Evidence map›Paper›PMID 27995939›Full record

Trial reportSpinal cord2017

Telephone-based management of pressure ulcers in people with spinal cord injury in low- and middle-income countries: a randomised controlled trial.

M Arora, L A Harvey, J V Glinsky, H S Chhabra, S Hossain, N Arumugam, P K Bedi, L Lavrencic, A J Hayes, I D Cameron

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Spinal cord, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04944186 (The Effect of Structured Pressure Injury Patient Education Program on Knowledge, Participation, Wound Healing Progress and Quality of Life Among Patient With Limited Mobility), which is not on this map. Cited by 20 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 8 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.

NCT04944186 nacompletednot on this mapstarted 2021, after this paper: background citation

The Effect of Structured Pressure Injury Patient Education Program on Knowledge, Participation, Wound Healing Progress and Quality of Life Among Patient With Limited Mobility

TypeinterventionalSponsorUniversity of MalayaRan2021 to 2022Enrolled116ConditionsPressure Injury, Limitation, MobilityArmsStructured Pressure Injury Patient Education (mySPIPE), Standard Patient Education
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
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  8. Organisation of health services for preventing and treating pressure ulcers.The Cochrane database of systematic reviews · 2018
    Pooled it
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  14. Rising to the challenge: Value based research for Orthopaedic ailments.Journal of clinical orthopaedics and trauma · 2022
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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

10 authors.

M AroraJohn Walsh Centre for Rehabilitation Research, Kolling Institute of Medical Research, Northern Sydney Local Health District, St Leonards, New South Wales, Australia.
L A HarveyJohn Walsh Centre for Rehabilitation Research, Kolling Institute of Medical Research, Northern Sydney Local Health District, St Leonards, New South Wales, Australia.
J V GlinskyJohn Walsh Centre for Rehabilitation Research, Kolling Institute of Medical Research, Northern Sydney Local Health District, St Leonards, New South Wales, Australia.
H S ChhabraDepartment of Spine Service, Indian Spinal Injuries Centre, Delhi, India.
S HossainCentre for Rehabilitation of the Paralysed, Savar, Bangladesh.
N ArumugamDepartment of Physiotherapy, Punjabi University, Patiala, India.
P K BediDepartment of Physiotherapy, Punjabi University, Patiala, India.
L LavrencicSpinal Cord Injury Unit, Royal North Shore Hospital, St Leonards, New South Wales, Australia.
A J HayesSchool of Public Health, University of Sydney, Sydney, New South Wales, Australia.
I D CameronJohn Walsh Centre for Rehabilitation Research, Kolling Institute of Medical Research, Northern Sydney Local Health District, St Leonards, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designA multicentre, prospective, assessor-blinded, parallel randomised controlled trial.

objectivesThe objective of the trial was to determine the effectiveness of telephone-based management of pressure ulcers in people with spinal cord injury (SCI) in low- and middle-income countries.

methodsOne hundred and twenty people with SCI living in the community were recruited through three hospitals in India and Bangladesh between November 2013 and March 2016. Participants had sustained an SCI >3 months prior and had a pressure ulcer. Participants were randomly allocated (1:1) to a control or intervention group. Participants in the control group received no intervention. Participants in the intervention group received weekly advice by telephone for 12 weeks about the management of their pressure ulcers from a trained health-care professional. Outcomes were measured by a blinded assessor at baseline and 12 weeks. There was one primary outcome, namely, the size of the pressure ulcer and 13 secondary outcomes.

resultsThe mean between-group difference for the size of the pressure ulcer at 12 weeks was 2.3 cm

conclusionThe results of our primary outcome (that is, size of pressure ulcer) do not provide conclusive evidence that people with SCI can be supported at home to manage their pressure ulcers through regular telephone-based advice. However, the results from the secondary outcomes are sufficiently positive to provide hope that this simple intervention may provide some relief from this insidious problem in the future.

Indexed as

PovertyAdultBangladeshDeveloped CountriesDeveloping CountriesDisease ManagementHumansIncomeIndiaMaleMiddle AgedPressure UlcerProspective StudiesSingle-Blind MethodSpinal Cord InjuriesTelephone

Identifiers

PMID27995939

What OpenQuestion holds

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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.