Evidence map›Paper›PMID 36174184›Full record

Observational studyNeuropsychology2023

Can mild traumatic brain injury alter cognition chronically? A LIMBIC-CENC multicenter study.

William C Walker, Maya E O'Neil, Zhining Ou, Terri K Pogoda, Heather G Belanger, Randall S Scheibel, Angela P Presson, Shannon R Miles, Elisabeth A Wilde, David F Tate and 4 more

Open access · hybridAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Neuropsychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 21 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

14 authors at 9 institutions in 1 country.

William C WalkerDepartment of Physical Medicine and Rehabilitation, School of Medicine, Virginia Commonwealth University.ORCID 0000-0001-5813-3939
Maya E O'NeilVA Portland Health Care System.
Zhining OuDivision of Epidemiology, Department of Internal Medicine, School of Medicine, University of Utah.
Terri K PogodaCenter for Healthcare Organization and Implementation Research, VA Boston Healthcare System.
Heather G BelangerSurgeon General's Office, St Michael's Inc.
Randall S ScheibelMichael E. DeBakey Veterans Affairs Medical Center.
Angela P PressonDivision of Epidemiology, Department of Internal Medicine, School of Medicine, University of Utah.
Shannon R MilesMental Health and Behavioral Sciences Service, James A Haley Veterans' Hospital.
Elisabeth A WildeH. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine.
David F TateDepartment of Physical Medicine and Rehabilitation, School of Medicine, Virginia Commonwealth University.
Maya TroyanskayaMichael E. DeBakey Veterans Affairs Medical Center.
Mary Jo PughGeorge E. Wahlen Veterans Affairs Salt Lake City Healthcare System.ORCID 0000-0003-4196-7763
Amy JakVA San Diego Healthcare System.
David X CifuDepartment of Physical Medicine and Rehabilitation, School of Medicine, Virginia Commonwealth University.
Virginia Commonwealth University · USUniversity of Utah · USBaylor College of Medicine · USJames A. Haley Veterans' Hospital · USSaint Michael's College · USVA Boston Healthcare System · USVA Portland Health Care System · USVA Salt Lake City Healthcare System · USVA San Diego Healthcare System · US

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
University of Utah Center for Clinical and Translational ScienceUL1TR001067 · NCATS · UNIVERSITY OF UTAH · PI DERE, WILLARD H., HESS, RACHEL · 2013 to 2017
$19.8M
UNIVERSITY OF UTAH CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE-UL1: BPCAUL1RR025764 · NCRR · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2008 to 2011
$19.4M
University of Utah Center for Clinical and Translational Science-UL1UL1TR000105 · NCATS · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2012 to 2013
$5.1M
VA-DoD Long-Term Impact of Military-Relevant Brain Injury Consortium (LIMBIC)I01CX002097 · VA · VA VETERANS ADMINISTRATION HOSPITAL · PI DAVID X. CIFU, Rudolph c Johnson · 2021 to 2026
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VA-DoD Long-Term Impact of Military-Relevant Brain Injury Consortium (LIMBIC): Health Economics StudyI01HX003155 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI DISMUKE, CLARA E · 2022 to 2022
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CENC - Otolith Dysfunction and Postural StabilityI01RX001135 · VA · JAMES H QUILLEN VA MEDICAL CENTER · PI AKIN, FAITH WURM, HALL, COURTNEY · 2015 to 2017
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CENC - Tau Conformation and Phosphorylation in mTBII01RX001774 · VA · JAMES A. HALEY VA MEDICAL CENTER · PI CRAWFORD, FIONA C. · 2015 to 2018
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CENC - Diffusion Tensor Imaging Standardization using Novel MR Diffusion PhantomsI01RX001880 · VA · MICHAEL E DEBAKEY VA MEDICAL CENTER · PI WILDE, ELISABETH A · 2015 to 2020
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CENC - Novel White Matter Imaging to Improve Diagnosis of Mild TBII01RX002076 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI JAK, AMY · 2015 to 2018
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CENC-VA TBI Brain Tissue RepositoryI01RX002170 · VA · VA BOSTON HEALTH CARE SYSTEM · PI MCKEE, ANN C. · 2016 to 2019
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CENC- Longitudinal Cohort StudyI01CX001135 · VA · VA VETERANS ADMINISTRATION HOSPITAL · PI BELANGER, HEATHER G, CIFU, DAVID X. · 2015 to 2019
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CSRD VA I01 CX001135CSRD VA I01 CX001246CSRD VA I01 CX001820CSRD VA I01 CX002096CSRD VA I01 CX002097HSRD VA I01 HX000281HSRD VA I01 HX003155NCATS NIH HHS UL1 TR000105NCATS NIH HHS UL1 TR001067NCATS NIH HHS UL1 TR002538NCRR NIH HHS UL1 RR025764RRD VA I01 RX001135RRD VA I01 RX001774RRD VA I01 RX001880RRD VA I01 RX002076RRD VA I01 RX002170RRD VA I01 RX002171RRD VA I01 RX002172RRD VA I01 RX002173RRD VA I01 RX002174RRD VA I01 RX003442RRD VA I01 RX003443RRD VA I01 RX003444
6 · The paper itself

Abstract

objectiveWhile outcome from mild traumatic brain injury (mTBI) is generally favorable, concern remains over potential negative long-term effects, including impaired cognition. This study examined the link between cognitive performance and remote mTBIs within the Long-term Impact of Military-relevant Brain Injury Consortium-Chronic Effects of Neurotrauma Consortium (LIMBIC-CENC) multicenter, observational study of Veterans and service members (SMs) with combat exposure.

methodBaseline data of the participants passing all cognitive performance validity tests (

resultsNeither of the mTBI positive groups differed from the mTBI negative control group on any of the cognitive domains in multivariable analyses. Findings were also consistently negative across sensitivity analyses (e.g., mTBIs as a continuous variable, number of blast-related mTBIs, or years since the first and last mTBI).

conclusionsOur findings demonstrate that the average veteran or SM who experienced one or more mTBIs does not have postacute objective cognitive deficits due to mTBIs alone. A holistic health care approach including comorbidity assessment is indicated for patients reporting chronic cognitive difficulties after mTBI(s), and strategies for addressing misattribution may be beneficial. Future study is recommended with longitudinal designs to assess within-subjects decline from potential neurodegeneration. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Indexed as

Brain ConcussionMilitary PersonnelStress Disorders, Post-TraumaticVeteransCognitionCross-Sectional StudiesHumansNeuropsychological Tests

Identifiers

PMID36174184
PMCPMC10117581
OpenAlexW4297998788

What OpenQuestion holds

Textmetadata
LicenceTDM
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.