Prevalence, Incidence, and Mortality of Stroke in the Chinese Island Populations: A Systematic Review
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{"title"=>"Prevalence, incidence, and mortality of stroke in the chinese island populations: A systematic review", "type"=>"journal", "authors"=>[{"first_name"=>"Xiaomei", "last_name"=>"Wu", "scopus_author_id"=>"56159616800"}, {"first_name"=>"Bo", "last_name"=>"Zhu", "scopus_author_id"=>"57199801255"}, {"first_name"=>"Lingyu", "last_name"=>"Fu", "scopus_author_id"=>"24331211500"}, {"first_name"=>"Hailong", "last_name"=>"Wang", "scopus_author_id"=>"55688929000"}, {"first_name"=>"Bo", "last_name"=>"Zhou", "scopus_author_id"=>"56567112700"}, {"first_name"=>"Safeng", "last_name"=>"Zou", "scopus_author_id"=>"56005891000"}, {"first_name"=>"Jingpu", "last_name"=>"Shi", "scopus_author_id"=>"13907004800"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"pmid"=>"24250804", "doi"=>"10.1371/journal.pone.0078629", "sgr"=>"84892569492", "scopus"=>"2-s2.0-84892569492", "issn"=>"19326203", "pui"=>"372133937"}, "id"=>"6c14731a-6c47-30b8-a9d3-e6886ada22c4", "abstract"=>"BACKGROUND: In China, there are 2.5 million new stroke cases each year and 7.5 million stroke survivors. However, stroke incidence in some island populations is obviously lower compared with inland regions, perhaps due to differences in diet and lifestyle. As the lifestyle in China has changed significantly, along with dramatic transformations in social, economic and environmental conditions, such changes have also been seen in island regions. Thus, we analyzed stroke in the Chinese island regions over the past 30 years.\n\nMETHODS: We conducted a systematic review to identify reliable and comparable epidemiologic evidence about stroke in the Chinese island regions between 1980 and 2013. Two authors independently assessed the eligibility and the quality of the articles and disagreement was resolved by discussion. Owing to the great heterogeneity among individual study estimates, a random-effects or fixed-effects model was used to incorporate the heterogeneity among records into a pooled estimate for age-standardized rates. Age-standardized rates were calculated by the direct method with the 2000 world population if included records provided the necessary information.\n\nRESULTS: During the past three decades, the overall pooled age-standardized prevalence of stroke is 6.17 per 1000 (95% CI 4.56-7.78), an increase from 5.54 per 1000 (95% CI 3.88-7.20) prior to 2000 to 8.34 per 1000 (95% CI 5.98-10.69) after 2000. However, this difference was not found to be statistically significant. The overall pooled age-standardized incidence of stroke is 120.42 per 100,000 person years (95% CI 26.17-214.67). Between 1982 and 2008, the incidence of stroke increased and mortality declined over time.\n\nCONCLUSIONS: Effective intervention and specific policy recommendations on stroke prevention should be required, and formulated in a timely fashion to effectively curb the increased trend of stroke in Chinese island regions.", "link"=>"http://www.mendeley.com/research/prevalence-incidence-mortality-stroke-chinese-island-populations-systematic-review-5", "reader_count"=>26, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Librarian"=>1, "Researcher"=>2, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>2, "Student > Master"=>7, "Other"=>1, "Student > Bachelor"=>4, "Lecturer"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Librarian"=>1, "Researcher"=>2, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>2, "Student > Master"=>7, "Other"=>1, "Student > Bachelor"=>4, "Lecturer"=>1}, "reader_count_by_subject_area"=>{"Nursing and Health Professions"=>3, "Agricultural and Biological Sciences"=>4, "Medicine and Dentistry"=>13, "Neuroscience"=>2, "Social Sciences"=>1, "Computer Science"=>1, "Economics, Econometrics and Finance"=>1, "Unspecified"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>13}, "Neuroscience"=>{"Neuroscience"=>2}, "Social Sciences"=>{"Social Sciences"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>4}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>3}, "Unspecified"=>{"Unspecified"=>1}}, "reader_count_by_country"=>{"Taiwan"=>1, "Spain"=>1}, "group_count"=>1}

