Have a personal or library account? Click to login
Screening for Atrial Fibrillation in Sub-Saharan Africa: A Health Economic Evaluation to Assess the Feasibility in Nigeria Cover

Screening for Atrial Fibrillation in Sub-Saharan Africa: A Health Economic Evaluation to Assess the Feasibility in Nigeria

Open Access
|Dec 2021

References

  1. 1World Health Organization. Global status report on non-communicable disease; 2014.
  2. 2Di Cesare M, Khang Y, Asaria P, et al. Inequalities in non-communicable diseases and effective responses. Lancet. 2013; 381(9866): 585597. DOI: 10.1016/S0140-6736(12)61851-0
  3. 3World Health Organization. Global health estimates 2014 summary table; 2014.
  4. 4Institute for Health Metrics and Evaluation. Global Burden of Disease (GDB) Compare; 2016. Retrieved from https://vizhub.healthdata.org/gbd-compare/. (accessed 07/03, 2019).
  5. 5World Health Organization. Global Health Estimates 2016: Deaths by Cause, Age, Sex, by Country and by Region, 2000–2016. 2018.
  6. 6Moran A, Forouzanfar M, Sampson U, et al. The epidemiology of cardiovascular diseases in sub-Saharan Africa: The Global Burden of Diseases, Injuries and Risk Factors 2010 Study. Prog Cardiovasc Dis. 2013; 56(3): 234239. DOI: 10.1016/j.pcad.2013.09.019
  7. 7World Health Organization, World Economic Forum. From burden to ‘best buys’: Reducing the economic impact of NCDs in low- and middle-income countries; 2011.
  8. 8Kirchhof P, Benussi S, Kotecha D, et al. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Eur Heart J. 7 October 2016; 37(38): 28932962.
  9. 9Jacobs MS, van Hulst M, Adeoye AM, et al. Atrial Fibrillation in Africa – An Underreported and Unrecognized Risk Factor for Stroke: A Systematic Review. Global Heart. 2019; 14: 269279. DOI: 10.1016/j.gheart.2019.04.003
  10. 10Murphy A, Banerjee A, Breithardt G, et al. The World Heart Federation Roadmap for Nonvalvular Atrial Fibrillation. Glob Heart. December 2017; 12(4): 273284. DOI: 10.1016/j.gheart.2017.01.015
  11. 11Tieleman RG, Plantinga Y, Rinkes D, et al. Validation and clinical use of a novel diagnostic device for screening of atrial fibrillation. Europace. 2014; 16: 12915. DOI: 10.1093/europace/euu057
  12. 12Taggar JS, Coleman T, Leiws S, Heneghan C, Jones M. Accuracy of methods for detecting an irregular pulse and suspected atrial fibrillation: A systematic review and meta-analysis. European Journal of Preventive Cardiology. 2016: 23; 13301338. DOI: 10.1177/2047487315611347
  13. 13Healey JS, Connoly SJ, Gold MR, et al. Subclinical Atrial Fibrillation and the Risk of Stroke. New Eng J Med. 2012; 366: 120129. DOI: 10.1056/NEJMoa1105575
  14. 14Potpara TS, Polovina MM, Marinkovic JM, Lip GY. Comparison of clinical characteristics and long-term prognosis in asymptomatic and symptomatic patients with first-diagnosed atrial fibrillation: the Belgrade Atrial Fibrillation Study. Int J Cardiol. 2013; 168: 47444749. DOI: 10.1016/j.ijcard.2013.07.234
  15. 15Flaker GC, Belwe K, Beckamn K, et al. Asymptomatic atrial fibrillation: Demographic features and prognostic information from the Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) study. Am Heart J. 2005; 149: 657663. DOI: 10.1016/j.ahj.2004.06.032
  16. 16De Vos CB, Breithardt G, Camm J, et al. Progression of atrial fibrillation in the REgistry on Cardiac rhythm disORDers assessing the control of Atrial Fibrillation cohort: Clinical correlates and the effect of rhythm-control therapy. Am Heart J. 2012; 163: 88793. DOI: 10.1016/j.ahj.2012.02.015
  17. 17Glotzer TV, Daoud EG, Wyse G, et al. The Relationship Between Daily Atrial Tachyarrhythmia Burden From Implantable Device Diagnostics and Stroke Risk. Circulation: Arrhytmia and Electrophysiology. 2009; 2: 474480. DOI: 10.1161/CIRCEP.109.849638
  18. 18Birabi B, Oke K, Dienye P, Okafur, OC. Cost Burden of Post Stroke Condition in Nigeria: A Pilot Study. Global Journal of Health Science. 2011; 4: 1722. DOI: 10.5539/gjhs.v4n6p17
  19. 19Temu T, Lane K, Shen C, et al. Clinical characteristics and 12-month outcomes of patients with valvular and nonvalvular atrial fibrillation in Kenya. PLoS ONE. 2017; 12(9): e0185204. DOI: 10.1371/journal.pone.0185204
  20. 20Alkali N, Bwala S, Akano A. Stroke risk factors, subtypes, and 30-day case fatality in Abuja, Nigeria. Nigerian Medical Journal. 2013; 54(2): 129135. DOI: 10.4103/0300-1652.110051
  21. 21Hart R, Benavente O, McBride R, Aguilar M. Antithrombotic Therapy To Prevent Stroke in Patients with Atrial Fibrillation: A Meta-Analysis. Antithrombotic Therapy To Prevent Stroke in Patients with Atrial Fibrillation: A Meta-Analysis. Ann Intern Med. 1999; 131(7): 492501. DOI: 10.7326/0003-4819-131-7-199910050-00003
  22. 22Hart R, Pearce L, Aguilar MI. Meta-analysis: Antithrombotic therapy to prevent stroke in patients who have nonvalvular atrial fibrillation. Ann Intern Med. 2007; 146: 857867. DOI: 10.7326/0003-4819-146-12-200706190-00007
