Evidence map›Paper›PMID 31231977›Full record

SynthesisJournal of evidence-based medicine2019

Sample sizes and statistical methods in interventional studies on individuals with spinal cord injury: A systematic review.

Georg Zimmermann, Lisa-Maria Bolter, Ronny Sluka, Yvonne Höller, Arne C Bathke, Aljoscha Thomschewski, Stefan Leis, Simona Lattanzi, Francesco Brigo, Eugen Trinka

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Journal of evidence-based medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Exploring the Lived Experiences of Individuals With Spinal Cord Injury During the COVID-19 Pandemic.Inquiry : a journal of medical care organization, provision and financing
    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

10 authors at 4 institutions in 2 countries.

Georg ZimmermannDepartment of Neurology, Christian Doppler Medical Centre, Paracelsus Medical University, Salzburg, Austria.ORCID https://orcid.org/0000-0002-8282-1034
Lisa-Maria BolterDepartment of Mathematics, Paris Lodron University, Salzburg, Austria.
Ronny SlukaDepartment of Psychology, Paris Lodron University, Salzburg, Austria.
Yvonne HöllerDepartment of Neurology, Christian Doppler Medical Centre, Paracelsus Medical University, Salzburg, Austria.ORCID https://orcid.org/0000-0002-1727-8557
Arne C BathkeDepartment of Mathematics, Paris Lodron University, Salzburg, Austria.ORCID https://orcid.org/0000-0002-6260-3726
Aljoscha ThomschewskiDepartment of Neurology, Christian Doppler Medical Centre, Paracelsus Medical University, Salzburg, Austria.
Stefan LeisDepartment of Neurology, Christian Doppler Medical Centre, Paracelsus Medical University, Salzburg, Austria.
Simona LattanziNeurological Clinic, Department of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy.
Francesco BrigoDepartment of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.ORCID https://orcid.org/0000-0003-0928-1577
Eugen TrinkaDepartment of Neurology, Christian Doppler Medical Centre, Paracelsus Medical University, Salzburg, Austria.
University of Salzburg · ATParacelsus Medical University · ATMarche Polytechnic University · ITUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimPrevalence and incidence of spinal cord injury (SCI) are low. However, sample sizes have not been systematically examined yet, although this might represent useful information for study planning and power considerations. Therefore, our objective was to determine the median sample size in clinical trials on SCI individuals. Moreover, within small-sample size studies, statistical methods and awareness of potential problems regarding small samples were examined.

methodsWe systematically reviewed all studies on human SCI individuals published between 2014 and 2015, where the effect of an intervention on one or more health-related outcomes was assessed by means of a hypothesis test. If at least one group had a size <20, the study was classified as a small sample size study. PubMed was searched for eligible studies; subsequently, data on sample sizes and statistical methods were extracted and summarized descriptively.

resultsOut of 8897 studies 207 were included. Median total sample size was 18 (range 4-582). Small sample sizes were found in 167/207 (81%) studies, resulting limitations and implications for statistical analyses were mentioned in 109/167 (65%) studies.

conclusionsAlthough most recent SCI trials have been conducted with small samples, the consequences on statistical analysis methods and the validity of the results are rarely acknowledged.

Indexed as

Models, StatisticalCohort StudiesEvidence-Based MedicineFemaleHumansInjury Severity ScoreMalePrevalenceRetrospective StudiesRisk AssessmentSample SizeSpinal Cord Injurieseffect sizepowerrare diseasespinal cord traumastatistical data analysis

Identifiers

PMID31231977
PMCPMC6771853
OpenAlexW2955082324

What OpenQuestion holds

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LicenceCC BY-NC
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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.