Racial and ethnic disparities in stroke outcomes: a scoping review of post-stroke disability assessment tools.

Despite a comprehensive search, the review may have missed eligible articles not found in the selected databases. The review included only comparative studies and excluded qualitative studies and predictive modeling studies without group differences, so it may not capture all relevant evidence. The review was limited to studies conducted at least partially in the US, so findings may not apply to other healthcare systems. Several included studies used national survey self-report data, which may not capture the complexity of post-stroke performance. The included studies generally did not describe the validity of the outcome measures in the racial or ethnic populations studied. Only one study described the 'other' category as American Indian or Alaska Native and Native Hawaiian or Pacific Islander. Some studies used outcome measures as stroke severity indicators and vice versa, which may have affected the reported assessment list and frequencies.

The disclosure statement says the authors have disclosed their interests to Taylor & Francis and have an approved plan for managing conflicts arising from an AHA grant.

Do not read the lack of studies on some groups as evidence that those groups do not have disparities. The review found inconsistent outcome measures, little reporting of validity in racial and ethnic groups, and only one study examining American Indian, Alaska Native, Native Hawaiian or Pacific Islander groups.