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Cited by 64Stroke Rehabilitation and RecoveryAcute Ischemic Stroke ManagementCancer survivorship and care

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

Open access
Bello, Umar Muhammad, Chutiyami, Muhammad, Salihu, Dauda, Abdu, Sham’un Isah, Tafida, Buhari Abdullahi, Jabbo, Abdulhamid Ardo, Gamawa, Adamu, Umar, Lawan +3 more·2021·Quality of Life Research
DOI 10.1007/s11136-020-02591-6
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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.

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Authors
Bello, U. M., Chutiyami, M., Salihu, D., Abdu, S. I., Tafida, B. A., Jabbo, A. A., Gamawa, A., Umar, L., Lawan, A., Miller, T., & Winser, S. J.
Affiliations
  • Hong Kong Polytechnic University (HK)
  • Macquarie University (AU)
  • University of Maiduguri (NG)
Corresponding author
Chutiyami, Muhammad
ORCID
Venue
Quality of Life Research
Publisher
Springer Science and Business Media LLC
Published
2020-07-25
Volume
30
Issue
1
Pages
1-19
ISSN
  • 0962-9343 (ISSN-L)
  • 1573-2649
DOI
10.1007/s11136-020-02591-6
OpenAlex
W3044105311
Cited by
64
References
66
Citations by year
2026: 6 · 2025: 14 · 2024: 16 · 2023: 10 · 2022: 9 · 2021: 8
FWCI
0.83
Type
journal article
Language
en
Open access
Licence
Locations
  • Quality of Life Research (publishedVersion)
  • PubMed (publishedVersion)
  • ResearchOnline (Glasgow Caledonian University) (acceptedVersion, other-oa)
  • PolyU Institutional Research Archive (Hong Kong Polytechnic University) (submittedVersion)
Topics
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords
stroke survivors, quality of life, stroke disability, depression, stroke severity, cross-cultural adaptation, quality of life assessment tools, Africa, socio-economic constraints, social support
MeSH terms
Africa, Female, Humans, Male, Quality of Life, Survival Analysis, Case-Control Studies, Survivors, Stroke

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