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Quality of Life Research
Gepubliceerd in: Quality of Life Research 1/2021

25-07-2020 | Review

Quality of life of stroke survivors in Africa: a systematic review and meta-analysis

Auteurs: Umar Muhammad Bello, Muhammad Chutiyami, Dauda Salihu, Sham’un Isah Abdu, Buhari Abdullahi Tafida, Abdulhamid Ardo Jabbo, Adamu Gamawa, Lawan Umar, Aliyu Lawan, Tiev Miller, Stanley John Winser

Gepubliceerd in: Quality of Life Research | Uitgave 1/2021

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Abstract

Purpose

Functional 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.

Methods

African 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.

Results

Twenty-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%).

Conclusions

Overall, 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.
volgende artikel International guidance on the selection of patient-reported outcome measures in clinical trials: a review
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Metagegevens
Titel
Quality of life of stroke survivors in Africa: a systematic review and meta-analysis
Auteurs
Umar Muhammad Bello
Muhammad Chutiyami
Dauda Salihu
Sham’un Isah Abdu
Buhari Abdullahi Tafida
Abdulhamid Ardo Jabbo
Adamu Gamawa
Lawan Umar
Aliyu Lawan
Tiev Miller
Stanley John Winser
Publicatiedatum
25-07-2020
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 1/2021
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02591-6

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