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  • {"files"=>["https://ndownloader.figshare.com/files/1272897"], "description"=>"<p>Flow diagram (selection strategy) of included studies.</p>", "links"=>[], "tags"=>["diagram", "included"], "article_id"=>844782, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Xiaomei Wu", "Bo Zhu", "Lingyu Fu", "Hailong Wang", "Bo Zhou", "Safeng Zou", "Jingpu Shi"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0078629.g001", "stats"=>{"downloads"=>0, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Flow_diagram_selection_strategy_of_included_studies_/844782", "title"=>"Flow diagram (selection strategy) of included studies.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-11-08 02:42:25"}
  • {"files"=>["https://ndownloader.figshare.com/files/1272907"], "description"=>"<p>Graph showing the incidence of stroke by different ages in selected studies, for both (panel A) and men or women (panel B or C).</p>", "links"=>[], "tags"=>["incidence", "ages", "men", "women"], "article_id"=>844792, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Xiaomei Wu", "Bo Zhu", "Lingyu Fu", "Hailong Wang", "Bo Zhou", "Safeng Zou", "Jingpu Shi"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0078629.g006", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Graph_showing_the_incidence_of_stroke_by_different_ages_in_selected_studies_for_both_panel_A_and_men_or_women_panel_B_or_C_/844792", "title"=>"Graph showing the incidence of stroke by different ages in selected studies, for both (panel A) and men or women (panel B or C).", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-11-08 02:42:25"}
  • {"files"=>["https://ndownloader.figshare.com/files/1272905"], "description"=>"<p>Studies are arranged in ascending order of research.</p>", "links"=>[], "tags"=>["age-standardized", "incidence", "person-years", "studies"], "article_id"=>844790, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Xiaomei Wu", "Bo Zhu", "Lingyu Fu", "Hailong Wang", "Bo Zhou", "Safeng Zou", "Jingpu Shi"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0078629.g005", "stats"=>{"downloads"=>0, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Annual_age_standardized_incidence_of_stroke_per_100_000_person_years_in_selected_studies_adjusted_to_the_WHO_world_population_/844790", "title"=>"Annual age-standardized incidence of stroke per 100,000 person-years in selected studies (adjusted to the WHO world population).", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-11-08 02:42:25"}
  • {"files"=>["https://ndownloader.figshare.com/files/1272916"], "description"=>"<div><p>Background</p><p>In China, there are 2.5 million new stroke cases each year and 7.5 million stroke survivors. However, stroke incidence in some island populations is obviously lower compared with inland regions, perhaps due to differences in diet and lifestyle. As the lifestyle in China has changed significantly, along with dramatic transformations in social, economic and environmental conditions, such changes have also been seen in island regions. Thus, we analyzed stroke in the Chinese island regions over the past 30 years.</p><p>Methods</p><p>We conducted a systematic review to identify reliable and comparable epidemiologic evidence about stroke in the Chinese island regions between 1980 and 2013. Two authors independently assessed the eligibility and the quality of the articles and disagreement was resolved by discussion. Owing to the great heterogeneity among individual study estimates, a random-effects or fixed-effects model was used to incorporate the heterogeneity among records into a pooled estimate for age-standardized rates. Age-standardized rates were calculated by the direct method with the 2000 world population if included records provided the necessary information.