Evidence map›Paper›PMID 30413515›Full record

ArticleBMJ open2018

Assessing the impact of care pathways on potentially preventable complications and costs for spinal trauma patients: protocol for a data linkage study using cohort study and administrative data.

Bharat Phani Vaikuntam, James W Middleton, Patrick McElduff, Jim Pearse, John Walsh, Ian D Cameron, Lisa Nicole Sharwood

Abstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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.

Bharat Phani VaikuntamSydney Medical School - Northern, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-1060-4380
James W MiddletonSydney Medical School - Northern, University of Sydney, Sydney, New South Wales, Australia.
Patrick McElduffHealth Policy Analysis, Sydney, New South Wales, Australia.
Jim PearseHealth Policy Analysis, Sydney, New South Wales, Australia.
John WalshSydney Medical School - Northern, University of Sydney, Sydney, New South Wales, Australia.
Ian D CameronKolling Institute, John Walsh Centre for Rehabilitation Research, Sydney, New South Wales, Australia.
Lisa Nicole SharwoodSydney Medical School - Northern, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0001-8977-6144

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTraumatic spinal cord injuries have significant consequences both for the injured individual and the healthcare system, usually resulting in lifelong disability. Evidence has shown that timely medical and surgical interventions can lead to better patient outcomes with implicit cost savings. Potentially preventable secondary complications are therefore indicators of the effectiveness of acute care following traumatic injury. The extent to which policy and clinical variation within the healthcare service impact on outcomes and acute care costs for patients with traumatic spinal cord injury (TSCI) in Australia is not well described. METHODS AND ANALYSIS: A comprehensive data set will be formed using record linkage to combine patient health and administrative records from seven minimum data collections (including costs), with an existing data set of patients with acute TSCI (Access to Care Study), for the time period June 2013 to June 2016. This person-level data set will be analysed to estimate the acute care treatment costs of TSCI in New South Wales, extrapolated nationally. Subgroup analyses will describe the associated costs of secondary complications and regression analysis will identify drivers of higher treatment costs. Mapping patient care and health service pathways of these patients will enable measurement of deviations from best practice care standards and cost-effectiveness analyses of the different pathways. ETHICS AND DISSEMINATION: Ethics approval has been obtained from the New South Wales Population and Health Services Research Ethics Committee. Dissemination strategies include peer-reviewed publications in scientific journals and conference presentations to enable translation of study findings to clinical and policy audiences.

Indexed as

Information Storage and RetrievalSpinal Cord InjuriesCritical PathwaysHealth Care CostsHealth Services ResearchHumansNew South WalesPostoperative Complicationscost-effectiveness analysishealth services researchlinkage studyspinal cord injurytraumatic injury

Identifiers

PMID30413515
PMCPMC6231591

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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.