Ethnicity and health-related quality of life in the post stroke population: a systematic review

Le résumé fourni par la source

BACKGROUND/OBJECTIVE: A systematic review was conducted on the association between ethnicity and health-related quality of life in post-stroke populations. METHODS: In February 2024, a comprehensive search was conducted across several databases. Studies were included when they had at least 2 distinct ethnic post-stroke groups for comparison, along with the utilization of validated questionnaires to measure health-related quality of life. Two authors independently screened, selected, and evaluated studies, while 1 author extracted outcome data. When possible, effect sizes were calculated using raw data from included studies. RESULTS: Eleven studies were included, comprising 12,430 patients. All but 1 study found ethnic disparities in post-stroke health-related quality of life. In 8 studies, patients from minority ethnic groups had lower health-related quality of life after stroke compared with the predominant ethnic group in a country. In 2 studies, the minority group (Asians and non-Hispanic blacks, respectively) showed better outcomes compared with the majority group. In 1 study no differences were observed. In 6 studies the effect size was calculable, and ranged from small to moderate. CONCLUSION: Included studies show a large heterogeneity regarding included populations and reported outcomes. Racial/ethnic disparities in stroke patients exist in most studies from different countries. Further studies are needed to investigate the background of these disparities.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.