Evidence map›Paper›PMID 25093999›Full record

ArticleArchives of physical medicine and rehabilitation2014

Racial and ethnic disparities in functioning at discharge and follow-up among patients with motor complete spinal cord injury.

Denise C Fyffe, Anne Deutsch, Amanda L Botticello, Steven Kirshblum, Kenneth J Ottenbacher

Abstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.7field-weighted citation impact, top 18% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 29 citations in OpenAlex.

  1. Observational
  2. Development and validation of a nomogram for prediction of survival in adolescent spinal cord injury patients.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
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  11. Disparity in rehabilitation: another inconvenient truth.Archives of physical medicine and rehabilitation · 2015
    Article
  12. Review
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

5 authors at 2 institutions in 1 country.

Denise C FyffeKessler Foundation, West Orange, NJ; New Jersey Medical School, Rutgers, The State University of New Jersey, Newark, NJ. Electronic address: dfyffe@kesslerfoundation.org.
Anne DeutschRehabilitation Institute of Chicago, Chicago, IL; Research Triangle Institute International, Research Triangle Park, NC.
Amanda L BotticelloKessler Foundation, West Orange, NJ; New Jersey Medical School, Rutgers, The State University of New Jersey, Newark, NJ.
Steven KirshblumKessler Foundation, West Orange, NJ; New Jersey Medical School, Rutgers, The State University of New Jersey, Newark, NJ; Kessler Institute for Rehabilitation, West Orange, NJ.
Kenneth J OttenbacherUniversity of Texas Medical Branch, Galveston, TX.
Rutgers, The State University of New Jersey · USThe University of Texas Medical Branch at Galveston · US

Funding

Center for Rehabilitation Research Using Large DatasetsR24HD065702 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI OTTENBACHER, KENNETH J. · 2010 to 2014
$4.0M
PROS (Patient Reported Outcomes) for Children and Young Adults with DisabilitiesU01AR057929 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI JETTE, ALAN MAURICE, TULSKY, DAVID SCOTT · 2009 to 2013
$2.4M
NIAMS NIH HHS U01 AR057929NIAMS NIH HHS U01AR057929-03S1NICHD NIH HHS R24 HD065702
6 · The paper itself

Abstract

objectiveTo examine racial and ethnic differences in self-care and mobility outcomes for persons with a motor complete, traumatic spinal cord injury (SCI) at discharge and 1-year follow-up.

designRetrospective cohort study.

settingSixteen rehabilitation centers contributing to the Spinal Cord Injury Model Systems (SCIMS) database.

participantsAdults with traumatic, motor complete SCI (N=1766; American Spinal Injury Association Impairment Scale grade A or B) enrolled in the SCIMS between 2000 and 2011. Selected cases had complete self-reported data on race and ethnicity (non-Hispanic white, non-Hispanic black, or Hispanic) and motor FIM scores assessed at inpatient rehabilitation admission, discharge, and 1-year follow-up.

interventionsNot applicable.

main outcome measuresFunctional outcomes were measured by FIM self-care and mobility scores on a 1 to 7 FIM scale, at discharge and 1-year follow-up.

resultsMultiple regression models stratified by neurologic category and adjusted for sociodemographic and injury characteristics assessed racial and ethnic group differences in FIM self-care and mobility change scores at discharge and 1-year follow-up. At discharge, non-Hispanic black participants with tetraplegia and paraplegia had significantly poorer gains in FIM self-care and mobility scores relative to non-Hispanic white and Hispanic participants. At 1-year follow-up, similar FIM self-care and mobility change scores were found across racial and ethnic groups within each neurologic category.

conclusionsNon-Hispanic white and Hispanic participants had comparatively more improvement in self-care and mobility during inpatient rehabilitation compared with non-Hispanic black participants. At 1-year follow-up, no differences in self-care and mobility outcomes were observed across racial and ethnic groups. Additional research is needed to identify potential modifiable factors that may contribute to racially and ethnically different patterns of functional outcomes observed during inpatient rehabilitation.

Indexed as

Cervical VertebraeHealth Status DisparitiesMobility LimitationSelf CareThoracic VertebraeAdolescentAdultBlack or African AmericanFemaleFollow-Up StudiesHispanic or LatinoHumansMaleMiddle AgedParaplegiaPatient DischargeActivities of daily livingHealth status disparitiesMotor activityRehabilitationSpinal cord injuries

Identifiers

PMID25093999
PMCPMC4374601
OpenAlexW1979589816

What OpenQuestion holds

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Registered trials

None linked

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.