SynthesisInternational journal of stroke : official journal of the International Stroke Society2023
Stroke in Africa: A systematic review and meta-analysis of the incidence and case-fatality rates.
Synthesis in International journal of stroke : official journal of the International Stroke Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 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
23 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Prevalence of hypertension in Africa in the last two decades: systematic review and meta-analysis.Cardiovascular research · 2025Pooled it
- Tertiary prevention interventions for patients with stroke in African countries: a systematic review.BMJ open · 2025Pooled it
- Efficacy and safety of intravenous tenecteplase compared to alteplase before mechanical thrombectomy in acute ischemic stroke: a meta-analysis.Journal of neurology · 2024Pooled it
- Risk prediction models for diabetic nephropathy among type 2 diabetes patients in China: a systematic review and meta-analysis.Frontiers in endocrinology · 2024Pooled it
- Artificial Intelligence in Ischemic Stroke Lesion Segmentation: A Narrative Review of Deep Learning Methods, Clinical Utility, and Future Directions.Journal of imaging informatics in medicine · 2026Review
- Harnessing data science to control non-communicable diseases in Africa: a systematic review and gap analysis.Communications medicine · 2026Article
- Coffee and tea intake and stroke events among West Africans: findings from the SIREN Study.BMC health services research · 2026Article
- Development of a Simulation-Based Educational Intervention to Improve Nursing Competencies for Stroke Care in Southwestern Uganda.Advances in medical education and practice · 2026Article
- Mortality rate of stroke and its determinants in Africa: An umbrella review of systematic review and meta-analysis.Global epidemiology · 2025Review
- Delays in the Stroke Care Pathway in a Low-Income Setting: An Audit Study from Mozambique.International journal of environmental research and public health · 2025Observational
- Revisiting Africa's Stroke Obstacles and Services (SOS).Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025Article
- Prevalence of aspiration pneumonia among stroke patients in Ethiopia: A systematic review and meta-analysis.PLOS global public health · 2025Article
- Developing a strategic action plan for reducing the burden of stroke in Africa: report of the first African Stroke Leaders' Summit.Frontiers in stroke · 2025Article
- Long term outcomes among African stroke survivors: 4 years follow up data from the CogFAST-Nigeria Study.Frontiers in stroke · 2025Article
- Implementing Acute Stroke Services in Sub-Saharan Africa: Steps, Progress, and Perspectives from the Tanzania Stroke Project.Cerebrovascular diseases extra · 2025Article
- Barriers and Facilitators of Simulation-Based Education in Stroke Nursing Management at a Regional Referral Hospital in Southwestern Uganda: A Qualitative Study.Advances in medical education and practice · 2025Article
- Stroke characteristics and outcomes in urban Tanzania: Data from the Prospective Lake Zone Stroke Registry.International journal of stroke : official journal of the International Stroke Society · 2024Article
- Non-cigarette Tobacco Use and Stroke Among West Africans: Evidence From the SIREN Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Article
- The State of Stroke Research in Malawi: Results from a Mapping Review Study.Journal of multidisciplinary healthcare · 2024Review
- Empowering sickle cell disease care: the rise ofFrontiers in rehabilitation sciences · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundThe burden of stroke (a leading cause of disability and mortality) in Africa appears to be increasing, but a systematic review of the best available data to support or refute this observation is lacking.
aimTo determine the incidence and 1-month case-fatality rates from high-quality studies of stroke epidemiology among Africans. SUMMARY OF REVIEW: We searched and retrieved eligible articles on stroke epidemiology among indigenous Africans in bibliographic databases (MEDLINE, ScienceDirect, Google Scholar, and Cochrane library) using predefined search terms from the earliest records through January 2022. Methodological assessment of eligible studies was conducted using the Newcastle-Ottawa scale. Pooling of incidence and case-fatality rates was performed via generalized linear models (Poisson-Normal random-effects model). Of the 922 articles retrieved, 14 studies were eligible for inclusion. The total number of stroke cases was 2568, with a population denominator (total sample size included in population-based registries or those who agreed to participate in door-to-door community studies) of 3,384,102. The pooled crude incidence rate of stroke per 100,000 persons in Africa was 106.49 (95% confidence interval (CI) = 58.59-193.55),
conclusionThe burden of stroke in Africa remains very high. However, little is known about the dynamics of stroke epidemiology among Africans due to the dearth of high-quality evidence. Further continent-wide rigorous epidemiological studies and surveillance programs using the World Health Organization STEPwise approach to Surveillance (WHO STEPS) framework are needed.
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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.