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Sökning: (WFRF:(Pantoni L)) srt2:(2020-2023) pers:(Hilal S) > The global burden o...

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FältnamnIndikatorerMetadata
00004570naa a2200589 4500
001oai:prod.swepub.kib.ki.se:151270347
003SwePub
008240913s2023 | |||||||||||000 ||eng|
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1512703472 URI
024a https://doi.org/10.1177/174749302211370192 DOI
040 a (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Lam, BYK4 aut
2451 0a The global burden of cerebral small vessel disease in low- and middle-income countries: A systematic review and meta-analysis
264 c 2022-11-25
264 1b SAGE Publications,c 2023
520 a Cerebral small vessel disease (cSVD) is a major cause of stroke and dementia. Previous studies on the prevalence of cSVD are mostly based on single geographically defined cohorts in high-income countries. Studies investigating the prevalence of cSVD in low- and middle-income countries (LMICs) are expanding but have not been systematically assessed. Aim: This study aims to systematically review the prevalence of cSVD in LMICs. Results: Articles were searched from the Ovid MEDLINE and EMBASE databases from 1 January 2000 to 31 March 2022, without language restrictions. Title/abstract screening, full-text review, and data extraction were performed by two to seven independent reviewers. The prevalence of cSVD and study sample size were extracted by pre-defined world regions and health status. The Risk of Bias for Non-randomized Studies tool was used. The protocol was registered on PROSPERO (CRD42022311133). A meta-analysis of proportion was performed to assess the prevalence of different magnetic resonance imaging markers of cSVD, and a meta-regression was performed to investigate associations between cSVD prevalence and type of study, age, and male: female ratio. Of 2743 studies identified, 42 studies spanning 12 global regions were included in the systematic review. Most of the identified studies were from China (n = 23). The median prevalence of moderate-to-severe white matter hyperintensities (WMHs) was 20.5%, 40.5%, and 58.4% in the community, stroke, and dementia groups, respectively. The median prevalence of lacunes was 0.8% and 33.5% in the community and stroke groups. The median prevalence of cerebral microbleeds (CMBs) was 10.7% and 22.4% in the community and stroke groups. The median prevalence of moderate-to-severe perivascular spaces was 25.0% in the community. Meta-regression analyses showed that the weighted median age (51.4 ± 0.0 years old; range: 36.3–80.2) was a significant predictor of the prevalence of moderate-to-severe WMH and lacunes, while the type of study was a significant predictor of the prevalence of CMB. The heterogeneity of studies was high (>95%). Male participants were overrepresented. Conclusions: This systematic review and meta-analysis provide data on cSVD prevalence in LMICs and demonstrated the high prevalence of the condition. cSVD research in LMICs is being published at an increasing rate, especially between 2010 and 2022. More data are particularly needed from Sub-Saharan Africa and Central Europe, Eastern Europe, and Central Asia.
700a Cai, Y4 aut
700a Akinyemi, R4 aut
700a Biessels, GJ4 aut
700a van den Brink, H4 aut
700a Chen, CSP4 aut
700a Cheung, CW4 aut
700a Chow, KN4 aut
700a Chung, HKH4 aut
700a Duering, M4 aut
700a Fu, ST4 aut
700a Gustafson, D4 aut
700a Hilal, S4 aut
700a Hui, VMH4 aut
700a Kalaria, R4 aut
700a Kim, SY4 aut
700a Lam, ML4 aut
700a de Leeuw, FE4 aut
700a Li, ASM4 aut
700a Markus, HS4 aut
700a Marseglia, Au Karolinska Institutet4 aut
700a Zheng, HJ4 aut
700a O'Brien, J4 aut
700a Pantoni, L4 aut
700a Sachdev, PS4 aut
700a Smith, EE4 aut
700a Wardlaw, J4 aut
700a Mok, VCT4 aut
710a Karolinska Institutet4 org
773t International journal of stroke : official journal of the International Stroke Societyd : SAGE Publicationsg 18:1, s. 15-27q 18:1<15-27x 1747-4949
773t International Journal of Stroked : SAGE Publicationsg 18:1, s. 15-27q 18:1<15-27x 1747-4930
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:151270347
8564 8u https://doi.org/10.1177/17474930221137019

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