Evidence map›Paper›PMID 38160224›Full record

ArticleSpinal cord2024

Relationship between employment and quality of life and self-perceived health in people with spinal cord injury: an international comparative study based on the InSCI Community Survey.

Reuben Escorpizo, Shelly Naud, Marcel W M Post, Urban Schwegler, Julia Engkasan, Annette Halvorsen, Timothy Geraghty, Cristina Sadowsky

Abstract read
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In one paragraph

Article in Spinal cord, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Review
  8. Article
  9. Rates of Employment and Return to Work After Spinal Cord Lesion Onset in Israel.Archives of rehabilitation research and clinical translation · 2025
    Article
  10. Article
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

8 authors.

Reuben EscorpizoThe University of Vermont, Department of Rehabilitation and Movement Science, Burlington, VT, USA. reuben.escorpizo@med.uvm.edu.ORCID 0000-0002-3199-4744
Shelly NaudThe University of Vermont, Department of Rehabilitation and Movement Science, Burlington, VT, USA.
Marcel W M PostCentre of Excellence for Rehabilitation Medicine, UMC Brain Center, University Medical Centre Utrecht, Utrecht University and De Hoogstraat Rehabilitation, Utrecht, The Netherlands.ORCID 0000-0002-2205-9404
Urban SchweglerSwiss Paraplegic Research, Nottwil, Switzerland.ORCID 0000-0002-2844-0812
Julia EngkasanUniversiti Malaya, Lumpur, Malaysia.ORCID 0000-0003-0599-4908
Annette HalvorsenClinic of Rehabilitation, Department of Spinal Cord Injuries, St Olavs hospital, Trondheim University Hospital, Trondheim, Norway.ORCID 0000-0002-4974-1366
Timothy GeraghtyDivision of Rehabilitation, Princess Alexandra Hospital, and The Hopkins Centre, Metro South Health and Griffith University, Brisbane, Australia.ORCID 0000-0002-8571-8315
Cristina SadowskyKennedy Krieger Institute / Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0003-4028-7301

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designCross-sectional study.

objectivesWork-related disability is common in persons with spinal cord injury (SCI). The aims of this study are to examine the associations of employment with self-perceived health (SPH) and quality of life (QoL) across 22 countries and to explore the covariates around employment and SPH and QoL.

settingCommunity.

methodsWe analyzed 9494 community-dwelling persons with SCI aged 18-65. We performed an adjusted regression and path analysis. The independent variable was 'employment' and the dependent variables were two single items: QoL (very poor to very good) and SPH (excellent to poor). Covariates included the Gross Domestic Product (GDP), education, time since SCI, age, gender, years of employment after SCI, SCI level (paraplegia, tetraplegia), and completeness of SCI.

resultsParticipants' mean age was 47, 74% were male, and 63% had paraplegia. We found an association between employment and QoL and SPH. While the magnitude of the effect of employment on QoL did not differ across GDP quartiles, its perceived effect on QoL was found to be significant in the highest GDP quartile. Employment was predictive of good SPH in two GDP quartiles (Q1 and Q4), but significant across all quartiles when predicting poor perceptions, with the magnitude of effect varying significantly.

conclusionsEmployment is closely related to QoL and SPH depending on the GDP. We may positively influence the QoL and SPH in the SCI population to promote better employment outcomes by considering the infrastructure and economy.

Indexed as

Quality of LifeSpinal Cord InjuriesCross-Sectional StudiesEmploymentFemaleHumansMaleMiddle AgedParaplegiaSurveys and Questionnaires

Identifiers

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Read underepoch 390

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.