</p><p>Results</p><p>During the past three decades, the overall pooled age-standardized prevalence of stroke is 6.17 per 1000 (95% CI 4.56–7.78), an increase from 5.54 per 1000 (95% CI 3.88–7.20) prior to 2000 to 8.34 per 1000 (95% CI 5.98–10.69) after 2000. However, this difference was not found to be statistically significant. The overall pooled age-standardized incidence of stroke is 120.42 per 100,000 person years (95% CI 26.17–214.67). Between 1982 and 2008, the incidence of stroke increased and mortality declined over time.</p><p>Conclusions</p><p>Effective intervention and specific policy recommendations on stroke prevention should be required, and formulated in a timely fashion to effectively curb the increased trend of stroke in Chinese island regions.</p></div>", "links"=>[], "tags"=>["chinese", "systematic"], "article_id"=>844801, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Xiaomei Wu", "Bo Zhu", "Lingyu Fu", "Hailong Wang", "Bo Zhou", "Safeng Zou", "Jingpu Shi"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0078629", "stats"=>{"downloads"=>0, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Prevalence_Incidence_and_Mortality_of_Stroke_in_the_Chinese_Island_Populations_A_Systematic_Review_/844801", "title"=>"Prevalence, Incidence, and Mortality of Stroke in the Chinese Island Populations: A Systematic Review", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-11-08 02:42:25"}
  • {"files"=>["https://ndownloader.figshare.com/files/1272901"], "description"=>"<p>Studies are arranged in ascending order of research time.</p>", "links"=>[], "tags"=>["prevalence", "ages"], "article_id"=>844786, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Xiaomei Wu", "Bo Zhu", "Lingyu Fu", "Hailong Wang", "Bo Zhou", "Safeng Zou", "Jingpu Shi"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0078629.g003", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Graph_showing_the_prevalence_of_stroke_by_different_ages_in_selected_studies_/844786", "title"=>"Graph showing the prevalence of stroke by different ages in selected studies.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-11-08 02:42:25"}
  • {"files"=>["https://ndownloader.figshare.com/files/1272914"], "description"=>"<p>Unless otherwise stated, all prevalence sample sizes and rates are expressed as persons and per 1000 population; all incidence and mortality sample sizes and rates are expressed as person-years and per 100,000 person-years.</p><p>#: Adjust to the WHO (2000) world population calculated from available data.</p><p>NR: not reported and not calculated from available data.</p>†<p>: a history of hemiparesis or hemiplegia confirmed by neurologists from National Taiwan University Hospital (NTUH) by physical examination.</p>‡<p>: 1995 Fourth National cerebrovascular disease Conference.</p>", "links"=>[], "tags"=>["records", "patients", "included"], "article_id"=>844799, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Xiaomei Wu", "Bo Zhu", "Lingyu Fu", "Hailong Wang", "Bo Zhou", "Safeng Zou", "Jingpu Shi"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0078629.t002", "stats"=>{"downloads"=>4, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_records_and_patients_included_in_the_review_/844799", "title"=>"Characteristics of records and patients included in the review.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-11-08 02:42:25"}

PMC Usage Stats | Further Information

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Relative Metric

{"start_date"=>"2013-01-01T00:00:00Z", "end_date"=>"2013-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Biology and life sciences/Organisms", "average_usage"=>[281, 484, 611, 728, 835, 934, 1030, 1123, 1214, 1299, 1383, 1464]}, {"subject_area"=>"/Medicine and health sciences/Metabolic disorders", "average_usage"=>[254, 466, 587, 690, 790, 885, 983, 1063, 1139, 1216, 1297, 1373, 1442]}, {"subject_area"=>"/Medicine and health sciences/Vascular medicine", "average_usage"=>[222, 394, 496, 593, 683, 762, 835, 910, 980, 1047, 1116, 1184, 1244]}, {"subject_area"=>"/People and places", "average_usage"=>[270, 456, 573, 676, 773, 867, 955, 1037, 1120, 1205, 1286, 1363, 1436]}, {"subject_area"=>"/People and places/Demography", "average_usage"=>[253, 440, 552, 650, 735, 820, 902, 976, 1042, 1112, 1192, 1271, 1337]}]}
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