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...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2021-12-01
|
| Series: | Journal of the Egyptian Public Health Association |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s42506-021-00096-9 |
| _version_ | 1818401552682975232 |
|---|---|
| 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 |
| collection | DOAJ |
| 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 (59%) among dyslipidemia patients, with overall low control rates ranging from 5.1 to 34.4% depending on CVD risk in populations including ACS patients. Conclusion Data on patient journey touchpoints of hypertension and dyslipidemia are limited in Egypt, indicating the need for more systematic and high-quality evidence-based studies covering different aspects of patient-centric management for better management of CVD and its risk factors. |
| first_indexed | 2024-12-14T07:54:17Z |
| format | Article |
| id | doaj.art-005c06228777473b9e77204bf3864db7 |
| institution | Directory Open Access Journal |
| issn | 2090-262X |
| language | English |
| last_indexed | 2024-12-14T07:54:17Z |
| publishDate | 2021-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Journal of the Egyptian Public Health Association |
| spelling | doaj.art-005c06228777473b9e77204bf3864db72022-12-21T23:10:35ZengSpringerOpenJournal of the Egyptian Public Health Association2090-262X2021-12-0196111410.1186/s42506-021-00096-9A semi-systematic review on hypertension and dyslipidemia care in Egypt—highlighting evidence gaps and recommendations for better patient outcomesAshraf Reda0Hany Ragy1Kanwal Saeed2Mohammed Ashraf Alhussaini3Department of Cardiology, Menoufia UniversityDepartment of Cardiology, National Heart InstituteLegacy employee, Research, Development and Medical, Pfizer UpjohnMedical Affairs, ViatrisAbstract 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 (59%) among dyslipidemia patients, with overall low control rates ranging from 5.1 to 34.4% depending on CVD risk in populations including ACS patients. Conclusion Data on patient journey touchpoints of hypertension and dyslipidemia are limited in Egypt, indicating the need for more systematic and high-quality evidence-based studies covering different aspects of patient-centric management for better management of CVD and its risk factors.https://doi.org/10.1186/s42506-021-00096-9Cardiovascular diseaseDyslipidemiaEgyptHypertensionPatient-centricPrevalence |
| spellingShingle | 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 Journal of the Egyptian Public Health Association Cardiovascular disease Dyslipidemia Egypt Hypertension Patient-centric Prevalence |
| title | 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_short | 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 |
| topic | Cardiovascular disease Dyslipidemia Egypt Hypertension Patient-centric Prevalence |
| url | https://doi.org/10.1186/s42506-021-00096-9 |
| work_keys_str_mv | AT ashrafreda asemisystematicreviewonhypertensionanddyslipidemiacareinegypthighlightingevidencegapsandrecommendationsforbetterpatientoutcomes AT hanyragy asemisystematicreviewonhypertensionanddyslipidemiacareinegypthighlightingevidencegapsandrecommendationsforbetterpatientoutcomes AT kanwalsaeed asemisystematicreviewonhypertensionanddyslipidemiacareinegypthighlightingevidencegapsandrecommendationsforbetterpatientoutcomes AT mohammedashrafalhussaini asemisystematicreviewonhypertensionanddyslipidemiacareinegypthighlightingevidencegapsandrecommendationsforbetterpatientoutcomes AT ashrafreda semisystematicreviewonhypertensionanddyslipidemiacareinegypthighlightingevidencegapsandrecommendationsforbetterpatientoutcomes AT hanyragy semisystematicreviewonhypertensionanddyslipidemiacareinegypthighlightingevidencegapsandrecommendationsforbetterpatientoutcomes AT kanwalsaeed semisystematicreviewonhypertensionanddyslipidemiacareinegypthighlightingevidencegapsandrecommendationsforbetterpatientoutcomes AT mohammedashrafalhussaini semisystematicreviewonhypertensionanddyslipidemiacareinegypthighlightingevidencegapsandrecommendationsforbetterpatientoutcomes |