A semi-systematic review on hypertension and dyslipidemia care in Egypt—highlighting evidence gaps and recommendations for better patient outcomes
Abstract Background Both hypertension and dyslipidemia are considered as major modifiable risk factors of cardiovascular diseases (CVDs), and their prevalence in Egypt has increased in recent years. Evidence-based systematic evaluation of data on hypertension and dyslipidemia is critical for effecti...
Published in: | Journal of the Egyptian Public Health Association |
---|---|
Main Authors: | , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
SpringerOpen
2021
|
Subjects: | |
Online Access: | https://doi.org/10.1186/s42506-021-00096-9 https://doaj.org/article/005c06228777473b9e77204bf3864db7 |
id |
ftdoajarticles:oai:doaj.org/article:005c06228777473b9e77204bf3864db7 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:005c06228777473b9e77204bf3864db7 2023-05-15T15:16:43+02:00 A semi-systematic review on hypertension and dyslipidemia care in Egypt—highlighting evidence gaps and recommendations for better patient outcomes Ashraf Reda Hany Ragy Kanwal Saeed Mohammed Ashraf Alhussaini 2021-12-01T00:00:00Z https://doi.org/10.1186/s42506-021-00096-9 https://doaj.org/article/005c06228777473b9e77204bf3864db7 EN eng SpringerOpen https://doi.org/10.1186/s42506-021-00096-9 https://doaj.org/toc/2090-262X doi:10.1186/s42506-021-00096-9 2090-262X https://doaj.org/article/005c06228777473b9e77204bf3864db7 Journal of the Egyptian Public Health Association, Vol 96, Iss 1, Pp 1-14 (2021) Cardiovascular disease Dyslipidemia Egypt Hypertension Patient-centric Prevalence Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2021 ftdoajarticles https://doi.org/10.1186/s42506-021-00096-9 2022-12-31T05:04:22Z Abstract Background Both hypertension and dyslipidemia are considered as major modifiable risk factors of cardiovascular diseases (CVDs), and their prevalence in Egypt has increased in recent years. Evidence-based systematic evaluation of data on hypertension and dyslipidemia is critical for effective patient-centric management to reduce the overall risk of CVDs in Egypt. This semi-systematic review aimed to quantify and identify data gaps in the prevalence and distribution of patient journey touchpoints including awareness, screening, diagnosis, treatment, adherence, and control of hypertension and dyslipidemia to provide the basis for research prioritization, practice guidance, and health care reforms in Egypt. Main body Structured search was conducted on MEDLINE and Embase to identify articles published in English between January 2010 and December 2019 that reported key patient journey touchpoints in hypertension and dyslipidemia management. Unstructured search was conducted on public or government websites with no date restriction. Data from all sources were extracted and presented descriptively. In total, 22 studies published between 1995 and 2020 on hypertension and dyslipidemia were included in the final analyses. The prevalence of hypertension in Egypt ranged from 12.1 to 59%. Studies reported awareness (37.5% and 43.9%), diagnosis (42% and 64.7%), treatment (24% and 54.1%), and adherence to antihypertensive medication (51.9%) to be low. Furthermore, the percentage of patients who had their blood pressure controlled ranged from 8 to 53.2%. The prevalence of dyslipidemia varied in the general population (range 19.2–36.8%) but was higher in patients with acute coronary syndrome (ACS) (50.9% and 52.5%) and coronary artery disease (58.7%). A national report indicated that 8.6% of the general population was screened for dyslipidemia; however, no data was available on the diagnosis and treatment rates. Among ACS patients, 73.9% were treated for dyslipidemia. Data indicated low levels of medication adherence ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Journal of the Egyptian Public Health Association 96 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Cardiovascular disease Dyslipidemia Egypt Hypertension Patient-centric Prevalence Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Cardiovascular disease Dyslipidemia Egypt Hypertension Patient-centric Prevalence Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Ashraf Reda Hany Ragy Kanwal Saeed Mohammed Ashraf Alhussaini A semi-systematic review on hypertension and dyslipidemia care in Egypt—highlighting evidence gaps and recommendations for better patient outcomes |
