Evidence map›Paper›PMID 30717120›Full record

ArticleInternational journal of environmental research and public health2019

Cardiovascular Disease Healthcare Utilization in Sub-Saharan Africa: A Scoping Review.

Herbert Chikafu, Moses J Chimbari

Abstract readScoping Review
In one paragraph

Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

  1. Effects of cardiac rehabilitation treatment modalities in Sub-Saharan Africa: A systematic review.Malawi medical journal : the journal of Medical Association of Malawi · 2021
    Pooled it
  2. Article
  3. Advancing Interventional Cardiology in Sub-Saharan Africa: The Role of Artificial Intelligence.Journal of the Society for Cardiovascular Angiography & Interventions · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Artificial intelligence: transforming cardiovascular healthcare in Africa.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Associations of Neighborhood Walkability with Sedentary Time in Nigerian Older Adults.International journal of environmental research and public health · 2019
    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

2 authors.

Herbert ChikafuSchool of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban 4000, South Africa. chikafuh@gmail.com.ORCID 0000-0003-2645-7263
Moses J ChimbariSchool of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban 4000, South Africa. chimbari@ukzn.ac.za.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sub-Saharan African (SSA) countries face a growing burden of cardiovascular disease (CVD), attributed to economic, nutritional, demographic, and epidemiological transitions. These factors increase the prevalence of CVD risk factors, and the CVD burden overlaps with a high prevalence of infectious diseases. This review aimed to understand CVD healthcare utilization determinants and levels in SSA. We conducted a systematic search of the literature on major databases for the period 2008⁻2018 using exhaustive combinations of CVD and utilization indicators as search terms. Eighteen studies from eight countries were included in this review. Most studies (88.8%) followed the quantitative methodology and largely focused on inpatient stroke care. Two-thirds of patients sought care within 24 h of suffering a stroke, and the length of stay (LOS) in hospital ranged between 6 and 81 days. Results showed a rising trend of CVD admissions within total hospital admissions. Coverage of physiotherapy services was limited and varied between countries. While few studies included rural populations, utilization was found to be negatively associated with rural residence and socioeconomic status. There is a need to extend healthcare provision in SSA to ensure access to the CVD continuum of care.

Indexed as

Africa South of the SaharaCardiac RehabilitationCardiovascular DiseasesFemaleHospitalizationHumansMalePatient Acceptance of Health CarePrevalenceRisk Factorsburden of diseasecardiovascular diseasehealthcare utilizationsub-Saharan Africautilization determinants

Identifiers

PMID30717120
PMCPMC6388380

What OpenQuestion holds

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LicenceCC BY
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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.