Evidence map›Paper›PMID 29335474›Full record

ArticleSpinal cord2018

Low vitamin D levels are independent predictors of 1-year worsening in physical function in people with chronic spinal cord injury: a longitudinal study.

Arcangelo Barbonetti, Settimio D'Andrea, Alessio Martorella, Giorgio Felzani, Sandro Francavilla, Felice Francavilla

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Spinal cord, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Arcangelo BarbonettiSpinal Unit, San Raffaele Sulmona Institute, Sulmona, AQ, Italy. arcangelobarbonetti@virgilio.it.
Settimio D'AndreaDepartment of Life, Health and Environment Sciences, Andrology Unit, University of L'Aquila, L'Aquila, AQ, Italy.
Alessio MartorellaDepartment of Life, Health and Environment Sciences, Andrology Unit, University of L'Aquila, L'Aquila, AQ, Italy.
Giorgio FelzaniSpinal Unit, San Raffaele Sulmona Institute, Sulmona, AQ, Italy.
Sandro FrancavillaDepartment of Life, Health and Environment Sciences, Andrology Unit, University of L'Aquila, L'Aquila, AQ, Italy.
Felice FrancavillaDepartment of Life, Health and Environment Sciences, Andrology Unit, University of L'Aquila, L'Aquila, AQ, Italy.
University of L'Aquila · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designLongitudinal cohort study.

objectiveTo explore the longitudinal association of baseline vitamin D levels with 1-year change in physical function outcomes in people with chronic spinal cord injury (SCI).

settingRehabilitation institute.

methodsSixty-seven patients (44 men and 23 women) with chronic SCI admitted to a rehabilitation program were included. Functional independence in daily living activities (as evaluated by the Spinal Cord Independence Measure version III, SCIM III) and leisure time physical activity (LTPA) were assessed as measures of physical function at the admission and re-assessed 1-year later. Comorbidity was scored by Charlson comorbidity index (CCI).

resultsA 1-year worsening in SCIM and LTPA were registered in 44 and 40 patients (66% and 60% of the study population), respectively. They exhibited significantly lower baseline 25(OH)D levels, higher CCI, and shorter distance from the injury. At the multiple linear regression analyses, lower baseline 25(OH)D levels exhibited a significant independent association with higher percentages of 1-year worsening in both SCIM and LTPA. At ROC analysis, baseline 25(OH)D levels <18.6 and <18.2 ng/mL discriminated individuals with 1-year worsening in SCIM and LTPA, respectively. According to these cut-off points, at the multiple logistic regression analysis, patients with low baseline 25(OH)D levels exhibited an OR of worsening in SCIM and LTPA engagement 2.8- and 2.6-fold higher, after adjustment for CCI, distance from injury, and post-follow-up 25(OH)D levels.

conclusionsIn people with chronic SCI, a low 25(OH)D level may represent an independent predictor of worsening in physical function outcomes over time.

Indexed as

Activities of Daily LivingChronic DiseaseComorbidityDisease ProgressionExerciseFemaleHumansLeisure ActivitiesLongitudinal StudiesMaleMiddle AgedPrognosisROC CurveSpinal Cord InjuriesTreatment OutcomeVitamin D25-hydroxyvitamin DVitamin D

Identifiers

PMID29335474
OpenAlexW2784217881

What OpenQuestion holds

Textmetadata
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.