Evidence map›Paper›PMID 37814014›Full record

Observational studySpinal cord2023

Construct validity of the international standards to document remaining autonomic function after spinal cord injury (ISAFSCI) (1st edition).

Dilnur Kurban, Ross A Davidson, Karen M Smith, Marie Carlson, Jay Joseph, Stacy Elliott, Vanessa K Noonan, Nader Fallah, Andrei V Krassioukov

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Spinal cord, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

9 authors.

Dilnur KurbanPraxis Spinal Cord Institute, Vancouver, BC, Canada.
Ross A DavidsonDivision of Physical Medicine and Rehabilitation, University of British Columbia, Vancouver, BC, Canada.
Karen M SmithDepartment of Physical Medicine and Rehabilitation, Queen's University, Kingston, ON, Canada.
Marie CarlsonGF Strong Rehabilitation, Vancouver Coastal Health Authority, Vancouver, BC, Canada.
Jay JosephLakeridge Health, Oshawa, ON, Canada.
Stacy ElliottGF Strong Rehabilitation, Vancouver Coastal Health Authority, Vancouver, BC, Canada.
Vanessa K NoonanPraxis Spinal Cord Institute, Vancouver, BC, Canada.ORCID 0000-0003-3226-9218
Nader FallahPraxis Spinal Cord Institute, Vancouver, BC, Canada.
Andrei V KrassioukovDivision of Physical Medicine and Rehabilitation, University of British Columbia, Vancouver, BC, Canada. krassioukov@icord.org.ORCID 0000-0002-0022-7972

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designObservational study.

objectivesTo assess the construct validity of the International Standards to Document Remaining Autonomic Function after Spinal Cord Injury (ISAFSCI) (2012 1st Edition).

settingTwo Canadian spinal cord injury (SCI) centers.

methodsData were collected between 2011-2014. Assessments included the ISAFSCI, standardized measures of autonomic function and a clinical examination. Construct validity of ISAFSCI was assessed by testing a priori hypotheses on expected ISAFSCI responses to standard measures (convergent hypotheses) and clinical variables (clinical hypotheses).

resultsForty-nine participants with an average age of 45 ± 12 years were included, of which 42 (85.7%) were males, 37 (77.6%) had a neurological level of injury at or above T6, and 23 (46.9%) were assessed as having motor and sensory complete SCI. For the six General Autonomic Function component hypotheses, two hypotheses (1 clinical, 1 convergent) related to autonomic control of blood pressure and one clinical hypothesis for temperature regulation were statistically significant. In terms of the Lower Urinary Tract, Bowel and Sexual Function component of the ISAFSCI, all the hypotheses (5 convergent, 3 clinical) were statistically significant except for the hypotheses on female sexual items (2 convergent, 2 clinical), likely due to small sample size.

conclusionThe construct validity of ISAFSCI (2012 1st Edition) for the General Autonomic Function component was considered to be weak while it was much stronger for the Lower Urinary Tract, Bowel and Sexual Function component based on a priori hypotheses. These results can inform future psychometric studies of the ISAFSCI (2021 2nd Edition).

Indexed as

Autonomic Nervous System DiseasesSpinal Cord InjuriesAdultAutonomic Nervous SystemCanadaFemaleHumansMaleMiddle AgedUrinary Bladder

Identifiers

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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.