Evidence map›Paper›PMID 34108616›Full record

ArticleSpinal cord2022

A taxonomy for consistent handling of conditions not related to the spinal cord injury (SCI) in the International Standards for Neurological Classification of SCI (ISNCSCI).

Rüdiger Rupp, Christian Schuld, Fin Biering-Sørensen, Kristen Walden, Gianna Rodriguez, Steven Kirshblum, ASIA International Standards Committee

Open access · hybridAbstract read
In one paragraph

Article in Spinal cord, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
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

9 citing papers in PubMed, 15 citations in OpenAlex.

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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

7 authors at 12 institutions in 4 countries.

Rüdiger RuppSpinal Cord Injury Center, Heidelberg University Hospital, Heidelberg, Germany. ruediger.rupp@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0002-3873-1023
Christian SchuldSpinal Cord Injury Center, Heidelberg University Hospital, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-1921-2938
Fin Biering-SørensenDepartment for Spinal Cord Injuries, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-2186-0144
Kristen WaldenPraxis Spinal Cord Institute, Vancouver, Canada.
Gianna RodriguezUniversity of Michigan, Michigan Medicine, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0002-1655-9402
Steven KirshblumKessler Institute for Rehabilitation, West Orange, NJ, USA.
ASIA International Standards Committee
Thomas Jefferson University · USHeidelberg University · DEInstitute for Rehabilitation and Research Foundation · USJackson Memorial Hospital · USMichigan Medicine · USPraxis Spinal Cord Institute · CARutgers, The State University of New Jersey · USThomas Jefferson University Hospital · USUniversity of Copenhagen · DKUniversity of Miami · USUniversity of Washington · USVancouver Coastal Health · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designCommittee consensus process including additional structured feedback from spinal cord injury (SCI) experts attending a focus group workshop.

objectivesTo define a taxonomy for standardized documentation of non-SCI-related conditions in the International Standards for Neurological Classification of SCI (ISNCSCI).

settingAmerical Spinal Injury Association (ASIA) International Standards Committee with 16 international ISNCSCI experts.

methodsWith the new taxonomy, not-normal sensory or motor scores should be tagged with an asterisk ("*"), if they are impacted by a non-SCI condition such as burns, casts, joint contractures, peripheral nerve injuries, amputations, pain, or generalized weakness. The non-SCI condition and instructions on how to handle the "*"-tagged scores during classification should be detailed in the comments box. While sum scores are always calculated based on examined scores, classification variables such as the neurological level of injury (NLI) or the ASIA Impairment Scale (AIS) grades are tagged with an "*", when they have been determined on the basis of clinical assumptions.

resultsWith the extended "*"-tag concept, sensory and motor examination results impacted by non-SCI conditions above, at, or below the NLI can be consistently documented, scored, and classified. Feedback from workshop participants confirms agreement on its clinical relevance, logic and soundness, easiness of understanding, communicability, and applicability in daily work.

conclusionsAfter multiple internal revisions, a taxonomy for structured documentation of conditions superimposed on the impairments caused by the SCI together with guidelines for consistent scoring and classification was released with the 2019 ISNCSCI revision. This taxonomy is intended to increase the accuracy of ISNCSCI classifications.

Indexed as

Spinal Cord InjuriesHumansNeurologic Examination

Identifiers

PMID34108616
PMCPMC8737332
OpenAlexW3171161627

What OpenQuestion holds

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LicenceCC BY
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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.