Evidence map›Paper›PMID 26220871›Full record

Trial reportBMJ open2015

Effectiveness and cost-effectiveness of telephone-based support versus usual care for treatment of pressure ulcers in people with spinal cord injury in low-income and middle-income countries: study protocol for a 12-week randomised controlled trial.

Mohit Arora, Lisa Anne Harvey, Alison Joy Hayes, Harvinder Singh Chhabra, Joanne Valentina Glinsky, Ian Douglas Cameron, Lucija Lavrencic, Narkeesh Arumugam, Sohrab Hossain, Parneet Kaur Bedi

Open access · goldAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
7.8field-weighted citation impact, top 4% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Physiotherapy in Indian communities: a brief review.Health promotion perspectives · 2017
    Review
  11. Article
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

10 authors at 4 institutions in 2 countries.

Mohit AroraJohn Walsh Centre for Rehabilitation Research, Kolling Institute of Medical Research, Royal North Shore Hospital, Sydney Medical School Northern, The University of Sydney, St Leonards, New South Wales, Australia Department of Spine Service, Indian Spinal Injuries Centre, Delhi, India.
Lisa Anne HarveyJohn Walsh Centre for Rehabilitation Research, Kolling Institute of Medical Research, Royal North Shore Hospital, Sydney Medical School Northern, The University of Sydney, St Leonards, New South Wales, Australia.
Alison Joy HayesSchool of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
Harvinder Singh ChhabraDepartment of Spine Service, Indian Spinal Injuries Centre, Delhi, India.
Joanne Valentina GlinskyJohn Walsh Centre for Rehabilitation Research, Kolling Institute of Medical Research, Royal North Shore Hospital, Sydney Medical School Northern, The University of Sydney, St Leonards, New South Wales, Australia.
Ian Douglas CameronJohn Walsh Centre for Rehabilitation Research, Kolling Institute of Medical Research, Royal North Shore Hospital, Sydney Medical School Northern, The University of Sydney, St Leonards, New South Wales, Australia.
Lucija LavrencicSpinal Cord Injury Unit, Royal North Shore Hospital, St Leonards, New South Wales, Australia.
Narkeesh ArumugamDepartment of Physiotherapy, Punjabi University, Patiala, Punjab, India.
Sohrab HossainCentre for Rehabilitation of the Paralysed, Savar, Dhaka, Bangladesh.
Parneet Kaur BediDepartment of Physiotherapy, Punjabi University, Patiala, Punjab, India.
University of Sydney · AUPunjabi University · INRoyal North Shore Hospital · AUIndian Spinal Injuries Centre · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPressure ulcers are a common and severe complication of spinal cord injury, particularly in low-income and middle-income countries where people often need to manage pressure ulcers alone and at home. Telephone-based support may help people in these situations to manage their pressure ulcers. The aim of this study is to determine the effectiveness and cost-effectiveness of telephone-based support to help people with spinal cord injury manage pressure ulcers at home in India and Bangladesh. METHODS AND ANALYSIS: A multicentre (3 sites), prospective, assessor-blinded, parallel, randomised controlled trial will be undertaken. 120 participants with pressure ulcers on the sacrum, ischial tuberosity or greater trochanter of the femur secondary to spinal cord injury will be randomly assigned to a Control or Intervention group. Participants in the Control group will receive usual community care. That is, they will manage their pressure ulcers on their own at home but will be free to access whatever healthcare support they can. Participants in the Intervention group will also manage their pressure ulcers at home and will also be free to access whatever healthcare support they can, but in addition they will receive weekly telephone-based support and advice for 12 weeks (15-25 min/week). The primary outcome is the size of the pressure ulcer at 12 weeks. 13 secondary outcomes will be measured reflecting other aspects of pressure ulcer resolution, depression, quality of life, participation and satisfaction with healthcare provision. An economic evaluation will be run in parallel and will include a cost-effectiveness and a cost-utility analysis. ETHICS AND DISSEMINATION: Ethical approval was obtained from the Institutional Ethics Committee at each site. The results of this study will be disseminated through publications and presented at national and international conferences. TRIAL REGISTRATION NUMBER: ACTRN12613001225707.

Indexed as

Developing CountriesBangladeshCost-Benefit AnalysisDelivery of Health CareHealth Care CostsHipHumansIndiaLumbosacral RegionPatient SatisfactionPressure UlcerProspective StudiesQuality of LifeResearch DesignRisk FactorsSelf CareHEALTH ECONOMICSTelemedicine < BIOTECHNOLOGY & BIOINFORMATICSWOUND MANAGEMENT

Identifiers

PMID26220871
PMCPMC4521536
OpenAlexW1879236739

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.