Primary stroke prevention worldwide: translating evidence into action
Stroke is the second leading cause of death and the third leading cause of disability worldwide and its burden is increasing rapidly in low-income and middle-income countries, many of which are unable to face the challenges it imposes. In this Health Policy paper on primary stroke prevention, we pro...
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| Published in | The Lancet. Public health Vol. 7; no. 1; pp. e74 - e85 |
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| Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Elsevier Ltd
01.01.2022
Elsevier, Ltd |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2468-2667 2468-2667 |
| DOI | 10.1016/S2468-2667(21)00230-9 |
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| Abstract | Stroke is the second leading cause of death and the third leading cause of disability worldwide and its burden is increasing rapidly in low-income and middle-income countries, many of which are unable to face the challenges it imposes. In this Health Policy paper on primary stroke prevention, we provide an overview of the current situation regarding primary prevention services, estimate the cost of stroke and stroke prevention, and identify deficiencies in existing guidelines and gaps in primary prevention. We also offer a set of pragmatic solutions for implementation of primary stroke prevention, with an emphasis on the role of governments and population-wide strategies, including task-shifting and sharing and health system re-engineering. Implementation of primary stroke prevention involves patients, health professionals, funders, policy makers, implementation partners, and the entire population along the life course. |
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| AbstractList | Stroke is the second leading cause of death and the third leading cause of disability worldwide and its burden is increasing rapidly in low-income and middle-income countries, many of which are unable to face the challenges it imposes. In this Health Policy paper on primary stroke prevention, we provide an overview of the current situation regarding primary prevention services, estimate the cost of stroke and stroke prevention, and identify deficiencies in existing guidelines and gaps in primary prevention. We also offer a set of pragmatic solutions for implementation of primary stroke prevention, with an emphasis on the role of governments and population-wide strategies, including task-shifting and sharing and health system re-engineering. Implementation of primary stroke prevention involves patients, health professionals, funders, policy makers, implementation partners, and the entire population along the life course. SummaryStroke is the second leading cause of death and the third leading cause of disability worldwide and its burden is increasing rapidly in low-income and middle-income countries, many of which are unable to face the challenges it imposes. In this Health Policy paper on primary stroke prevention, we provide an overview of the current situation regarding primary prevention services, estimate the cost of stroke and stroke prevention, and identify deficiencies in existing guidelines and gaps in primary prevention. We also offer a set of pragmatic solutions for implementation of primary stroke prevention, with an emphasis on the role of governments and population-wide strategies, including task-shifting and sharing and health system re-engineering. Implementation of primary stroke prevention involves patients, health professionals, funders, policy makers, implementation partners, and the entire population along the life course. Stroke is the second leading cause of death and the third leading cause of disability worldwide and its burden is increasing rapidly in low-income and middle-income countries, many of which are unable to face the challenges it imposes. In this Health Policy paper on primary stroke prevention, we provide an overview of the current situation regarding primary prevention services, estimate the cost of stroke and stroke prevention, and identify deficiencies in existing guidelines and gaps in primary prevention. We also offer a set of pragmatic solutions for implementation of primary stroke prevention, with an emphasis on the role of governments and population-wide strategies, including task-shifting and sharing and health system re-engineering. Implementation of primary stroke prevention involves patients, health professionals, funders, policy makers, implementation partners, and the entire population along the life course.Stroke is the second leading cause of death and the third leading cause of disability worldwide and its burden is increasing rapidly in low-income and middle-income countries, many of which are unable to face the challenges it imposes. In this Health Policy paper on primary stroke prevention, we provide an overview of the current situation regarding primary prevention services, estimate the cost of stroke and stroke prevention, and identify deficiencies in existing guidelines and gaps in primary prevention. We also offer a set of pragmatic solutions for implementation of primary stroke prevention, with an emphasis on the role of governments and population-wide strategies, including task-shifting and sharing and health system re-engineering. Implementation of primary stroke prevention involves patients, health professionals, funders, policy makers, implementation partners, and the entire population along the life course. |
| Author | Johnson, Walter D Ajagbe, Temitope Kiechl, Stefan Mahal, Ajay Yperzeele, Laetitia Langhorne, Peter Lotufo, Paulo Andrade Barboza, Miguel Yock-Corrales, Adriana Hachinski, Vladimir Owolabi, Mayowa O Akinyemi, Rufus O Murphy, Sean Adoukonou, Thierry Armel Leung, Thomas Basri, Hamidon Kondybayeva, Aida Yifru, Yared Mamushet Cadilhac, Dominique Kõrv, Janika Lindsay, Patrice Akhmetzhanova, Zauresh Tulloch-Reid, Marshall Vukorepa, Gorana Abera, Semaw Ferede Kalkonde, Yogesh Sacco, Ralph L. Feigin, Valery L Davis, Stephen Lazo-Porras, Maria Useche, Nicolás Nolte, Christian Müller-Stierlin, Annabel Vuletic, Vladimira Merkin, Alexandr Adilbekov, Yerzhan Chen, Christopher Wijeratne, Tissa Karaszewski, Bartosz Brainin, Michael Chin, Jerome Danielyan, Kristine Osundina, Morenike Towfighi, Amytis Orken, Dilek Necioglu D'Amelio, Marco Ibrahim, Norlinah Mohamed Tao, Xuanchen Wahab, Kolawole W. Norrving, Bo Aguiar de Sousa, Diana Vanacker, Peter Phromjai, Jurairat Jeng, Jiann-Shing Cruz, Vitor Tedim Budincevic, Hrvoje Addissie, Adamu Bovet, Pascal Novarro-Es |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34756176$$D View this record in MEDLINE/PubMed |
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| Copyright | 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Copyright © 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved. 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license 2022 |
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| Snippet | Stroke is the second leading cause of death and the third leading cause of disability worldwide and its burden is increasing rapidly in low-income and... SummaryStroke is the second leading cause of death and the third leading cause of disability worldwide and its burden is increasing rapidly in low-income and... |
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| SubjectTerms | Clinical Medicine Costs and Cost Analysis Developing Countries Global Health Health Policy Humans Internal Medicine Klinisk medicin Medical and Health Sciences Medicin och hälsovetenskap Neurologi Neurology Public Health Stroke - economics Stroke - prevention & control |
| Title | Primary stroke prevention worldwide: translating evidence into action |
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