SynthesisQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2021
Quality of life of stroke survivors in Africa: a systematic review and meta-analysis.
Synthesis in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
What it found
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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.
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Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Association Between Peripheral IL-6 Levels in the Acute Stage of Stroke and Poststroke Depression: A Systematic Review and Meta-Analysis.Brain and behavior · 2026Pooled it
- Mediating effect of post-stroke depression between activities of daily living and health-related quality of life: meta-analytic structural equation modeling.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023Pooled it
- Effect of web-implemented exercise interventions on depression and anxiety in patients with neurological disorders: a systematic review and meta-analysis.Frontiers in neurology · 2023Pooled it
- Quality of life indicators among recent Ghanaian stroke survivors across 10 hospitals: A cross-sectional study.Equity neuroscience · 2026Article
- Review
- Effect of 5E rehabilitation management model on physical and psychological health of elderly patients with cerebral infarction: a randomized controlled trial.BMC nursing · 2026Article
- Experience of clients, caregivers, and occupational therapists on post-stroke occupational performance in Iran: A qualitative content analysis.The British journal of occupational therapy · 2025Article
- Exploring the Association Between Cerebellar Regional Volumes and Health-Related Quality of Life in Patients with Ischemic Stroke: A Prospective Cohort Study.Cerebellum (London, England) · 2025Article
- Association of post-stroke hemiplegic shoulder pain with sleep quality, mood, and quality of life.Health and quality of life outcomes · 2025Article
- Differences in symptom clusters based on multidimensional symptom experience and symptom burden in stroke patients.Scientific reports · 2025Article
- Eating difficulties among Nigerian community-dwelling stroke survivors: prevalence, correlates, and association with quality of life.BMC public health · 2025Article
- A scoping review of stroke registers in Sub-Saharan Africa.International journal of stroke : official journal of the International Stroke Society · 2025Article
- Quality of life and quality-adjusted life years after stroke in Sierra Leone.International journal of stroke : official journal of the International Stroke Society · 2024Article
- Assessment of Health-Related Quality of Life of Stroke Survivors in Southeast Communities in Nigeria.International journal of environmental research and public health · 2024Article
- Comparison of early patient-reported outcomes between uniportal thoracoscopic segmentectomy and wedge resection for peripheral small-sized non-small-cell lung cancer.Journal of cardiothoracic surgery · 2024Article
- The feasibility, repeatability, validity and responsiveness of the EQ-5D-3L in Krio for patients with stroke in Sierra Leone.Health and quality of life outcomes · 2024Article
- How stroke-related dysphagia relates to quality of life: the mediating role of nutritional status and psychological disorders, and the moderating effect of enteral nutrition mode.Frontiers in nutrition · 2024Article
- Factors associated with self-management behaviors among Chinese adults with ischemic stroke: A cross-sectional study.Belitung nursing journal · 2024Article
- Effect of group-based acceptance and commitment therapy on older stroke survivors: study protocol for a randomized controlled trial.BMC complementary medicine and therapies · 2023Article
- Individuals with stroke three months after hospital discharge reported worse quality of life during the COVID-19 pandemic.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2023Article
Corrections and comments
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Authors and funding
11 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeFunctional impairments and socioeconomic constraints associated with stroke affect quality of life (QoL). With limited care and social support resources, there is a greater anticipated decline in QoL among stroke survivors in Africa. This study aims to examine post-stroke QoL, properties of outcome measures adopted and predictors of the QoL among African stroke survivors.
methodsAfrican Journals Online, CINAHL, PsychINFO, PubMed and Web of Science databases were searched from inception to February 2020. Methodological quality was assessed using the Agency for Healthcare Research and Quality (ARHQ) methodology checklist for observational studies.
resultsTwenty-eight studies recruiting 2572 (76.4%) stroke survivors and 795 (23.6%) healthy volunteers were included. Studies were conducted in eight African countries between 2007 and 2019. Methodological quality of studies was good. Overall, stroke survivors reported a low QoL. Six studies comparing QoL between stroke survivors and healthy controls were pooled for meta-analysis. Results showed a biased-adjusted standardised mean difference (Hedges's g) of 1.13 (95% CI 0.71 to 1.56; p < 0.001), indicating better QoL among healthy controls. Only 4 (14.3%) studies used translated or cross-culturally adapted QoL assessment tools. The most commonly reported predictor of QoL was post-stroke disability (35.8% of studies) which is followed by depression (28.6%) and stroke severity (28.6%).
conclusionsOverall, African stroke survivors reported comparatively lower QoL as compared to age-matched healthy controls. This highlights the need for cross-culturally validated assessment tools and more robust post-stroke QoL evaluation across the African continent. To improve QoL of stroke survivors in Africa, early interventions should focus on reducing disability and depression associated with stroke. PROSPERO registration number: CRD42019137653.
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