Evidence map›Paper›PMID 33830880›Full record

ArticleThe journal of spinal cord medicine2022

Lower extremity fracture prevention and management in persons with spinal cord injuries and disorders: The patient perspective.

Bella Etingen, Laura D Carbone, Marylou Guihan, Cara Ray, Hamad Aslam, Rachel Elam, Frances M Weaver

Open access · greenAbstract read
In one paragraph

Article in The journal of spinal cord medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
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  4. Article
  5. Review
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 at 5 institutions in 1 country.

Bella EtingenCenter of Innovation for Complex Chronic Healthcare (CINCCH), Health Services Research and Development Service, Department of Veterans Affairs, Hines VA Hospital, Hines, Illinois, USA.ORCID 0000-0003-1325-9073
Laura D CarboneCharlie Norwood Veterans Administration Medical Center, Augusta, Georgia, USA.ORCID 0000-0003-3370-4680
Marylou GuihanCenter of Innovation for Complex Chronic Healthcare (CINCCH), Health Services Research and Development Service, Department of Veterans Affairs, Hines VA Hospital, Hines, Illinois, USA.ORCID 0000-0002-9506-1927
Cara RayCenter of Innovation for Complex Chronic Healthcare (CINCCH), Health Services Research and Development Service, Department of Veterans Affairs, Hines VA Hospital, Hines, Illinois, USA.ORCID 0000-0002-1383-8801
Hamad AslamShepherd Center for Spinal Cord Injury Rehabilitation, Atlanta, Georgia, USA.
Rachel ElamDepartment of Medicine, Division of Rheumatology, Medical College of Georgia at Augusta University, Augusta, Georgia, USA.
Frances M WeaverCenter of Innovation for Complex Chronic Healthcare (CINCCH), Health Services Research and Development Service, Department of Veterans Affairs, Hines VA Hospital, Hines, Illinois, USA.ORCID 0000-0002-6756-9942
Augusta University · USEdward Hines, Jr. VA Hospital · USLoyola University Chicago · USNorthwestern University · USShepherd Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CONTEXT/

objectiveTo describe patient experiences with fracture prevention and management among persons with spinal cord injuries/disorders (SCI/D).

designQualitative data collected via semi-structured telephone interviews.

settingVeterans Health Administration (VA) SCI/D System of Care.

participantsVeterans with SCI/D (

interventionsN/A. OUTCOME MEASURES: Interview questions addressed patients': pre-fracture knowledge of osteoporosis and bone health, diagnosis and management of osteoporosis, history and experiences with fracture treatment, and post-fracture care and experiences.

resultsParticipants expressed concerns about bone health and fractures in particular, which for some, limited activities and participation. Participants recalled receiving little information from providers about bone health or osteoporosis and described little knowledge about osteoporosis prevention prior to their fracture. Few participants reported medication management for osteoporosis, however many reported receiving radiographs/scans to confirm a fracture and most reported being managed non-operatively. Some reported preference for surgical treatment and believed their outcomes would have been better had their fracture been managed differently. Many reported not feeling fully included in treatment decision-making. Some described decreased function, independence and/or participation post-fracture. CONCLUSION(S): Our results indicate that persons with SCI/D report lacking substantive knowledge about bone health and/or fracture prevention, and following fracture, feel unable and/or hesitant to resume pre-fracture participation. In addition, our findings indicate that individuals with SCI/D may not feel as engaged as they would like to be in establishing fracture treatment plans. As such, persons with SCI/D may benefit from ongoing discussions with providers about risks and benefits of fracture treatment options and consideration of subsequent function and participation, to ensure patients preferences are considered.

Indexed as

Fractures, BoneOsteoporosisSpinal Cord DiseasesSpinal Cord InjuriesHumansLower ExtremityBone healthLower-extremity fracturesOsteoporosisSpinal cord injuryVeterans

Identifiers

PMID33830880
PMCPMC9662005
OpenAlexW3142252350

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.