  23. 23National Bureau of Statistics. Demographics of Nigeria. 2018. Retrieved from https://www.nigerianstat.gov.ng. (accessed 11/10, 2019).
  24. 24Owolabi M. Impact of stroke on health-related quality of life in diverse cultures: The Berlin-Ibadan multicenter international study. Health Qual Life Outcomes. 2011; 9: 81. DOI: 10.1186/1477-7525-9-81
  25. 25Wang K, Li H, Kwong WJ, et al. Impact of Spontaneous Extracranial Bleeding Events on Health State Utility in Patients with Atrial Fibrillation: Results from the ENGAGE AF-TIMI 48 Trial. J Am Heart Assoc. 2017; 6: e006703. DOI: 10.1161/JAHA.117.006703
  26. 26Sullivan P, Ghushchyan V. Preference-Based EQ-5D index scores for chronic conditions in the United States. Med Decis Making. 2006; 26(4): 41020. DOI: 10.1177/0272989X06290495
  27. 27Baeten S, van Exel N, Dirks M, et al. Lifetime health effects and medical costs of integrated stroke services – a non-randomized controlled cluster-trial based life table approach. Cost effectiveness and resource allocation. 2010; 8(1): 21. DOI: 10.1186/1478-7547-8-21
  28. 28Jacobs M, Kaasenbrood F, Postma M, van Hulst M, Tieleman R. Cost-effectiveness of screening for atrial fibrillation in primary care with a handheld, single-lead electrocardiogram device in the Netherlands. Europace. 2018; 20(1): 1218.
  29. 29World Health Organization. World Health Organization CHOosing Interventions that are Cost-Effective (CHOICE); 2014. Retrieved from www.who.int/choice/cost-effectiveness/en. (accessed 11/19, 2019).
  30. 30Bergh M, Marais C, Miller-Jansön H, Salie F, Stand M. Economic appraisal of dabigatran as first-line therapy for stroke prevention in atrial fibrillation. S Afr Med J. 2013; 103(4): 241245. DOI: 10.7196/SAMJ.6471
  31. 31World Bank. GDP per capita Nigeria 2019 (current US$). Retrieved from www.data.worldbank.org. (accessed 05/23 2021).
  32. 32Ruff CT, Giugliano RP, Braunwald E, et al. Comparison of the efficacy and safety of new oral anticoagulants with warfarin in patients with atrial fibrillation: A meta-analysis of randomised trials. The Lancet. 2014; 383(955): 962. DOI: 10.1016/S0140-6736(13)62343-0
  33. 33Svennberg E, Engdahl J, Al-Khalili F, et al. Mass Screening for Untreated Atrial Fibrillation: The STROKESTOP Study. Circulation. 23 2015; 131: 21762184. DOI: 10.1161/CIRCULATIONAHA.114.014343
  34. 34Li K, White F, Tipoe T, et al. The Current State of Mobile Phone Apps for Monitoring Heart Rate, Heart Rate Variability, and Atrial Fibrillation: Narrative Review. JMIR Mhealth Uhealth. 2019; 7(2): e11606. DOI: 10.2196/11606
  35. 35Semakula JR, Mouton JP, Jorgensen A, et al. A cross-sectional evaluation of five warfarin anticoagulation services in Uganda and South Africa. PLoS One. 29 2020; 15(1): e0227458. DOI: 10.1371/journal.pone.0227458
  36. 36Wallentin L, Yusuf S, Ezekowitz MD, et al. Efficacy and safety of dabigatran compared with warfarin at different levels of international normalised ratio control for stroke prevention in atrial fibrillation: An analysis of the RE-LY trial. Lancet. 2010; 376(9745): 975983. DOI: 10.1016/S0140-6736(10)61194-4
  37. 37Potpara TS, Polovina MM, Marinkovic JM, Lip GY. Comparison of clinical characteristics and long-term prognosis in asymptomatic and symptomatic patients with first-diagnosed atrial fibrillation: the Belgrade Atrial Fibrillation Study. Int J Cardiol. 2013; 168: 47444749. DOI: 10.1016/j.ijcard.2013.07.234
  38. 38Flaker GC, Belwe K, Beckamn K, et al. Asymptomatic atrial fibrillation: Demographic features and prognostic information from the Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) study. Am Heart J. 2005; 149: 657663. DOI: 10.1016/j.ahj.2004.06.032
  39. 39World Health Organization. Model List of Essential Medicines, 21st List. 2019(21).
  40. 40World Health Organization. Exploring the expansion of the Medicines Patent Pool’s mandate to patented essential medicines. Chapter 5 – Patented medicines that have clinical benefits but did not meet the EML Expert Review committee’s comparative cost-effectiveness criterion: Case study on novel oral anticoagulants; 2018.
  41. 41Khatib R, McKee M, Shannon H, et al. Availability and affordability of cardiovascular disease medicines and their effect on use in high-income, middle-income, and low-income countries: An analysis of the PURE study data. Lancet. 2016; 387: 6169. DOI: 10.1016/S0140-6736(15)00469-9
DOI: https://doi.org/10.5334/gh.893 | Journal eISSN: 2211-8179
Language: English
Submitted on: Aug 1, 2020
Accepted on: Nov 5, 2021
Published on: Dec 3, 2021
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 M. S. Jacobs, A. M. Adeoye, M. O. Owolabi, R. G. Tieleman, M. J. Postma, M. Van Hulst, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.