Prevalence and incidence of neurological disorders among adult Ugandans in rural and urban Mukono district; a cross-sectional study
Identifieur interne : 000E59 ( Main/Exploration ); précédent : 000E58; suivant : 000E60Prevalence and incidence of neurological disorders among adult Ugandans in rural and urban Mukono district; a cross-sectional study
Auteurs : Mark Kaddumukasa [Ouganda] ; Leviticus Mugenyi [Ouganda, Belgique] ; Martin N. Kaddumukasa [Ouganda] ; Edward Ddumba [Ouganda] ; Michael Devereaux [États-Unis] ; Anthony Furlan [États-Unis] ; Martha Sajatovic [États-Unis] ; Elly Katabira [Ouganda]Source :
- BMC Neurology [ 1471-2377 ] ; 2016.
Abstract
The burden of neurological diseases is increasing in developing countries. However, there is a prominent scarcity of literature on the incidence of neurological diseases in sub-Saharan Africa. This study was therefore undertaken to determine the prevalence and incidence of neurological diseases in this setting to serve as a baseline for planning and care for neurological disorders in Uganda.
The study was conducted within rural and urban Mukono district, east of Kampala city of Uganda, central region. Over a period of six months, a cross sectional survey was conducted and screening was performed using a standardized questionnaire. All subjects with neurological symptoms and signs were reviewed by a team of neurologists and neurological diagnoses made.
Of the 3000 study subjects, 50.3% (1510/3000) were from the rural setting. Out of the participants screened, 67.4% were female, with a median age of 33 years. Among the 98 subjects with confirmed neurological disorders, the frequency of diseases was as follows; peripheral neuropathy (46.2%), chronic headaches (26.4%), and epilepsy (8.5%), followed by pain syndromes (7.5%), stroke (6.6%) and tremors/Parkinson disease (3.8%). The crude prevalence rates of these disorders (95% CI) were 14.3% (8.5–24.1); 13.3% (7.7–22.8); 33.7% (23.9–47.4) for stroke, epilepsy and peripheral neuropathy respectively. Peripheral neuropathy followed by chronic headaches had the highest estimated incidence/1000 years. Stroke had an estimated incidence of 3.6 new cases with 95% CI of (2.1–6.1)/1000 years.
Peripheral neuropathy, chronic headaches and epilepsy disorders are major causes of morbidity in Sub-Saharan settings. There is an urgent need of more robust and powered studies to determine the incidence of these diseases.
The online version of this article (doi:10.1186/s12883-016-0732-y) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12883-016-0732-y
PubMed: 27855635
PubMed Central: 5114749
Affiliations:
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Box 7072, Kampala, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Medicine, School of Medicine, Makerere University College of Health Sciences, P.O. Box 7072, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author><author><name sortKey="Ddumba, Edward" sort="Ddumba, Edward" uniqKey="Ddumba E" first="Edward" last="Ddumba">Edward Ddumba</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Medicine, St Raphael of St Francis Nsambya Hospital, Nkozi University, P.O. Box 7146, Kampala, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Medicine, St Raphael of St Francis Nsambya Hospital, Nkozi University, P.O. 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Box 7072, Kampala, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Medicine, School of Medicine, Makerere University College of Health Sciences, P.O. 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Box 7072, Kampala, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Medicine, School of Medicine, Makerere University College of Health Sciences, P.O. Box 7072, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author><author><name sortKey="Mugenyi, Leviticus" sort="Mugenyi, Leviticus" uniqKey="Mugenyi L" first="Leviticus" last="Mugenyi">Leviticus Mugenyi</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Infectious Diseases Research Collaboration, Mulago Hill Road, MUJHU3 Building, P.O. Box 7475, Kampala, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Infectious Diseases Research Collaboration, Mulago Hill Road, MUJHU3 Building, P.O. Box 7475, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">Interuniversity Institute for Biostatistics and Statistical Bioinformatics, Hasselt University, Diepenbeek, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Interuniversity Institute for Biostatistics and Statistical Bioinformatics, Hasselt University, Diepenbeek</wicri:regionArea><wicri:noRegion>Diepenbeek</wicri:noRegion></affiliation></author><author><name sortKey="Kaddumukasa, Martin N" sort="Kaddumukasa, Martin N" uniqKey="Kaddumukasa M" first="Martin N." last="Kaddumukasa">Martin