Evidence map›Paper›PMID 31023347›Full record

ArticleTrials2019

Community-based interventions to prevent serious complications following spinal cord injury in Bangladesh: the CIVIC trial statistical analysis plan.

Robert D Herbert, Lisa A Harvey, Mohammad S Hossain, Md Shofiqul Islam, Qiang Li, Laurent Billot, CIVIC Trial Collaboration

Abstract readClinical Trial ProtocolLetter
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. Trial
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.

Robert D HerbertNeuroscience Research Australia (NeuRA) and University of New South Wales, Sydney, Australia.
Lisa A HarveyJohn Walsh Centre for Rehabilitation Research, Sydney Medical School, The University of Sydney, Sydney, Australia. l.harvey@usyd.edu.au.ORCID http://orcid.org/0000-0002-4365-0236
Mohammad S HossainJohn Walsh Centre for Rehabilitation Research, Sydney Medical School, The University of Sydney, Sydney, Australia.
Md Shofiqul IslamThe Centre for the Rehabilitation of the Paralysed, Savar, Bangladesh.
Qiang LiThe George Institute for Global Health and Faculty of Medicine, University of New South Wales, Sydney, Australia.
Laurent BillotThe George Institute for Global Health and Faculty of Medicine, University of New South Wales, Sydney, Australia.
CIVIC Trial Collaboration

Funding

National Health and Medical Research Council (NHMRC) of Australian APP1080259
6 · The paper itself

Abstract

backgroundPeople who sustain spinal cord injuries in low- and middle-income countries are vulnerable to life-threatening complications after discharge. The aim of this trial is to determine the effect on all-cause mortality of a sustainable model of community-based care provided over the first 2 years after discharge. METHODS AND ANALYSIS: The CIVIC trial is a single centre, parallel group trial with concealed and stratified randomisation. The protocol has been previously published (BMJ Open 2016;6:e010350). This paper provides the accompanying detailed statistical plan. In total, 410 people with recent spinal cord injury who are wheelchair dependent and about to be discharged from the Centre for the Rehabilitation of the Paralysed in Bangladesh are randomised to intervention or control groups. Participants assigned to the intervention group receive a model of community-based care in which a case manager provides ongoing telephone-based support and visits participants in their homes over a 2-year period. Participants assigned to the control group receive usual care which may involve a follow-up phone call or a home visit. The primary outcome is all-cause mortality at 2 years as determined by a blinded assessor (Bangladesh does not have a death registry). The primary effectiveness analysis will compare Kaplan-Meier survival curves (time from allocation to death) in the intervention and control groups using the log-rank test (two-tailed α = 0.05). Participants will be censored at the time they were last known to be alive or at the time of the follow-up assessment. Recruitment finished in March 2018 and the last assessment will be conducted in March 2020. DISCUSSION: The CIVIC trial will provide unbiased and precise estimates of the effectiveness of a model of community-based care for people with spinal cord injuries in Bangladesh. The results will have implications for provision of health services for people with spinal cord injuries and other conditions that cause serious disability in low-income and middle-income countries.

trial registrationANZCTR, ACTRN12615000630516, U1111-1171-1876. Registered on 17 June 2015.

Indexed as

BangladeshCommunity Health ServicesData Interpretation, StatisticalHumansPatient DischargePragmatic Clinical Trials as TopicRisk FactorsSpinal Cord InjuriesTime FactorsTreatment OutcomeClinical trialCommunity-based rehabilitationSecondary complicationsSpinal cord injury

Identifiers

PMID31023347
PMCPMC6485052

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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.