Evidence map›Paper›PMID 33161007›Full record

Trial reportArchives of physical medicine and rehabilitation2021

Effects of Lower Thoracic Spinal Cord Stimulation on Bowel Management in Individuals With Spinal Cord Injury.

Anthony F DiMarco, Robert T Geertman, Kutaiba Tabbaa, Gregory A Nemunaitis, Krzysztof E Kowalski

Registry-linked trialOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in Archives of physical medicine and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01659541 (Spinal Cord Stimulation With Wire Leads to Restore Cough), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% 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.

NCT01659541 nacompletednot on this map

Spinal Cord Stimulation With Wire Leads to Restore Cough

TypeinterventionalSponsorMetroHealth Medical CenterRan2015 to 2021Enrolled12ConditionsSpinal Cord Injuries, Spinal Cord Diseases, Paralysis, Central Nervous System DiseasesArmsExpiratory muscle stimulator, Implantation of device
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
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  5. Mapping the Iceberg of Autonomic Recovery: Mechanistic Underpinnings of Neuromodulation following Spinal Cord Injury.The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry · 2024
    Review
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  8. Article
  9. Article
  10. Article
  11. Review
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  14. Review
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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 at 2 institutions in 1 country.

Anthony F DiMarcoDepartment of Physical Medicine and Rehabilitation, Case Western Reserve University, MetroHealth Medical Center, Cleveland, Ohio; Department of Research, Case Western Reserve University, MetroHealth Medical Center, Cleveland, Ohio. Electronic address: afd3@case.edu.
Robert T GeertmanDepartment of Neurosurgery, Case Western Reserve University, MetroHealth Medical Center, Cleveland, Ohio.
Kutaiba TabbaaDepartment of Anesthesiology, Case Western Reserve University, MetroHealth Medical Center, Cleveland, Ohio.
Gregory A NemunaitisDepartment of Physical Medicine and Rehabilitation, Case Western Reserve University, MetroHealth Medical Center, Cleveland, Ohio.
Krzysztof E KowalskiDepartment of Research, Case Western Reserve University, MetroHealth Medical Center, Cleveland, Ohio; Department of Medicine, Case Western Reserve University, MetroHealth Medical Center, Cleveland, Ohio.
Case Western Reserve University · USMetroHealth Medical Center · US

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
Evaluation of Spinal Cord Stimulation Using Wire Leads to Restore an Effective CoU01NS083696 · NINDS · CASE WESTERN RESERVE UNIVERSITY · PI DIMARCO, ANTHONY F. · 2013 to 2018
$2.7M
NCATS NIH HHS UL1 TR002548NINDS NIH HHS U01 NS083696
6 · The paper itself

Abstract

objectiveTo systematically determine whether use of the spinal cord stimulation (SCS) system to restore cough may improve bowel management (BM) in individuals with spinal cord injury (SCI).

designExperimental studies (clinical trial).

settingInpatient hospital setting for electrode insertion; outpatient setting for measurement of respiratory pressures; home setting for application of SCS.

participantsParticipants (N=5) with cervical SCI.

interventionA fully implantable SCS cough system was surgically placed in each subject. SCS was applied at home, 2-3 times/d, on a chronic basis, every time bowel regimen was performed and as needed for secretion management. Stimulus parameters were set at values resulting in near maximum airway pressure generation, which was used as an index of expiratory muscle strength. Participants also used SCS during their bowel routine.

main outcome measuresAirway pressure generation achieved with SCS. Weekly completion of Bowel Routine Log including BM time, mechanical measures, and medications used.

resultsMean pressure during spontaneous efforts was 30±8 cmH

conclusionsOur results of this pilot study suggest that SCS to restore cough may be a useful method to improve BM and life quality for both patients with SCI and their caregivers. Our results indicate that the improvement in BM is secondary to restoration of intra-abdominal pressure development.

Indexed as

Electrodes, ImplantedAdultCervical VertebraeCoughDefecationHumansMaleMiddle AgedPilot ProjectsSpinal Cord InjuriesSpinal Cord StimulationThoracic VertebraeTreatment OutcomeBowel ManagementQuadriplegiaRehabilitationSpinal cord injuries

Identifiers

PMID33161007
PMCPMC8096864
OpenAlexW3095241417

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.