Evidence map›Paper›PMID 28462934›Full record

ArticleSpinal cord2017

Health care utilization in persons with spinal cord injury: part 2-determinants, geographic variation and comparison with the general population.

E Ronca, A Scheel-Sailer, H G Koch, A Gemperli, SwiSCI Study Group

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Spinal cord, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–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

24 citing papers in PubMed.

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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

5 authors.

E RoncaRehabilitation Services and Care Unit, Swiss Paraplegic Research, Nottwil, Switzerland.
A Scheel-SailerSwiss Paraplegic Centre, Nottwil, Switzerland.
H G KochSwiss Paraplegics Association, Nottwil, Switzerland.
A GemperliRehabilitation Services and Care Unit, Swiss Paraplegic Research, Nottwil, Switzerland.
SwiSCI Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designCross-sectional survey.

objectivesTo investigate annual rates and geographic variation of health care utilization in persons with spinal cord injury (SCI), and to identify factors associated with health care utilization.

settingCommunity setting, entire country of Switzerland.

methodsAnnual rates of planned and emergency visits to the general practitioner (GP), planned and emergency outpatient clinic visits and in-patient hospitalizations were compared between individuals with chronic SCI, over 16 years of age residing in Switzerland between late 2011 and early 2013 and a population sample (2012) of the Swiss general population. Risk factors for increased health service utilization were identified by means of regression models adjusted for spatial variation.

resultsOf 492 participants (86.2% response rate), 94.1% visited a health care provider in the preceding year, with most persons visiting GPs (88.4%) followed by outpatient clinics (53.1%) and in-patient hospitals (35.9%). The increase in utilization as compared with the general population was 1.3-, 4.0- and 2.9-fold for GP, outpatient clinic and in-patient hospital visit, respectively. GP utilization was highest in persons with low income (incidence rate ratio (IRR) 1.85) and old age (IRR 2.62). In the first 2 years post injury, health service visits were 1.7 (GP visits) to 5.8 times (emergency outpatient clinic visits) more likely compared with those later post injury.

conclusionsPeople with SCI more frequently use health services as compared with the general population, across all types of medical service institutions. GP services were used most often in areas where availability of specialized outpatient clinic services was low.

Indexed as

Patient Acceptance of Health CareAdolescentAdultAgedAge FactorsAmbulatory CareChronic DiseaseCross-Sectional StudiesEmergency Medical ServicesFemaleGeography, MedicalHospitalizationHumansMaleMiddle AgedRegression Analysis

Identifiers

PMID28462934

What OpenQuestion holds

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Registered trials

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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.