The epidemiology of stroke in Africa: A systematic review of existing methods and new approaches

Autor: Issa Kehinde, Anbesaw W. Selassie, Daniel T. Lackland, Paul Olowoyo, Odunayo Akinyemi, Onoja Akpa, Rufus Akinyemi, Carolyn Jenkins, Raelle Tagge, Olanrewaju Olaniyan, Mayowa O. Owolabi, Femi Popoola, Ezinne Uvere, Oyedunni Arulogun, Bruce Ovbiagele, Mulugeta Gebregziabher
Rok vydání: 2017
Předmět:
Zdroj: Journal of clinical hypertension (Greenwich, Conn.). 20(1)
ISSN: 1751-7176
Popis: Accurate epidemiological surveillance of the burden of stroke is direly needed to facilitate the development and evaluation of effective interventions in Africa. We therefore conducted a systematic review of the methodology of stroke epidemiological studies conducted in Africa from 1970 to 2017 using gold standard criteria obtained from landmark epidemiological publications. Of 1330 articles extracted, only 50 articles were eligible for review grouped under incidence, prevalence, case-fatality, health related quality of life (HRQoL) and disability adjusted life years (DALY) studies. Due to various challenges, no study fulfilled the criteria for an excellent stroke incidence study. The relatively few stroke epidemiology studies in Africa have significant methodological flaws. Innovative approaches leveraging available information and communication technology infrastructure are recommended to facilitate rigorous epidemiological studies for accurate stroke surveillance in Africa.
Databáze: OpenAIRE