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

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 distin...

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Main Authors: Ying Xing Lee, Cornelie D. Andela, Korné Jellema, Johannes W. Schoones, Thea P. M. Vliet Vlieland, Henk J. Arwert
Format: Article
Language:English
Published: Medical Journals Sweden 2025-01-01
Series:Journal of Rehabilitation Medicine
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Online Access:https://medicaljournalssweden.se/jrm/article/view/41038
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author Ying Xing Lee
Cornelie D. Andela
Korné Jellema
Johannes W. Schoones
Thea P. M. Vliet Vlieland
Henk J. Arwert
author_facet Ying Xing Lee
Cornelie D. Andela
Korné Jellema
Johannes W. Schoones
Thea P. M. Vliet Vlieland
Henk J. Arwert
author_sort Ying Xing Lee
collection DOAJ
description 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.
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spelling doaj-art-c4d88719a4114bb397550d94a1b18b722025-01-03T09:19:27ZengMedical Journals SwedenJournal of Rehabilitation Medicine1651-20812025-01-015710.2340/jrm.v57.41038Ethnicity and health-related quality of life in the post stroke population: a systematic reviewYing Xing Lee0Cornelie D. Andela1Korné Jellema2Johannes W. Schoones3Thea P. M. Vliet Vlieland4Henk J. Arwert5Haaglanden Medical Center, Department of Neurology, The Hague, the NetherlandsBasalt Rehabilitation Center, The Hague, the NetherlandsHaaglanden Medical Center, Department of Neurology, The Hague, the NetherlandsDirectorate of Research Policy, Leiden University Medical Center, Leiden, the NetherlandsDepartment of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, the NetherlandsBasalt Rehabilitation Center, The Hague, the Netherlands; Haaglanden Medical Center, Department of Rehabilitation, The Hague, The NetherlandsBackground/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. https://medicaljournalssweden.se/jrm/article/view/41038strokeoutcomeethnicityquality of lifehealth related quality of life
spellingShingle Ying Xing Lee
Cornelie D. Andela
Korné Jellema
Johannes W. Schoones
Thea P. M. Vliet Vlieland
Henk J. Arwert
Ethnicity and health-related quality of life in the post stroke population: a systematic review
Journal of Rehabilitation Medicine
stroke
outcome
ethnicity
quality of life
health related quality of life
title Ethnicity and health-related quality of life in the post stroke population: a systematic review
title_full Ethnicity and health-related quality of life in the post stroke population: a systematic review
title_fullStr Ethnicity and health-related quality of life in the post stroke population: a systematic review
title_full_unstemmed Ethnicity and health-related quality of life in the post stroke population: a systematic review
title_short Ethnicity and health-related quality of life in the post stroke population: a systematic review
title_sort ethnicity and health related quality of life in the post stroke population a systematic review
topic stroke
outcome
ethnicity
quality of life
health related quality of life
url https://medicaljournalssweden.se/jrm/article/view/41038
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AT kornejellema ethnicityandhealthrelatedqualityoflifeinthepoststrokepopulationasystematicreview
AT johanneswschoones ethnicityandhealthrelatedqualityoflifeinthepoststrokepopulationasystematicreview
AT theapmvlietvlieland ethnicityandhealthrelatedqualityoflifeinthepoststrokepopulationasystematicreview
AT henkjarwert ethnicityandhealthrelatedqualityoflifeinthepoststrokepopulationasystematicreview