N. Kaddumukasa</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Medicine, School of Medicine, Makerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Medicine, School of Medicine, Makerere University College of Health Sciences, P.O. Box 7072, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author><author><name sortKey="Ddumba, Edward" sort="Ddumba, Edward" uniqKey="Ddumba E" first="Edward" last="Ddumba">Edward Ddumba</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Medicine, St Raphael of St Francis Nsambya Hospital, Nkozi University, P.O. Box 7146, Kampala, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Medicine, St Raphael of St Francis Nsambya Hospital, Nkozi University, P.O. Box 7146, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author><author><name sortKey="Devereaux, Michael" sort="Devereaux, Michael" uniqKey="Devereaux M" first="Michael" last="Devereaux">Michael Devereaux</name><affiliation wicri:level="2"><nlm:aff id="Aff5">University Hospitals Case Medical Center, Neurological Institute Case Western Reserve University, 11100 Euclid Avenue, 44106 Cleveland, OH USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>University Hospitals Case Medical Center, Neurological Institute Case Western Reserve University, 11100 Euclid Avenue, 44106 Cleveland</wicri:cityArea></affiliation></author><author><name sortKey="Furlan, Anthony" sort="Furlan, Anthony" uniqKey="Furlan A" first="Anthony" last="Furlan">Anthony Furlan</name><affiliation wicri:level="2"><nlm:aff id="Aff5">University Hospitals Case Medical Center, Neurological Institute Case Western Reserve University, 11100 Euclid Avenue, 44106 Cleveland, OH USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>University Hospitals Case Medical Center, Neurological Institute Case Western Reserve University, 11100 Euclid Avenue, 44106 Cleveland</wicri:cityArea></affiliation></author><author><name sortKey="Sajatovic, Martha" sort="Sajatovic, Martha" uniqKey="Sajatovic M" first="Martha" last="Sajatovic">Martha Sajatovic</name><affiliation wicri:level="2"><nlm:aff id="Aff6">Neurological and Behavioral Outcomes Center, University Hospitals Case Medical Center, 11100 Euclid Avenue, 44106 Cleveland, OH USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Neurological and Behavioral Outcomes Center, University Hospitals Case Medical Center, 11100 Euclid Avenue, 44106 Cleveland</wicri:cityArea></affiliation></author><author><name sortKey="Katabira, Elly" sort="Katabira, Elly" uniqKey="Katabira E" first="Elly" last="Katabira">Elly Katabira</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Medicine, School of Medicine, Makerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Medicine, School of Medicine, Makerere University College of Health Sciences, P.O. Box 7072, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Neurology</title><idno type="eISSN">1471-2377</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The burden of neurological diseases is increasing in developing countries. However, there is a prominent scarcity of literature on the incidence of neurological diseases in sub-Saharan Africa. This study was therefore undertaken to determine the prevalence and incidence of neurological diseases in this setting to serve as a baseline for planning and care for neurological disorders in Uganda.</p></sec><sec><title>Methods</title><p>The study was conducted within rural and urban Mukono district, east of Kampala city of Uganda, central region. Over a period of six months, a cross sectional survey was conducted and screening was performed using a standardized questionnaire. All subjects with neurological symptoms and signs were reviewed by a team of neurologists and neurological diagnoses made.</p></sec><sec><title>Results</title><p>Of the 3000 study subjects, 50.3% (1510/3000) were from the rural setting. Out of the participants screened, 67.4% were female, with a median age of 33 years. Among the 98 subjects with confirmed neurological disorders, the frequency of diseases was as follows; peripheral neuropathy (46.2%), chronic headaches (26.4%), and epilepsy (8.5%), followed by pain syndromes (7.5%), stroke (6.6%) and tremors/Parkinson disease (3.8%). The crude prevalence rates of these disorders (95% CI) were 14.3% (8.5–24.1); 13.3% (7.7–22.8); 33.7% (23.9–47.4) for stroke, epilepsy and peripheral neuropathy respectively. Peripheral neuropathy followed by chronic headaches had the highest estimated incidence/1000 years. Stroke had an estimated incidence of 3.6 new cases with 95% CI of (2.1–6.1)/1000 years.</p></sec><sec><title>Conclusion</title><p>Peripheral neuropathy, chronic headaches and epilepsy disorders are major causes of morbidity in Sub-Saharan settings. There is an urgent need of more robust and powered studies to determine the incidence of these diseases.