SynthesisJournal of clinical hypertension (Greenwich, Conn.)2018
The epidemiology of stroke in Africa: A systematic review of existing methods and new approaches.
Synthesis in Journal of clinical hypertension (Greenwich, Conn.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
44 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Stroke in Africa: A systematic review and meta-analysis of the incidence and case-fatality rates.International journal of stroke : official journal of the International Stroke Society · 2023Pooled it
- The epidemiology of stroke in Africa: A systematic review of existing methods and new approaches.Journal of clinical hypertension (Greenwich, Conn.) · 2018Pooled it
- National prevalence of coronary heart disease and stroke in South Africa from 1990-2017: a systematic review and meta-analysis.Cardiovascular journal of AfricaPooled it
- Defining Social and Cultural Barriers to Global Stroke Care: A SVIN-Mission Thrombectomy Initiative.Stroke (Hoboken, N.J.) · 2026Review
- Article
- Risk factors profile and outcomes of stroke in low resources settings: a prospective and multicentric study in a sub-Saharan Africa country.Frontiers in neurology · 2026Observational
- Haemorrhagic stroke in the Democratic Republic of the Congo: a neglected neurosurgical emergency care in a health system with critical gaps: a mini review.International journal of emergency medicine · 2025Review
- Stroke Outcomes in a Population-Focused Urban Hypertension Program in Brazil and Senegal.Journal of the American Heart Association · 2025Article
- Ischemic stroke as a presenting feature of neurosyphilis in an immunocompetent adult and attained complete recovery following treatment: a case report and review of the literature.Journal of medical case reports · 2025Review
- Stroke in Ghana: A Situational Analysis.Stroke research and treatment · 2025Review
- Intensive vital signs monitoring reduces 30-day mortality among stroke patients: A cohort study from Tanzania.PloS one · 2025Article
- The Advantageous Impact of Telestroke: Global Insights and Implications for Africa: A Scoping Review of Literature.Stroke research and treatment · 2025Review
- Assessment of Health-Related Quality of Life of Stroke Survivors in Southeast Communities in Nigeria.International journal of environmental research and public health · 2024Article
- Article
- Article
- Incidence of mortality and risk factors among adult stroke patients in public hospitals Jigjiga town Somali region, Ethiopia: Cohort study design.SAGE open medicine · 2024Article
- Prevalence of Electrolyte Imbalance in Patients With Acute Stroke: A Systematic Review.Cureus · 2023Review
- Stroke in Sierra Leone: Case fatality rate and functional outcome after stroke in Freetown.International journal of stroke : official journal of the International Stroke Society · 2023Article
- Correlation between clinical and brain computed tomography findings of stroke patients: A cross-sectional study.Health science reports · 2023Article
- The burden of suspected strokes in uMgungundlovu - Can biomarkers aid prognostication?Health SA = SA Gesondheid · 2023Article
Corrections and comments
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Authors and funding
16 authors.
Funding
Abstract
Accurate epidemiological surveillance of the burden of stroke is direly needed to facilitate the development and evaluation of effective interventions in Africa. The authors 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, and disability-adjusted life-years studies. Because of 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.
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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.