Evidence map›Paper›PMID 26066955›Full record

SynthesisAmerican journal of public health2015

Stroke in American Indians and Alaska Natives: A Systematic Review.

Raymond Harris, Lonnie A Nelson, Clemma Muller, Dedra Buchwald

2 registry-linked trialsOpen access · greenAbstract readSystematic Review
In one paragraph

Synthesis in American journal of public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
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.

NCT03872856 nacompletednot on this mapstarted 2019, after this paper: background citation

Home Blood Pressure Monitoring Intervention for Self-Management of High Blood Pressure Among Alaska Native People

TypeinterventionalSponsorSouthcentral FoundationRan2019 to 2023Enrolled164ConditionsHypertensionArmsBP-ICAN
NCT04382963 nacompletednot on this mapstarted 2021, after this paper: background citation

Stroke Prevention in the Wisconsin Native American Population

TypeinterventionalSponsorUniversity of Wisconsin, MadisonRan2021 to 2025Enrolled120ConditionsStroke, AtherosclerosisArmsHigh Risk - intensive coaching, High Risk - standard care, Low Risk - control
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 59 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Article
  4. Review
  5. Article
  6. Stroke care in indigenous populations: A World Stroke Organization (WSO) scientific statement.International journal of stroke : official journal of the International Stroke Society · 2025
    Article
  7. Article
  8. Trends in American Indian/Alaskan native self-reported stroke prevalence and associated modifiable risk factors in the United States from 2011-2021.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

4 authors at 1 institution in 1 country.

Raymond HarrisRaymond Harris, Clemma Muller, and Dedra Buchwald are with the Department of Epidemiology, School of Public Health, University of Washington, Seattle. Lonnie A. Nelson is with the Department of Health Services, School of Public Health, University of Washington.
Lonnie A NelsonRaymond Harris, Clemma Muller, and Dedra Buchwald are with the Department of Epidemiology, School of Public Health, University of Washington, Seattle. Lonnie A. Nelson is with the Department of Health Services, School of Public Health, University of Washington.
Clemma MullerRaymond Harris, Clemma Muller, and Dedra Buchwald are with the Department of Epidemiology, School of Public Health, University of Washington, Seattle. Lonnie A. Nelson is with the Department of Health Services, School of Public Health, University of Washington.
Dedra BuchwaldRaymond Harris, Clemma Muller, and Dedra Buchwald are with the Department of Epidemiology, School of Public Health, University of Washington, Seattle. Lonnie A. Nelson is with the Department of Health Services, School of Public Health, University of Washington.
Department of Health Services · US

Funding

Trauma Screening, brief intervention and referral among AI/AN adultsP60MD000507 · NIMHD · UNIVERSITY OF COLORADO DENVER · PI MANSON, SPERO MARTIN · 2003 to 2016
$16.1M
Research Education CoreP30AG015292 · NIA · UNIVERSITY OF COLORADO DENVER · PI MULLER, CLEMMA JACOBSEN · 1997 to 2022
$12.3M
Cerebrovascular Disease and its Consequences in the Strong Study CohortR01HL093086 · NHLBI · WASHINGTON STATE UNIVERSITY · PI BUCHWALD, DEDRA S · 2009 to 2013
$7.3M
NHLBI NIH HHS R01 HL093086NIA NIH HHS P30 AG015292NIA NIH HHS P30 AG15292NIMHD NIH HHS P60 MD000507
6 · The paper itself

Abstract

We conducted a systematic review of published studies on stroke epidemiology in American Indians and Alaska Natives (AI/ANs). We used MeSH terms and strict inclusion criteria to search PubMed, identifying a relevant sample of 57 refereed publications. We report a consensus view in which prevalent stroke is more common, and estimates of cerebrovascular risk factors are higher, among AI/ANs than among other US populations. Like other minority groups, AI/ANs suffer stroke at younger ages than do non-Hispanic Whites. However, data on AI/AN stroke mortality are significantly compromised by racial misclassification and nonrepresentative sampling. Studies correcting for these problems have found that stroke mortality rates among AI/ANs are among the highest of all US racial and ethnic groups. As with Black and non-Hispanic White stroke mortality, AI/AN stroke mortality varies by geographic region, with the highest rates in Alaska and the Northwest and the lowest in the Southwest. Our results underscore the need for a concerted national effort to collect accurate cross-sectional and longitudinal data on stroke in AI/ANs.

Indexed as

AlaskaCanadaFemaleHumansIncidenceIndians, North AmericanMalePrevalenceRisk FactorsStrokeUnited States

Identifiers

PMID26066955
PMCPMC4504319
OpenAlexW2116130983

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.