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s12883-016-0732-y) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Lopez, Ad" uniqKey="Lopez A">AD Lopez</name></author><author><name sortKey="Mathers, Cd" uniqKey="Mathers C">CD Mathers</name></author><author><name sortKey="Ezzati, M" uniqKey="Ezzati M">M Ezzati</name></author><author><name sortKey="Jamison, Dt" uniqKey="Jamison D">DT Jamison</name></author><author><name sortKey="Murray, Cjl" uniqKey="Murray C">CJL Murray</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kahn, K" uniqKey="Kahn K">K 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sortKey="Pardo, Ca" uniqKey="Pardo C">CA Pardo</name></author><author><name sortKey="Cherry, Cl" uniqKey="Cherry C">CL Cherry</name></author><author><name sortKey="Hoke, A" uniqKey="Hoke A">A Hoke</name></author><author><name sortKey="Mcarthur, Jc" uniqKey="Mcarthur J">JC McArthur</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Maritz, J" uniqKey="Maritz J">J Maritz</name></author><author><name sortKey="Benatar, M" uniqKey="Benatar M">M Benatar</name></author><author><name sortKey="Dave, Ja" uniqKey="Dave J">JA Dave</name></author><author><name sortKey="Harrison, Tb" uniqKey="Harrison T">TB Harrison</name></author><author><name sortKey="Badri, M" uniqKey="Badri M">M Badri</name></author><author><name sortKey="Levitt, Ns" uniqKey="Levitt N">NS Levitt</name></author><author><name sortKey="Heckmann, Jm" uniqKey="Heckmann J">JM Heckmann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tumusiime, Dk" uniqKey="Tumusiime D">DK Tumusiime</name></author><author><name sortKey="Musabeyezu, E" uniqKey="Musabeyezu E">E Musabeyezu</name></author><author><name sortKey="Mutimurah, E" uniqKey="Mutimurah E">E Mutimurah</name></author><author><name sortKey="Hoover, Dr" uniqKey="Hoover D">DR Hoover</name></author><author><name sortKey="Shi, Q" uniqKey="Shi Q">Q Shi</name></author><author><name sortKey="Rudakemwa, E" uniqKey="Rudakemwa E">E Rudakemwa</name></author><author><name sortKey="Ndacyayisenga, V" uniqKey="Ndacyayisenga V">V Ndacyayisenga</name></author><author><name sortKey="Dusingize, Jc" uniqKey="Dusingize J">JC Dusingize</name></author><author><name sortKey="Sinayobye, Jd" uniqKey="Sinayobye J">JD Sinayobye</name></author><author><name sortKey="Stewart, A" uniqKey="Stewart A">A Stewart</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Dusingize, Jc" uniqKey="Dusingize J">JC Dusingize</name></author><author><name sortKey="Hoover, Dr" uniqKey="Hoover D">DR Hoover</name></author><author><name sortKey="Shi, Q" uniqKey="Shi Q">Q Shi</name></author><author><name sortKey="Mutimura, E" uniqKey="Mutimura E">E Mutimura</name></author><author><name sortKey="Kiefer, E" uniqKey="Kiefer E">E Kiefer</name></author><author><name sortKey="Cohen, M" uniqKey="Cohen M">M Cohen</name></author><author><name sortKey="Anastos, K" uniqKey="Anastos K">K Anastos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tudiver, F" uniqKey="Tudiver F">F Tudiver</name></author><author><name sortKey="Talbot, Y" uniqKey="Talbot Y">Y Talbot</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Belgique</li><li>Ouganda</li><li>États-Unis</li></country><region><li>Ohio</li></region></list><tree><country name="Ouganda"><noRegion><name sortKey="Kaddumukasa, Mark" sort="Kaddumukasa, Mark" uniqKey="Kaddumukasa M" first="Mark" last="Kaddumukasa">Mark Kaddumukasa</name></noRegion><name sortKey="Ddumba, Edward" sort="Ddumba, Edward" uniqKey="Ddumba E" first="Edward" last="Ddumba">Edward Ddumba</name><name sortKey="Kaddumukasa, Martin N" sort="Kaddumukasa, Martin N" uniqKey="Kaddumukasa M" first="Martin N." last="Kaddumukasa">Martin N. Kaddumukasa</name><name sortKey="Katabira, Elly" sort="Katabira, Elly" uniqKey="Katabira E" first="Elly" last="Katabira">Elly Katabira</name><name sortKey="Mugenyi, Leviticus" sort="Mugenyi, Leviticus" uniqKey="Mugenyi L" first="Leviticus" last="Mugenyi">Leviticus Mugenyi</name></country><country name="Belgique"><noRegion><name sortKey="Mugenyi, Leviticus" sort="Mugenyi, Leviticus" uniqKey="Mugenyi L" first="Leviticus" last="Mugenyi">Leviticus Mugenyi</name></noRegion></country><country name="États-Unis"><region name="Ohio"><name sortKey="Devereaux, Michael" sort="Devereaux, Michael" uniqKey="Devereaux M" first="Michael" last="Devereaux">Michael Devereaux</name></region><name sortKey="Furlan, Anthony" sort="Furlan, Anthony" uniqKey="Furlan A" first="Anthony" last="Furlan">Anthony Furlan</name><name sortKey="Sajatovic, Martha" sort="Sajatovic, Martha" uniqKey="Sajatovic M" first="Martha" last="Sajatovic">Martha Sajatovic</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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