topic_facet |
Cardiovascular disease Dyslipidemia Egypt Hypertension Patient-centric Prevalence Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Abstract Background Both hypertension and dyslipidemia are considered as major modifiable risk factors of cardiovascular diseases (CVDs), and their prevalence in Egypt has increased in recent years. Evidence-based systematic evaluation of data on hypertension and dyslipidemia is critical for effective patient-centric management to reduce the overall risk of CVDs in Egypt. This semi-systematic review aimed to quantify and identify data gaps in the prevalence and distribution of patient journey touchpoints including awareness, screening, diagnosis, treatment, adherence, and control of hypertension and dyslipidemia to provide the basis for research prioritization, practice guidance, and health care reforms in Egypt. Main body Structured search was conducted on MEDLINE and Embase to identify articles published in English between January 2010 and December 2019 that reported key patient journey touchpoints in hypertension and dyslipidemia management. Unstructured search was conducted on public or government websites with no date restriction. Data from all sources were extracted and presented descriptively. In total, 22 studies published between 1995 and 2020 on hypertension and dyslipidemia were included in the final analyses. The prevalence of hypertension in Egypt ranged from 12.1 to 59%. Studies reported awareness (37.5% and 43.9%), diagnosis (42% and 64.7%), treatment (24% and 54.1%), and adherence to antihypertensive medication (51.9%) to be low. Furthermore, the percentage of patients who had their blood pressure controlled ranged from 8 to 53.2%. The prevalence of dyslipidemia varied in the general population (range 19.2–36.8%) but was higher in patients with acute coronary syndrome (ACS) (50.9% and 52.5%) and coronary artery disease (58.7%). A national report indicated that 8.6% of the general population was screened for dyslipidemia; however, no data was available on the diagnosis and treatment rates. Among ACS patients, 73.9% were treated for dyslipidemia. Data indicated low levels of medication adherence ... |
format |
Article in Journal/Newspaper |
author |
Ashraf Reda Hany Ragy Kanwal Saeed Mohammed Ashraf Alhussaini |
author_facet |
Ashraf Reda Hany Ragy Kanwal Saeed Mohammed Ashraf Alhussaini |
author_sort |
Ashraf Reda |
title |
A semi-systematic review on hypertension and dyslipidemia care in Egypt—highlighting evidence gaps and recommendations for better patient outcomes |
title_short |
A semi-systematic review on hypertension and dyslipidemia care in Egypt—highlighting evidence gaps and recommendations for better patient outcomes |
title_full |
A semi-systematic review on hypertension and dyslipidemia care in Egypt—highlighting evidence gaps and recommendations for better patient outcomes |
title_fullStr |
A semi-systematic review on hypertension and dyslipidemia care in Egypt—highlighting evidence gaps and recommendations for better patient outcomes |
title_full_unstemmed |
A semi-systematic review on hypertension and dyslipidemia care in Egypt—highlighting evidence gaps and recommendations for better patient outcomes |
title_sort |
semi-systematic review on hypertension and dyslipidemia care in egypt—highlighting evidence gaps and recommendations for better patient outcomes |
publisher |
SpringerOpen |
publishDate |
2021 |
url |
https://doi.org/10.1186/s42506-021-00096-9 https://doaj.org/article/005c06228777473b9e77204bf3864db7 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Journal of the Egyptian Public Health Association, Vol 96, Iss 1, Pp 1-14 (2021) |
op_relation |
https://doi.org/10.1186/s42506-021-00096-9 https://doaj.org/toc/2090-262X doi:10.1186/s42506-021-00096-9 2090-262X https://doaj.org/article/005c06228777473b9e77204bf3864db7 |
op_doi |
https://doi.org/10.1186/s42506-021-00096-9 |
container_title |
Journal of the Egyptian Public Health Association |
container_volume |
96 |
container_issue |
1 |
_version_ |
1766347010178285568 |