Evidence map›Paper›PMID 25636790›Full record

SynthesisBMJ open2015

Socioeconomic deprivation and survival after stroke in China: a systematic literature review and a new population-based cohort study.

Ruoling Chen, Zhi Hu, Ruo-Li Chen, Dongmei Zhang, Long Xu, Jingjing Wang, Li Wei

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Review
  9. Association between socioeconomic status and incident stroke in China.Journal of epidemiology and community health · 2020
    Article
  10. Review
  11. Exploration of Medical Trajectories of Stroke Patients Based on Group-Based Trajectory Modeling.International journal of environmental research and public health · 2019
    Article
  12. Deprivation is associated with worse physical and mental health beyond income poverty: a population-based household survey among Chinese adults.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018
    Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ruoling ChenSchool of Health Administration, Anhui Medical University, Hefei, China Centre for Health and Social Care Improvement (CHSCI), Faculty of Education, Health and Wellbeing, University of Wolverhampton, UK.
Zhi HuSchool of Health Administration, Anhui Medical University, Hefei, China.
Ruo-Li ChenInstitute for Science and Technology in Medicine, Keele University, Keele, UK.
Dongmei ZhangSchool of Health Administration, Anhui Medical University, Hefei, China Centre for Health and Social Care Improvement (CHSCI), Faculty of Education, Health and Wellbeing, University of Wolverhampton, UK.
Long XuSchool of Health Administration, Anhui Medical University, Hefei, China.
Jingjing WangSchool of Health Administration, Anhui Medical University, Hefei, China.
Li WeiDepartment of Practice and Policy, School of Pharmacy, University College London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the association of socioeconomic deprivation (SED) with survival after stroke in China.

designA systematic literature review and a new population-based cohort study. SETTING AND

participantsIn urban and rural communities in Anhui, China, 2978 residents aged ≥60 years took part in baseline investigation and were followed up for 5 years; five published studies were identified for a systematic review. PRIMARY AND SECONDARY OUTCOME MEASURES: 167 of 2978 participants (5.6%) had doctor-diagnosed stroke at baseline or 1 year later. All-cause mortality in the follow-up.

resultsIn the Anhui cohort follow-up of 167 patients with stroke, 64 (38.3%) died. Multivariate adjusted hazard ratio (HR) of mortality in patients with educational level of less than or equal to primary school was 1.88 (95% CI 1.05 to 3.36) compared to those having more than primary school education. Increased HR of mortality in patients living in a rural area was at borderline significant (1.64, 0.97 to 2.78), but the HR in patients with lower levels of occupation and income was not significant. Published studies showed a significant increase in stroke mortality in relation to some SED indicators. Pooled relative risk (RR) of mortality in patients with low education was 3.07 (1.27 to 7.34), in patients with low income 1.58 (1.50 to 1.65) and in patients living in rural areas 1.47 (1.37 to 1.58).

conclusionsThe evidence suggests the presence of a mortality gradient after stroke for material as well as social forms of deprivation in China. Inequalities in survival after stroke persist and need to be taken into account when implementing intervention programmes.

Indexed as

AgedAged, 80 and overChinaCohort StudiesFemaleHumansMaleMiddle AgedPovertySocioeconomic FactorsStrokeSurvival AnalysisSOCIAL MEDICINE

Identifiers

PMID25636790
PMCPMC4316438

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.