, Northern territory of Australia. Am J Trop Med Hyg. 2024. https://doi.org/10.4269/ajtmh.24-0366.

Article  PubMed  Google Scholar 

Heraganahally SS, Monsi E, Gadil E, Maze D, Lynch S. Catastrophic effects of using cannabis via bucket Bong in top end Northern territory of Australia. Am J Trop Med Hyg. 2023;1–6. https://doi.org/10.4269/ajtmh.23-0393.

Sze DFL, Howarth TP, Lake CD, Ben Saad H, Heraganahally SS. Differences in the spirometry parameters between Indigenous and Non-Indigenous patients with COPD: A matched control study. Int J Chron Obstruct Pulmon Dis. 2022:17869–881.

Heraganahally SS, Howarth T, Chen W. A clinical approach to chronic respiratory disorders in ‘Aboriginal and Torres Strait Islander in primary care. Aust J Gen Pract. 2024;53(12 Suppl). https://doi.org/10.31128/AJGP-02-24-7136.

Gaillard F, Ranchod A, Silverstone L et al. Nov. Bronchiectasis. Reference article, Radiopaedia.org (Accessed on 19 2024) https://doi.org/10.53347/rID-1021

Heraganahally SS, Howarth T, Gibbs C, Heraganahally S, Sorger L. Chest computed tomography findings among adult aboriginal Australians with bronchiectasis in the top end Northern territory of Australia. J Med Imaging Radiat Oncol. 2024;68(5):545–52. https://doi.org/10.1111/1754-9485.13671.

Article  PubMed  Google Scholar 

Mishra K, Fazal R, Howarth T, Mutai J, Doss AX, Heraganahally SS. Cystic lung disease in adult Indigenous Australians in the Northern territory of Australia. J Med Imaging Radiat Oncol. 2024;68(1):67–73. https://doi.org/10.1111/1754-9485.13593.

Article  PubMed  Google Scholar 

Heraganahally S, Digges M, Haygarth M, Liyanaarachchi K, Kalro A, Mehra S. Pulmonary AL- amyloidosis masquerading as lung malignancy in an Australian Indigenous patient with sjogren’s syndrome. Respir Med Case Rep. 2019;26:94–7. https://doi.org/10.1016/j.rmcr.2018.11.015.

Article  PubMed  Google Scholar 

Doss AX, Howarth TP, Ng L, Doss SA, Heraganahally SS. Significance and prognostication of mediastinal lymph node enlargement on chest computed tomography among adult Indigenous Australians. J Med Imaging Radiat Oncol. 2023;67(7):726–33. https://doi.org/10.1111/1754-9485.13569.

Article  PubMed  Google Scholar 

Tabakoðlu E, Çaðlar T, Hatipoðlu ON, Çakýr B, et al. The value of chest X-Ray and auscultation results in bronchiectasis patients who are diagnosed with high resolution computed tomography. Toraks Dergisi. 2000;2:11–6.

Google Scholar 

Howarth T, Gahreman D, Ben Saad H, Ng L, Heraganahally SS. Correlation of spirometry indices to chest radiology in the diagnosis of chronic airway disease among regional and rural Indigenous Australians. Int Med J. 2023;53(11):1994–2006. https://doi.org/10.1111/imj.16023.

Article  CAS  Google Scholar 

Aliberti S, Goeminne PC, O’Donnell AE, Aksamit TR, Al-Jahdali H, Barker AF, Blasi F, Boersma WG, Crichton ML, De Soyza A, Dimakou KE, Elborn SJ, Feldman C, Tiddens H, Haworth CS, Hill AT, Loebinger MR, Martinez-Garcia MA, Meerburg JJ, Menendez R, Morgan LC, Murris MS, Polverino E, Ringshausen FC, Shteinberg M, Sverzellati N, Tino G, Torres A, Vandendriessche T, Vendrell M, Welte T, Wilson R, Wong CA, Chalmers JD. Criteria and definitions for the radiological and clinical diagnosis of bronchiectasis in adults for use in clinical trials: international consensus recommendations. Lancet Respir Med. 2022;10(3):298–306. https://doi.org/10.1016/S2213-2600(21)00277-0.

Article  PubMed  Google Scholar 

Heraganahally SS, Howarth T, Mo L, Sorger L, Ben Saad H. Critical analysis of spirometric patterns in correlation to chest computed tomography among adult Indigenous Australians with chronic airway diseases. Expert Rev Respir Med. 2021;15(9):1229–38.

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