a scoping review from seven arab countries cardiovascular disease is the number one leading cause of...
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Research output on cardiovascular disease in
the Arab worldA scoping review from Seven Arab countries
Rula Ghandour Abdullatif Husseini Niveen Abu Rmeileh
Institute of Community and Public Health
Birzeit University Palestine
January 20, 20171
Background
Cardiovascular disease is the number one leading cause of
death globally as well as in the EMRO region including many
Arab countries; this in addition to the substantial morbidity
effects.
Proportionate mortality for CVDs in the study countries, The global burden of
disease 2015
Country Proportionate
mortalityLebanon 43%Kuwait 39%
Palestine 39%Iraq 36%
Morocco 32%Sudan 31%
Bahrain 27%
Introduction
Good quality scientific evidence is an
effective tool to improve population’s health
by feeding in the decision making process.
Assessing and revising the available
evidence on this disease is crucial for the
health status improvement.
January 20, 20173
Objective
The objective of this study is to assess the temporal trends of scientific publications related to cardiovascular diseases (CVDs) in seven Arab countries:
Palestine, Sudan, Morocco, Iraq,Lebanon, Bahrain and Kuwait.
January 20, 20174
Methods
Scoping review on NCDs
Sub-analysis on CVD publications:
Coronary artery disease , myocardial infarction , angina pectoris, peripheral vascular disease, peripheral arterial disease, Stroke, cerebrovascular accident, ischemic stroke, haemorrhagic stroke , Transient ischemic attack
Mainly descriptive: trends over time, types of publications, impact factor, risk factors…
Findings
2000 2013497 CVD publications in the 7 Arab courtiers
LMIC
Palestine
27
6.8
Morocco
76
2.3
Sudan
16
0.5
UMIC
Lebanon
180
41.0
Iraq
35
1.1
HIC
Kuwait
135
51.6
Bahrain
28
27.0
#
PPmP
#: number of publications PPmP: publication per million population
Average number of publications per
million population (PPmP) by general
income categories
LMIC
1.7
UMIC
6.1
HIC
44.8
January 20, 20177
January 20, 20178
Number and impact factor (IF) for CVD
publications by year in seven Arab countries
14
18 21
14 2328
31
3637
62
37
61
48
67
4.9
2.12.3
2.6
1.9
2.4 2.3 2.22.5
2.9
1.7 1.6 1.81.5
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
0
10
20
30
40
50
60
70
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Ave
rage
Imp
act
fact
or
pe
r ye
ar
Nu
mb
er
of
Pu
blic
atio
ins
Year of publication
Number of publications IF
Impact factor for the CVD publications in the
seven Arab countries 2000-2013
January 20, 20179
IF <136%
IF 1-346%
IF > 318%
Median Impact Factor (IQR) by country
CVD Publications in Seven Arab countries (2000-2013)
0.000
0.500
1.000
1.500
2.000
2.500
3.000
Type of study
January 20, 201711
Observational studies
62%
Experimental studies
19%
Systematic review / Meta-
analysis2%
Qualitative1%
Other16%
Other include literature review, commentary, letter to editor
Percentage of publications by type of study (2000-2013) and country N=497
Palestine
Sudan Morocco Iraq Lebanon Bahrain Kuwait Total
Ohter 16% 38% 13% 9% 20% 7% 14% 16%
Qualitative 4% 0% 0% 0% 1% 0% 1% 1%
Systematic review / Meta-analysis 0% 0% 3% 3% 2% 14% 1% 2%
Experimental studies 0% 6% 18% 14% 18% 11% 28% 19%
Observational studies 80% 56% 66% 74% 59% 68% 56% 62%
Pe
rce
nt
ou
t o
f co
un
try
Study Setting
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Palestine Sudan Morocco Iraq Lebanon Bahrain Kuwait Total
Other: letters to editors, commentaries, and sometimes reviews, Special interest group, … Hospital and population base
Laboratory based (mostly medical studies)
Population based (surveys and correlational studies mostly)
Hospital based
CVD risk factors addressed in relevant publications
2000-2013
DM
HTN
Cholestrol
Tobacco
Obesity
Genetics
SDH
Family history
Nutrition
Physical inactivity
Alcohol and substance abuse
Metabolic syndrome
Salt and Soduim Intake
33%
27%
20%
20%
16%
15%
14%
7%
5%
4%
2%
1%
1%
Main messages
Small number of publications despite the high
burden of the disease
Number of publications were increasing overtime.
IF of publishing journals was decreasing overtime
Mostly observational studies
Mostly hospital based studies
Less emphasis was given to the risk factors of the a
multi-factorial preventable disease.
There are cross country variations