Evidence map›Paper›PMID 32782342›Full record

ArticleSpinal cord2021

A nationwide survey on the incidence and characteristics of traumatic spinal cord injury in Japan in 2018.

Naohisa Miyakoshi, Kota Suda, Daisuke Kudo, Hiroaki Sakai, Yukihiro Nakagawa, Yasuo Mikami, Shinsuke Suzuki, Takamitsu Tokioka, Akihiro Tokuhiro, Hiroshi Takei and 2 more

Abstract read
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In one paragraph

Article in Spinal cord, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 96 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 2 pooled it
11.3field-weighted citation impact, top 1% 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

96 citing papers in PubMed, 2 syntheses or guidelines pooled it, 159 citations in OpenAlex.

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  9. Thoracolumbar noncontiguous spinal fractures in surgically treated older patients with cervical spine injuries: incidence, risk factors, and impact on functional outcome.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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36 more citing papers are in PubMed but not listed here.

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

12 authors at 4 institutions in 2 countries.

Naohisa MiyakoshiPrevention Committee of the Japan Medical Society of Spinal Cord Lesion, Fujisawa, Japan. miyakosh@doc.med.akita-u.ac.jp.ORCID http://orcid.org/0000-0001-5175-3350
Kota SudaPrevention Committee of the Japan Medical Society of Spinal Cord Lesion, Fujisawa, Japan.ORCID http://orcid.org/0000-0003-2839-987X
Daisuke KudoPrevention Committee of the Japan Medical Society of Spinal Cord Lesion, Fujisawa, Japan.ORCID http://orcid.org/0000-0001-8626-1057
Hiroaki SakaiPrevention Committee of the Japan Medical Society of Spinal Cord Lesion, Fujisawa, Japan.
Yukihiro NakagawaPrevention Committee of the Japan Medical Society of Spinal Cord Lesion, Fujisawa, Japan.
Yasuo MikamiPrevention Committee of the Japan Medical Society of Spinal Cord Lesion, Fujisawa, Japan.
Shinsuke SuzukiPrevention Committee of the Japan Medical Society of Spinal Cord Lesion, Fujisawa, Japan.
Takamitsu TokiokaPrevention Committee of the Japan Medical Society of Spinal Cord Lesion, Fujisawa, Japan.ORCID http://orcid.org/0000-0002-8786-8229
Akihiro TokuhiroPrevention Committee of the Japan Medical Society of Spinal Cord Lesion, Fujisawa, Japan.
Hiroshi TakeiPrevention Committee of the Japan Medical Society of Spinal Cord Lesion, Fujisawa, Japan.
Shinsuke KatohPrevention Committee of the Japan Medical Society of Spinal Cord Lesion, Fujisawa, Japan.ORCID http://orcid.org/0000-0003-1953-5139
Yoichi ShimadaPrevention Committee of the Japan Medical Society of Spinal Cord Lesion, Fujisawa, Japan.
Japan Pediatric Society · JPAkita University · JPKyoto Prefectural University of Medicine · JPUniversity of Kochi · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective epidemiological study.

objectivesSince the causes and incidences of traumatic spinal cord injury (TSCI) in each country change over time, up-to-date epidemiological studies are required for countermeasures against TSCI. However, no nationwide survey in Japan has been conducted for about 30 years. The purpose of this study was therefore to investigate the recent incidence and characteristics of TSCI in Japan.

settingJapan

methodsSurvey sheets were sent to all hospitals (emergency and acute care hospitals) that treated TSCI persons in Japan in 2018 and case notes were retrospectively reviewed. Frankel grade E cases were excluded from analysis.

resultsThe response rate was 74.4% (2804 of 3771 hospitals). The estimated annual incidence of TSCI excluding Frankel E was 49 per million, with a median age of 70.0 years and individuals in their 70s as the largest age group. Male-to-female ratio was 3:1. Cervical cord injuries occurred in 88.1%. Frankel D was the most frequent grade (46.3%), followed by Frankel C (33.0%). The most frequent cause was fall on level surface (38.6%), followed by traffic accident (20.1%). The proportion of fall on level surface increased with age. TSCI due to sports was the most frequent cause in teenagers (43.2%).

conclusionsThis nationwide survey in Japan showed that estimated incidence of TSCI, rate of cervical cord injury, and incomplete injury by falls appear to be increasing with the aging of the population.

Indexed as

Spinal Cord InjuriesAccidental FallsAdolescentAgedFemaleHumansIncidenceJapanMaleRetrospective Studies

Identifiers

PMID32782342
OpenAlexW3048724416

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.