Indigenous stroke care: differences, challenges and a need for change

Blacker, David; Armstrong, Elizabeth

doi:10.1111/imj.14399

Cited by 7 publications

(7 citation statements)

References 27 publications

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“…Drawing conclusions regarding guideline-directed treatment with intravenous thrombolysis and/or endovascular clot retrieval is problematic due to the lack of studies designed to specifically address this question. However, from the studies included in this review, there was clear evidence that Indigenous patients in Australia [40,42] , United States [65][66][67][68][69][70] and Canada [62] were less likely to receive treatment with thrombolysis or undergo endovascular clot retrieval in comparison to their non-Indigenous counterparts.…”

Section: Discussionmentioning

confidence: 97%

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A narrative review of stroke incidence, risk factors and treatment in Indigenous Peoples of the world

Santos

Balabanski

Katzenellenbogen³

et al. 2021

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Section: Discussionmentioning

confidence: 97%

“…Regarding endovascular thrombectomy, several United States-based studies have similarly grouped Indigenous Peoples with other minority groups and shown racial disparities [69,70] . Attenello et al [63] separated racial groups when they examined the 2008 NIS database.…”

Section: Taiwanmentioning

confidence: 99%

A narrative review of stroke incidence, risk factors and treatment in Indigenous Peoples of the world

Santos

Balabanski

Katzenellenbogen³

et al. 2021

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“…Follow‐up rates were lower than expected, which meant missing values at three‐month follow‐up were greater than anticipated (Supporting Information, table 2). Recent investments in telehealth and explicit study design, including telehealth follow‐up and linkage with primary health care and Pharmaceutical Benefits Scheme data, would improve follow‐up 27 . Further, telehealth offers the added benefit of involving general practitioners, who can assist in promoting understanding of and adherence to secondary prevention.…”

Section: Discussionmentioning

confidence: 99%

First stroke incidence, causes, treatments, and outcomes for Aboriginal Peoples in South Australia and the Northern Territory: a pilot prospective study

Dos Santos (Gumbaynggirr, Kwiamble),

Cheong,

Balabanski

et al. 2024

Medical Journal of Australia

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ObjectiveWe performed a pilot stroke incidence study, focused on feasibility and inclusion of the CONSIDER reporting guidelines, to model the design of a future population‐based study aiming to definitively determine stroke incidence, antecedents, treatment, and outcomes.Study designProspective stroke incidence study (pilot study).Setting, participantsAll people aged 15 years or older who lived in postcode‐defined areas of South Australia and Northern Territory (885 472 people, including 45 127 Aboriginal people [5.1%]) diagnosed with stroke for the first time during 1 October – 31 December 2015 and admitted to public hospitals or stroke and transient ischaemic attack clinics.Main outcome measuresFeasibility of a prospective population‐based stroke incidence study.ResultsOf the 123 participants with first strokes, ten were Aboriginal (8%); the median age of Aboriginal people was 45 years (interquartile range [IQR], 33–55 years), of non‐Indigenous people 73 years (IQR, 62–84 years). For Aboriginal people, the age‐standardised incidence of stroke was 104 (95% confidence interval [CI], 84–124) per 100 000 person‐years, for non‐Indigenous people 33 (95% CI, 22–44) per 100 000 person‐years. We found that a prospective population‐based stroke incidence study in Aboriginal people was feasible, including with respect to establishing an adequate sample size, diagnostic confirmation, identification of incident stroke, confirming stroke subtypes, establishing a stable statistical population, standardising data reporting for comparison with other stroke incidence studies, and ethical research reporting that conforms to CONSIDER guidelines.ConclusionsA larger, population‐based study of the incidence of stroke in Aboriginal people is both feasible and needed to provide robust estimates of stroke incidence, antecedents, treatments and outcomes to help guide strategies for reducing the risk of and outcomes of stroke in Aboriginal people.

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“…When observing the burden of stroke, cancer, and both diseases cumulatively, there is an unwarranted variation in the routine screening and clinical care of patients, with such procedures remaining suboptimal, particularly in LMICs [ 25 , 149 ]. Disparities within Australia most disadvantage the already at-risk and vulnerable populations of those who identify as Indigenous Australia, those living in regional and remote areas, and also those who have a lower socioeconomic status [ 150 , 151 , 152 ]. This is mirrored in the worldwide snapshot of stroke and cancer, whereby LMICs shoulder the majority of fatal stroke and cancer deaths and DALYs lost [ 153 ].…”

Section: Discussionmentioning

confidence: 99%

When Two Maladies Meet: Disease Burden and Pathophysiology of Stroke in Cancer

Sun

Bhaskar

2022

IJMS

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Stroke and cancer are disabling diseases with an enormous global burden, disproportionately affecting vulnerable populations and low- and middle-income countries. Both these diseases share common risk factors, which warrant concerted attention toward reshaping population health approaches and the conducting of fundamental studies. In this article, an overview of epidemiological trends in the prevalence and burden of cancer and stroke, underlying biological mechanisms and clinical risk factors, and various tools available for risk prediction and prognosis are provided. Finally, future recommendations for research and existing gaps in our understanding of pathophysiology. Further research must investigate the causes that predispose patients to an increased risk of stroke and/or cancer, as well as biomarkers that can be used to predict growing morbidity and mortality.

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Indigenous stroke care: differences, challenges and a need for change

Cited by 7 publications

References 27 publications

A narrative review of stroke incidence, risk factors and treatment in Indigenous Peoples of the world

A narrative review of stroke incidence, risk factors and treatment in Indigenous Peoples of the world

First stroke incidence, causes, treatments, and outcomes for Aboriginal Peoples in South Australia and the Northern Territory: a pilot prospective study

When Two Maladies Meet: Disease Burden and Pathophysiology of Stroke in Cancer

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