The Incidence of Stroke in Indigenous Populations of Countries With a Very High Human Development Index: A Systematic Review Protocol.

The Incidence of Stroke in Indigenous Populations of Countries With a Very High Human Development Index: A Systematic Review Protocol.
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DOI:
10.3389/fneur.2021.661570
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发表时间:
2021
影响因子:
3.4
通讯作者:
Katzenellenbogen JM
Katzenellenbogen JM
中科院分区:
医学3区
文献类型:
--
作者:
Balabanski AH;Dos Santos A;Woods JA;Thrift AG;Kleinig TJ;Suchy-Dicey A;Siri SR;Boden-Albala B;Krishnamurthi R;Feigin VL;Buchwald D;Ranta A;Mienna CS;Zavaleta C;Churilov L;Burchill L;Zion D;Longstreth WT Jr;Tirschwell DL;Anand S;Parsons MW;Brown A;Warne DK;Harwood M;Katzenellenbogen JM

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背景与目的:尽管在人类发展指数很高的国家中,土著居民的健康和社会经济状况处于不利地位,但这些人群中中风发病率的数据很少。在土著咨询委员会的监督下,我们将对发达国家或地区土著人口的中风发病率进行系统性审查,并在同一地区的土著和非土著人口之间进行比较,但不是在不同的土著人口之间进行比较。研究方法:使用PubMed、OVID-EMBASE和全球健康数据库,我们将检查1990年至今发表的发达国家土著成年人群中基于人群的卒中发病率研究,无语言限制。未经同行审查的资料来源、包括少于10名土著人的研究或数据不足以确定发病率的研究将被排除在外。两名评审员将独立验证检索策略、筛选标题和摘要,并记录拒绝原因。相关文章将进行全文筛选,所有纳入研究均提取标准数据。质量评估将包括Sudlow和Warlow的基于人群的卒中发病率研究标准,Newcastle-Ottawa偏倚风险量表和本土研究CONSIDER检查表。结果:主要结局包括粗的、年龄特异性的和/或年龄标准化的卒中发病率。次要结局包括总体卒中率、发病率比和病死率。结果将以图表形式综合,说明数据来源、人群、方法和调查结果。如果方法学合理且具有可比性的研究允许,则将进行人群内荟萃分析。结论:我们将进行第一次系统评价,评估发达国家土著人群卒中发病率的差异。将向相关土著利益攸关方传播数据产出,为公共卫生和政策研究提供信息。
Background and Aims: Despite known Indigenous health and socioeconomic disadvantage in countries with a Very High Human Development Index, data on the incidence of stroke in these populations are sparse. With oversight from an Indigenous Advisory Board, we will undertake a systematic review of the incidence of stroke in Indigenous populations of developed countries or regions, with comparisons between Indigenous and non-Indigenous populations of the same region, though not between different Indigenous populations. Methods: Using PubMed, OVID-EMBASE, and Global Health databases, we will examine population-based incidence studies of stroke in Indigenous adult populations of developed countries published 1990-current, without language restriction. Non-peer-reviewed sources, studies including <10 Indigenous People, or with insufficient data to determine incidence, will be excluded. Two reviewers will independently validate the search strategies, screen titles and abstracts, and record reasons for rejection. Relevant articles will undergo full-text screening, with standard data extracted for all studies included. Quality assessment will include Sudlow and Warlow's criteria for population-based stroke incidence studies, the Newcastle-Ottawa Scale for risk of bias, and the CONSIDER checklist for Indigenous research. Results: Primary outcomes include crude, age-specific and/or age-standardized incidence of stroke. Secondary outcomes include overall stroke rates, incidence rate ratio and case-fatality. Results will be synthesized in figures and tables, describing data sources, populations, methodology, and findings. Within-population meta-analysis will be performed if, and where, methodologically sound and comparable studies allow this. Conclusion: We will undertake the first systematic review assessing disparities in stroke incidence in Indigenous populations of developed countries. Data outputs will be disseminated to relevant Indigenous stakeholders to inform public health and policy research.
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发表时间: 2007-12-20
影响因子: 3
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发表时间: 2019-07-19
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影响因子: 3.7
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DOI: 10.1111/1475-6773.13224
发表时间: 2019-10-27
影响因子: 3.4
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