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The Burden of Movement Disorders in Cameroon: A Rural and Urban-Based Inpatient/Outpatient Study
Esther Cubo1, Jacques Doumbe2, Yacouba Mapoure Njankouo2
1Neurology Department Hospital Universitario Burgos Burgos Spain.
Movement Disorders Clinical Practice
|October 27, 2018
Summary
Movement disorders (MDs) are expected to increase in Africa due to demographic shifts. This study found MDs are likely underdiagnosed in rural Cameroon, highlighting a need for better training.
Area of Science:
- Neurology
- Public Health
- Epidemiology
Background:
- Africa faces increasing prevalence of movement disorders (MDs) due to demographic changes.
- Estimating MD prevalence in Cameroon's diverse healthcare settings is crucial.
Purpose of the Study:
- To estimate the prevalence of movement disorders (MDs) in rural and urban healthcare centers in Cameroon.
- To identify the most common types of MDs in the studied population.
Main Methods:
- Retrospective medical chart review of inpatient and outpatient settings in Cameroon.
- Classification of neurological diseases using the International Statistical Classification of Diseases-Related Health Problems, 10th revision (ICD-10).
- Calculation of crude prevalence rates with 95% confidence intervals (CIs).
Main Results:
- Of 20,131 charts reviewed, 4187 patients (20.8%) had neurological complaints; 134 (3.2%) were diagnosed with MDs, exclusively in urban centers.
- The most prevalent MDs included hyperkinetic movements (1.19%), Parkinson's disease (0.78%), and dystonia (0.61%).
- Age and gender demographics: mean age 48.6 ± 18.6 years, 54.7% women.
Conclusions:
- Movement disorders (MDs) are likely underdiagnosed in rural areas of Cameroon.
- The study underscores the need for enhanced movement disorder training to address diagnostic gaps.
- Addressing the increasing burden of MDs in Africa requires improved healthcare access and training.
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