Evidence map›Paper›PMID 27576584›Full record

ArticleThe journal of spinal cord medicine2017

Impact of bladder, bowel and sexual dysfunction on health status of people with thoracolumbar spinal cord injuries living in the community.

So Eyun Park, Stacy Elliott, Vanessa K Noonan, Nancy P Thorogood, Nader Fallah, Allan Aludino, Marcel F Dvorak

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The journal of spinal cord medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06587841 (Noninvasive Spinal Cord Neuromodulation to Improve Lower Urinary Tract Function After Spinal Cord Injury in Ukrainian War Veterans), which is not on this map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 9% 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.

NCT06587841 narecruitingnot on this mapstarted 2024, after this paper: background citation

Noninvasive Spinal Cord Neuromodulation to Improve Lower Urinary Tract Function After Spinal Cord Injury in Ukrainian War Veterans

TypeinterventionalSponsorUniversity of British ColumbiaRan2024 to 2027Enrolled60ConditionsSpinal Cord Injuries, Bowel Dysfunction, Sexual Dysfunction, Autonomic DysfunctionArmsSpinal COrd NEuromodulation™ (SCONE™) for transcutaneous spinal cord stimulation (TSCS)
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.

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  10. Long-Term 5-HTInternational journal of molecular sciences · 2024
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  20. Canadian Urological Association guideline: Diagnosis, management, and surveillance of neurogenic lower urinary tract dysfunction - Full text.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2019
    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

7 authors at 4 institutions in 1 country.

So Eyun Parka Rick Hansen Institute , Vancouver , BC , Canada.
Stacy Elliottb Department of Psychiatry , University of British Columbia , Vancouver , BC , Canada.
Vanessa K Noonana Rick Hansen Institute , Vancouver , BC , Canada.
Nancy P Thorogooda Rick Hansen Institute , Vancouver , BC , Canada.
Nader Fallaha Rick Hansen Institute , Vancouver , BC , Canada.
Allan Aludinog Division of Spine, Department of Orthopaedics , University of British Columbia , Vancouver , BC , Canada.
Marcel F Dvorakg Division of Spine, Department of Orthopaedics , University of British Columbia , Vancouver , BC , Canada.
Praxis Spinal Cord Institute · CAUniversity of British Columbia · CAVancouver General Hospital · CAVancouver Spine Surgery Institute · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe disruption of autonomic function following a spinal cord injury (SCI) is common and can negatively affect quality of life. The objective of this study was to describe the prevalence of bladder/bowel incontinence and sexual dysfunction in community-dwelling individuals with a thoracolumbar SCI and examine the impact on general physical and mental health status.

methodsParticipants who sustained a traumatic SCI to the thoracolumbar region of the spinal cord and classified as American Spinal Injury Association Impairment Scale (AIS) A to D were recruited. Demographic, injury data, MRI classification and neurological data were collected on admission. At follow-up, the neurological data, a questionnaire collecting participant-reported secondary health conditions (SHCs) (e.g. bladder incontinence, depression etc.) following SCI and health status measured by Short Form-36 were obtained. Regression models determined the association of health status with demographic/injury-related data, types and number of SHCs.

resultsOf the 51 participants, 58.8% reported bladder incontinence, 54.0% bowel incontinence, 60.8% sexual dysfunction and 29.4% had all three. The regression models demonstrated that age at injury, bowel incontinence, sexual dysfunction, presence of pain, motor score at follow-up and the number of SHCs were significant predictors of health status. The number of SHCs was more predictive than all other demographic and injury variables for health status.

conclusionResults highlight the high prevalence of self-reported bowel/bladder incontinence and sexual dysfunction in the traumatic thoracolumbar SCI population and support the need for standardized assessments. Several demographic, injury-related and SHCs impacted health status and should be considered for the management of individuals living in the community.

Indexed as

Health StatusIndependent LivingAdultFecal IncontinenceFemaleHumansLumbosacral RegionMaleMiddle AgedQuality of LifeSexual Dysfunction, PhysiologicalSpinal Cord InjuriesThoracic VertebraeUrinary IncontinenceFecal incontinenceQuality of LifeSexual dysfunctionSpinal cord injuriesUrinary incontinence

Identifiers

PMID27576584
PMCPMC5815154
OpenAlexW2517110923

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.