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Care Cascades for Hypertension in Low-Income Settings: A Systematic Review and Meta-Analysis
Objective: High blood pressure is the leading risk factor for cardiovascular disease. The hypertension care cascade (HCC) is increasingly being used to evaluate the effectiveness of interventions. This systematic review aims to examine HCC in low-income settings. Methods: The search strategy include...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10600349/ https://www.ncbi.nlm.nih.gov/pubmed/37901590 http://dx.doi.org/10.3389/ijph.2023.1606428 |
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author | Lamloum, Demetrio Fassio, Federico Osetinsky, Brianna Tediosi, Fabrizio |
author_facet | Lamloum, Demetrio Fassio, Federico Osetinsky, Brianna Tediosi, Fabrizio |
author_sort | Lamloum, Demetrio |
collection | PubMed |
description | Objective: High blood pressure is the leading risk factor for cardiovascular disease. The hypertension care cascade (HCC) is increasingly being used to evaluate the effectiveness of interventions. This systematic review aims to examine HCC in low-income settings. Methods: The search strategy included articles published between January 2010 and April 2023. We excluded studies with incomplete HCC, on fragile patients or aged <18 years, reviews. We used the MOOSE guideline. Five researchers retrieved data on the survey year, country, population, HCC and diagnostic methods for hypertension. We used JBI Critical Appraisal Tools for quality assessment. Results: Ninety-five articles were analyzed. Average hypertension prevalence was 33% (95% CI: 31%–34%), lower in LICs than in LMICs (25% vs. 34%). The overall mean awareness of hypertension was 48% (95% CI: 45%–51%), its treatment was 35% (95% IC: 32%–38%) and its control 16% (95% CI: 14%–18%). In almost all steps, percentages were lower in LICs and in Sub-Saharan Africa. Conclusion: Trends in HCC vary between countries, with poorer performance in LICs. This review highlights the need for interventions tailored to low-income settings in order to improve hypertension care. |
format | Online Article Text |
id | pubmed-10600349 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-106003492023-10-27 Care Cascades for Hypertension in Low-Income Settings: A Systematic Review and Meta-Analysis Lamloum, Demetrio Fassio, Federico Osetinsky, Brianna Tediosi, Fabrizio Int J Public Health Public Health Archive Objective: High blood pressure is the leading risk factor for cardiovascular disease. The hypertension care cascade (HCC) is increasingly being used to evaluate the effectiveness of interventions. This systematic review aims to examine HCC in low-income settings. Methods: The search strategy included articles published between January 2010 and April 2023. We excluded studies with incomplete HCC, on fragile patients or aged <18 years, reviews. We used the MOOSE guideline. Five researchers retrieved data on the survey year, country, population, HCC and diagnostic methods for hypertension. We used JBI Critical Appraisal Tools for quality assessment. Results: Ninety-five articles were analyzed. Average hypertension prevalence was 33% (95% CI: 31%–34%), lower in LICs than in LMICs (25% vs. 34%). The overall mean awareness of hypertension was 48% (95% CI: 45%–51%), its treatment was 35% (95% IC: 32%–38%) and its control 16% (95% CI: 14%–18%). In almost all steps, percentages were lower in LICs and in Sub-Saharan Africa. Conclusion: Trends in HCC vary between countries, with poorer performance in LICs. This review highlights the need for interventions tailored to low-income settings in order to improve hypertension care. Frontiers Media S.A. 2023-10-12 /pmc/articles/PMC10600349/ /pubmed/37901590 http://dx.doi.org/10.3389/ijph.2023.1606428 Text en Copyright © 2023 Lamloum, Fassio, Osetinsky and Tediosi. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Archive Lamloum, Demetrio Fassio, Federico Osetinsky, Brianna Tediosi, Fabrizio Care Cascades for Hypertension in Low-Income Settings: A Systematic Review and Meta-Analysis |
title | Care Cascades for Hypertension in Low-Income Settings: A Systematic Review and Meta-Analysis |
title_full | Care Cascades for Hypertension in Low-Income Settings: A Systematic Review and Meta-Analysis |
title_fullStr | Care Cascades for Hypertension in Low-Income Settings: A Systematic Review and Meta-Analysis |
title_full_unstemmed | Care Cascades for Hypertension in Low-Income Settings: A Systematic Review and Meta-Analysis |
title_short | Care Cascades for Hypertension in Low-Income Settings: A Systematic Review and Meta-Analysis |
title_sort | care cascades for hypertension in low-income settings: a systematic review and meta-analysis |
topic | Public Health Archive |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10600349/ https://www.ncbi.nlm.nih.gov/pubmed/37901590 http://dx.doi.org/10.3389/ijph.2023.1606428 |
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