Evidence map›Paper›PMID 29733260›Full record

ArticleThe journal of spinal cord medicine2020

Improving primary care for persons with spinal cord injury: Development of a toolkit to guide care.

James Milligan, Joseph Lee, Loretta M Hillier, Karen Slonim, Catharine Craven

Abstract read
In one paragraph

Article in The journal of spinal cord medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

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  14. Review
  15. The healthcare needs and general practice utilization of people with acquired neurological disability and complex needs: A scoping review.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. A Primary Care Provider's Guide to Accessibility After Spinal Cord Injury.Topics in spinal cord injury rehabilitation · 2020
    Review
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.

James MilliganCentre for Family Medicine, Kitchener, Ontario, Canada.
Joseph LeeCentre for Family Medicine, Kitchener, Ontario, Canada.
Loretta M HillierGeriatric Education and Research in Aging Sciences (GERAS), Hamilton, Ontario, Canada.
Karen SlonimCentre for Family Medicine, Kitchener, Ontario, Canada.
Catharine CravenToronto Rehabilitation Institute, Lyndhurst Centre, University Health Network, Toronto, Ontario, Canada.ORCID 0000-0001-8234-6803

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify a set of essential components for primary care for patients with spinal cord injury (SCI) for inclusion in a point-of-practice toolkit for primary care practitioners (PCP) and identification of the essential elements of SCI care that are required in primary care and those that should be the focus of specialist care.

designModified Delphi consensus process; survey methodology.

settingPrimary care.

participantsThree family physicians, six specialist physicians, and five inter-disciplinary health professionals completed surveys. OUTCOME MEASURES: Importance of care elements for inclusion in the toolkit (9-point scale: 1 = lowest level of importance, 9 = greatest level of importance) and identification of most responsible physician (family physician, specialist) for completing key categories of care. Open-ended comments were solicited.

resultsThere was consensus between the respondent groups on the level of importance of various care elements. Mean importance scores were highest for autonomic dysreflexia, pain, and skin care and lowest for preventive care, social issues, and vital signs. Although, there was agreement across all respondents that family physicians should assume responsibility for assessing mental health, there was variability in who should be responsible for other care categories. Comments were related to the need for shared care approaches and capacity building and lack of knowledge and specialized equipment as barriers to optimal care.

conclusionThis study identified important components of SCI care to be included in a point-of-practice toolkit to facilitate primary care for persons with SCI.

Indexed as

Attitude of Health PersonnelHealth PersonnelPrimary Health CareQuality ImprovementAdultDelphi TechniqueHumansPractice Guidelines as TopicSpinal Cord InjuriesPreventive carePrimary careSpinal cord injury

Identifiers

PMID29733260
PMCPMC7241547

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.