The epidemiology of stroke in Africa: A systematic review of existing methods and new approaches

Accurate epidemiological surveillance of the burden of stroke is direly needed to facilitate the development and evaluation of effective interventions in Africa. The authors therefore conducted a systematic review of the methodology of stroke epidemiological studies conducted in Africa from 1970 to...

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Published inThe journal of clinical hypertension (Greenwich, Conn.) Vol. 20; no. 1; pp. 47 - 55
Main Authors Owolabi, Mayowa, Olowoyo, Paul, Popoola, Femi, Lackland, Daniel, Jenkins, Carolyn, Arulogun, Oyedunni, Akinyemi, Rufus, Akinyemi, Odunayo, Akpa, Onoja, Olaniyan, Olanrewaju, Uvere, Ezinne, Kehinde, Issa, Selassie, Anbesaw, Gebregziabher, Mulugeta, Tagge, Raelle, Ovbiagele, Bruce
Format Journal Article
LanguageEnglish
Published United States John Wiley and Sons Inc 01.01.2018
Subjects
Africa - epidemiology
African
Blood Pressure and Stroke
Cost of Illness
epidemiology
Humans
Hypertension - complications
Hypertension - epidemiology
incidence
Prevalence
Quality of Life
Quality-Adjusted Life Years
Review Paper
Risk Factors
stroke
Stroke - epidemiology
Stroke - etiology
Stroke - psychology
surveillance
Africa
epidemiology
prevalence
surveillance
incidence
stroke
African
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Summary:Accurate epidemiological surveillance of the burden of stroke is direly needed to facilitate the development and evaluation of effective interventions in Africa. The authors therefore conducted a systematic review of the methodology of stroke epidemiological studies conducted in Africa from 1970 to 2017 using gold standard criteria obtained from landmark epidemiological publications. Of 1330 articles extracted, only 50 articles were eligible for review grouped under incidence, prevalence, case‐fatality, health‐related quality of life, and disability‐adjusted life‐years studies. Because of various challenges, no study fulfilled the criteria for an excellent stroke incidence study. The relatively few stroke epidemiology studies in Africa have significant methodological flaws. Innovative approaches leveraging available information and communication technology infrastructure are recommended to facilitate rigorous epidemiological studies for accurate stroke surveillance in Africa.
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Mayowa Owolabi and Paul Olowoyo contributed equally to this article.
ISSN:1524-6175
1751-7176
DOI:10.1111/jch.13152