Evidence map›Paper›PMID 30363499›Full record

ArticleMovement disorders clinical practice

The Burden of Movement Disorders in Cameroon: A Rural and Urban-Based Inpatient/Outpatient Study.

Esther Cubo, Jacques Doumbe, Yacouba Mapoure Njankouo, Theophile Nyinyikua, Callixte Kuate, Bichun Ouyang, Hiral Shah, Sara Calvo, Abel Fernandez-Sierra, Katie Kompoliti and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Movement disorders clinical practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 33% 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.

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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Prevalence and Incidence of Huntington's Disease: An Updated Systematic Review and Meta-Analysis.Movement disorders : official journal of the Movement Disorder Society · 2022
    Pooled it
  3. Article
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  5. Review
  6. Review
  7. Article
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  10. Review
  11. Telemedicine Enables Broader Access to Movement Disorders Curricula for Medical Students.Tremor and other hyperkinetic movements (New York, N.Y.) · 2017
    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

12 authors at 5 institutions in 3 countries.

Esther CuboNeurology Department Hospital Universitario Burgos Burgos Spain.
Jacques DoumbeNeurology Department Hospital Laquintinie University of Douala Douala Cameroon.
Yacouba Mapoure NjankouoNeurology Department Hospital Laquintinie University of Douala Douala Cameroon.
Theophile NyinyikuaNeurology Department Hospital Laquintinie University of Douala Douala Cameroon.
Callixte KuateNeurology Department Hospital Laquintinie University of Douala Douala Cameroon.
Bichun OuyangDepartment of Neurological Sciences Rush University Chicago Illinois USA.
Hiral ShahDepartment of Neurological Sciences Columbia University New York New York USA.
Sara CalvoResearch Unit Hospital Universitario Burgos Burgos Spain.
Abel Fernandez-SierraControl Care Department Hospital Universitario Burgos Burgos Spain.
Katie KompolitiDepartment of Neurological Sciences Rush University Chicago Illinois USA.
Erero NjiengweLaboratory of Behavioral Sciences and Applied Psychology University of Douala Douala Cameroon.
Elan D LouisNeurology Department Yale School of Medicine Yale University New Haven Connecticut USA.
University of Douala · CMHospital Universitario de Burgos · ESRush University · USColumbia University · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBecause of rapid demographic changes, the prevalence of movement disorders (MDs) is expected to increase in Africa. The objective of this study was to estimate the prevalence of MDs in an inpatient/outpatient-based study of rural and urban health care centers in Cameroon.

methodsIn this retrospective medical chart review, the inpatient/outpatients settings covered an urban population (3,000,000) and a rural population (380,276). Neurological diseases were classified according to the International Statistical Classification of Diseases-Related Health Problems, 10th revision (ICD-10). Crude prevalence was calculated per 100 with 95% confidence intervals (CIs).

resultsOf 20,131 medical charts reviewed (13% from the rural area), 4187 patients (20.8%) with neurological complaints were identified. MDs were diagnosed exclusively from urban centers in 134 patients (3.2%): the mean patient age was 48.6 ± 18.6 years, and 54.7% were women. The most prevalent MDs were hyperkinetic movements (tremor, myoclonus, and drug-induced MDs [ICD-10 code G25]; prevalence, 1.19%; 95% CI, 1.192-1.194%), Parkinson's disease (ICD-10 code G20; prevalence, 0.78%; 95% CI, 0.785-0.787%), dystonia (ICD-10 code G24; prevalence, 0.61%; 95% CI, 0.612-0.613%), secondary parkinsonism (ICD-10 code G21; prevalence, 0.56%; 95% CI, 0.564-0.565%), Huntington's disease (ICD-10 code G10; prevalence, 0.09%; 95% CI, 0.091-0.092%), and ataxia (ICD-10 code R29; prevalence, 0.04%; 95% CI, 0.0451-0.0456).

conclusionAlthough the burden of MDs is expected to increase, MDs are likely underdiagnosed in rural areas. High-quality movement disorder training is essential to tackle this need.

Indexed as

ataxiadystoniaepidemiologyessential tremorHuntington's diseasemyoclonusParkinson's diseaseprevalence

Identifiers

PMID30363499
PMCPMC6174503
OpenAlexW2583046961

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.