Evidence map›Paper›PMID 31151064›Full record

SynthesisJournal of the neurological sciences2019

Estimating morbidity due to stroke in Nigeria: a systematic review and meta-analysis.

Davies Adeloye, Martinsixtus Ezejimofor, Asa Auta, Rex G Mpazanje, Nnenna Ezeigwe, Evelyn N Ngige, Michael O Harhay, Wondimagegnehu Alemu, Isaac F Adewole

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the neurological sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. 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 · 2023
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Assessment of Health-Related Quality of Life of Stroke Survivors in Southeast Communities in Nigeria.International journal of environmental research and public health · 2024
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. 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

9 authors.

Davies AdeloyeCentre for Global Health Research, Usher Institute, University of Edinburgh, UK; RcDavies Evidence-based Medicine, Lagos, Nigeria. Electronic address: bummyadeloy@gmail.com.
Martinsixtus EzejimoforBritish Association of Dermatologists, London, UK.
Asa AutaSchool of Pharmacy and Biomedical Sciences, University of Central Lancashire, Fylde Road, Preston, UK.
Rex G MpazanjeWHO Nigeria Country Office, Abuja, Nigeria.
Nnenna EzeigweFederal Ministry of Health, Abuja, Nigeria.
Evelyn N NgigeFederal Ministry of Health, Abuja, Nigeria.
Michael O HarhayDepartment of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine University of Pennsylvania Philadelphia, Pennsylvania, USA; Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Wondimagegnehu AlemuInternational Health Consultancy, Atlanta, Georgia, USA.
Isaac F AdewoleFederal Ministry of Health, Abuja, Nigeria.

Funding

Improving the measurement and analysis of long-term, patient-centered outcomes following acute respiratory failureK99HL141678 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI HARHAY, MICHAEL OSCAR · 2018 to 2019
$214k
NHLBI NIH HHS K99 HL141678World Health Organization 001
6 · The paper itself

Abstract

backgroundThe response to stroke in Nigeria is impaired by inadequate epidemiologic information. We sought to collate available evidence and estimate the incidence of stroke and prevalence of stroke survivors in Nigeria.

methodsUsing random effects meta-analysis, we pooled nationwide and regional incidence and prevalence of stroke from the estimates reported in each study.

resultsEleven studies met our selection criteria. The pooled crude incidence of stroke in Nigeria was 26.0 (12.8-39.0) /100,000 person-years, with this higher among men at 34.1 (9.7-58.4) /100,000, compared to women at 21.2 (7.4-35.0) /100,000. The pooled crude prevalence of stroke survivors in Nigeria was 6.7 (5.8-7.7) /1000 population, with this also higher among men at 6.4 (5.1-7.6) /1000, compared to women at 4.4 (3.4-5.5) /1000. In the period 2000-2009, the incidence of stroke in Nigeria was 24.3 (95% CI: 11.9-36.8) per 100,000, with this increasing to 27.4 (95% CI: 2.2-52.7) per 100,000 from 2010 upwards. The prevalence of stroke survivors increased minimally from 6.0 (95% CI: 4.6-7.5) per 1000 to 7.5 (95% CI: 5.8-9.1) per 1000 over the same period. The prevalence of stroke survivors was highest in the South-south region at 13.4 (9.1-17.8) /100,000 and among rural dwellers at 10.8 (7.5-14.1) /100,000.

conclusionAlthough study period does not appear to contribute substantially to variations in stroke morbidity in Nigeria, an increasing number of new cases compared to survivors may be due in part to limited door-door surveys, or possibly reflects an increasing mortality from stroke in the country.

Indexed as

SurvivorsFemaleHumansIncidenceMaleNigeriaPrevalenceRural PopulationSex FactorsStrokeCerebrovascularIncidenceMorbidityNigeriaPrevalenceStroke

Identifiers

PMID31151064
PMCPMC6650746

What OpenQuestion holds

Textmetadata
LicenceTDM
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.