Evidence map›Paper›PMID 23499779›Full record

ArticleArchives of physical medicine and rehabilitation2013

Impact of blood pressure dysregulation on health-related quality of life in persons with spinal cord injury: development of a conceptual model.

Noelle E Carlozzi, Denise Fyffe, Kel G Morin, Rachel Byrne, David S Tulsky, David Victorson, Jin-Shei Lai, Jill M Wecht

2 registry-linked trialsAbstract readMulticenter Study
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03602014 phase4completednot on this mapstarted 2018, after this paper: background citation

Dose Response to the Norepinephrine Precursor Droxidopa in Hypotensive Individuals With Spinal Cord Injury

TypeinterventionalSponsorJames J. Peters Veterans Affairs Medical CenterRan2018 to 2021Enrolled22ConditionsHypotension, Orthostatic, Hypotension, Spinal Cord InjuriesArmsNorthera, Placebo
NCT03924388 naunknown statusnot on this mapstarted 2020, after this paper: background citation

The Effects of Spinal Cord Stimulation on Autonomic Function in People With Spinal Cord Injury

TypeinterventionalSponsorUniversity of CalgaryRan2020 to 2022Enrolled46ConditionsSpinal Cord Injuries, Autonomic Dysreflexia, Orthostatic Hypotension, DysautonomicArmsEpidural spinal cord stimulation, Trnascutaneous electrical spinal cord stimulation.
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
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  6. Orthostatic responses to anticholinesterase inhibition in spinal cord injury.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2015
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  13. Dysreflexic dilemma: do we need a revised definition for autonomic dysreflexia?Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Noelle E CarlozziDepartment of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI. Electronic address: carlozzi@med.umich.edu.
Denise Fyffe
Kel G Morin
Rachel Byrne
David S Tulsky
David Victorson
Jin-Shei Lai
Jill M Wecht
Kessler Foundation · USNorthwestern University · USRehabilitation Research and Development Service · US

Funding

Development of the Blood Pressure Symptom Subdomain for the SCI-QOLI01RX000405 · VA · JAMES J PETERS VA MEDICAL CENTER · PI WECHT, JILL M. · 2011 to 2014
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RRD VA I01 RX000405
6 · The paper itself

Abstract

objectivesTo identify medically relevant aspects of blood pressure dysregulation (BPD) related to quality of life in individuals with spinal cord injury (SCI), and to propose an integrated conceptual framework based on input from both individuals with SCI and their clinical providers. This framework will serve as a guide for the development of a patient-reported outcome (PRO) measure specifically related to BPD.

designThree focus groups with individuals with SCI and 3 groups with SCI providers were analyzed using grounded-theory based qualitative analysis to ascertain how blood pressure impacts health-related quality of life (HRQOL) in individuals with SCI.

settingFocus groups were conducted at 2 Veterans Affairs medical centers and a research center.

participantsIndividuals with SCI (n=27) in 3 focus groups and clinical providers (n=25) in 3 focus groups.

interventionsNot applicable.

main outcome measuresNot applicable.

resultsQualitative analysis indicated that all focus groups spent the highest percentage of time discussing symptoms of BPD (39%), followed by precipitators/causes of BPD (16%), preventative actions (15%), corrective actions (12%), and the impact that BPD has on social or emotional functioning (8%). While patient/consumer focus groups and provider focus groups raised similar issues, providers spent more time discussing precipitators/causes of BPD and preventative actions (38%) than patient/consumer groups (24%).

conclusionsThese results suggest that BPD uniquely and adversely impacts HRQOL in persons with SCI. While both individuals with SCI and their providers highlighted the relevant symptoms of BPD, the SCI providers offered additional detailed information regarding the precipitators/causes and what can be done to prevent/treat BPD. Further, the results suggest that persons with SCI are aware of how BPD impacts their HRQOL and are able to distinguish between subtle signs and symptoms. These findings exemplify the need for a validated and sensitive clinical measurement tool that can assess the extent to which BPD impacts HRQOL in patients with SCI.

Indexed as

Quality of LifeAgedBlood PressureFemaleFocus GroupsHumansMaleMiddle AgedSpinal Cord InjuriesUnited StatesUnited States Department of Veterans AffairsADautonomic dysreflexiablood pressureBlood pressureblood pressure dysregulationBPBPDEHessential hypertensionhealth-related quality of lifeHRQOLOHorthostatic hypotensionOutcome assessment (health care)patient-reported outcomePROQOLquality of lifeQuality of lifeRehabilitationSCISCI-FISCI-QOLSpinal cord injuriesspinal cord injurySpinal Cord Injury-Functional IndexSpinal Cord Injury Quality of Life Measurement System

Identifiers

PMID23499779
PMCPMC4342994
OpenAlexW2095475358

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.