Evidence map›Paper›PMID 26743709›Full record

Trial reportBMJ open2016

Community-based InterVentions to prevent serIous Complications (CIVIC) following spinal cord injury in Bangladesh: protocol of a randomised controlled trial.

Mohammad S Hossain, Lisa A Harvey, Md Akhlasur Rahman, Stephen Muldoon, Jocelyn L Bowden, Md Shofiqul Islam, Stephen Jan, Valerie Taylor, Ian D Cameron, Harvinder Singh Chhabra and 5 more

Abstract readPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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, 3 syntheses or guidelines pooled it.

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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

15 authors.

Mohammad S HossainCentre for the Rehabilitation of the Paralysed, Savar, Dhaka, Bangladesh.
Lisa A HarveyJohn Walsh Centre for Rehabilitation Research, Kolling Institute, Sydney Medical School/Northern, University of Sydney, c/o Royal North Shore Hospital, St Leonards, New South Wales, Australia.
Md Akhlasur RahmanCentre for the Rehabilitation of the Paralysed, Savar, Dhaka, Bangladesh.
Stephen MuldoonLivability International, Enniskillen, Co Fermanagh N, Ireland.
Jocelyn L BowdenJohn Walsh Centre for Rehabilitation Research, Kolling Institute, Sydney Medical School/Northern, University of Sydney, c/o Royal North Shore Hospital, St Leonards, New South Wales, Australia.ORCID http://orcid.org/0000-0002-0340-0232
Md Shofiqul IslamCentre for the Rehabilitation of the Paralysed, Savar, Dhaka, Bangladesh.
Stephen JanGeorge Institute for Global Health, University of Sydney, Camperdown, New South Wales, Australia.
Valerie TaylorCentre for the Rehabilitation of the Paralysed, Savar, Dhaka, Bangladesh.
Ian D CameronJohn Walsh Centre for Rehabilitation Research, Kolling Institute, Sydney Medical School/Northern, University of Sydney, c/o Royal North Shore Hospital, St Leonards, New South Wales, Australia.
Harvinder Singh ChhabraIndian Spinal Injuries Centre, New Delhi, India.
Richard I LindleyGeorge Institute for Global Health, University of Sydney, Camperdown, New South Wales, Australia.
Fin Biering-SørensenClinic for Spinal Cord Injuries, Rigshospitalet, University of Copenhagen, Hornbæk, Denmark.
Qiang LiGeorge Institute for Global Health, University of Sydney, Camperdown, New South Wales, Australia.
Murali DhakshinamurthyGeorge Clinical, The George Institute for Global Health, Bangalore, India.
Robert D HerbertNeuroscience Research Australia (NeuRA), Randwick, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn low-income and middle-income countries, people with spinal cord injury (SCI) are vulnerable to life-threatening complications after they are discharged from hospital. The aim of this trial is to determine the effectiveness and cost-effectiveness of an inexpensive and sustainable model of community-based care designed to prevent and manage complications in people with SCI in Bangladesh. METHODS AND ANALYSIS: A pragmatic randomised controlled trial will be undertaken. 410 wheelchair-dependent people with recent SCI will be randomised to Intervention and Control groups shortly after discharge from hospital. Participants in the Intervention group will receive regular telephone-based care and three home visits from a health professional over the 2 years after discharge. Participants in the Control group will receive standard care, which does not involve regular contact with health professionals. The primary outcome is all-cause mortality at 2 years. Recruitment started on 12 July 2015 and the trial is expected to take 5 years to complete. ETHICS AND DISSEMINATION: Ethical approval was obtained from the Institutional Ethics Committee at the site in Bangladesh and from the University of Sydney, Australia. The study will be conducted in compliance with all stipulations of its protocol, the conditions of ethics committee approval, the NHMRC National Statement on Ethical Conduct in Human Research (2007), the Note for Guidance on Good Clinical Practice (CPMP/ICH-135/95) and the Bangladesh Guidance on Clinical Trial Inspection (2011). The results of the trial will be disseminated through publications in peer-reviewed scientific journals and presentations at scientific conferences. TRIAL REGISTRATION NUMBERS: ACTRN12615000630516, U1111-1171-1876.

Indexed as

AdolescentAdultAgedBangladeshClinical ProtocolsCommunity Health ServicesCost-Benefit AnalysisCost of IllnessFemaleHouse CallsHumansMaleMiddle AgedParaplegiaPatient Education as TopicPersons with Disabilitiesspinal cord injury

Identifiers

PMID26743709
PMCPMC4716220

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.