Evidence map›Paper›PMID 38916890›Full record

ArticleJAMA network open2024

Traumatic Cervical Spinal Cord Injury and Income and Employment Status.

Rachael H Jaffe, Peter C Coyte, Brian C-F Chan, Rebecca L Hancock-Howard, Armaan K Malhotra, Karim Ladha, Jefferson R Wilson, Christopher D Witiw

Abstract read
In one paragraph

Article in JAMA network open, 2024. 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
–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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Barriers to urologic care following spinal cord injury.The Canadian journal of urology · 2026
    Observational
  7. Article
  8. Rates of Employment and Return to Work After Spinal Cord Lesion Onset in Israel.Archives of rehabilitation research and clinical translation · 2025
    Article
  9. Review
  10. Article
  11. Article
  12. 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.

Rachael H JaffeInstitute for Health Policy, Management and Evaluation, University of Toronto, Ontario, Canada.
Peter C CoyteInstitute for Health Policy, Management and Evaluation, University of Toronto, Ontario, Canada.
Brian C-F ChanInstitute for Health Policy, Management and Evaluation, University of Toronto, Ontario, Canada.
Rebecca L Hancock-HowardInstitute for Health Policy, Management and Evaluation, University of Toronto, Ontario, Canada.
Armaan K MalhotraInstitute for Health Policy, Management and Evaluation, University of Toronto, Ontario, Canada.
Karim LadhaInstitute for Health Policy, Management and Evaluation, University of Toronto, Ontario, Canada.
Jefferson R WilsonInstitute for Health Policy, Management and Evaluation, University of Toronto, Ontario, Canada.
Christopher D WitiwInstitute for Health Policy, Management and Evaluation, University of Toronto, Ontario, Canada.

Funding

CIHR
6 · The paper itself

Abstract

Importance: Spinal cord injury (SCI) causes drastic changes to an individual's physical health that may be associated with the ability to work. Objective: To estimate the association of SCI with individual earnings and employment status using national administrative health databases linked to income tax data. Design, Setting, and Participants: This was a retrospective, national, population-based cohort study of adults who were hospitalized with cervical SCI in Canada between January 2005 and December 2017. All acute care hospitalizations for SCI of adults ages 18 to 64 years were included. A comparison group was constructed by sampling from individuals in the injured cohort. Fiscal information from their preinjury years was used for comparison. The injured cohort was matched with the comparison group based on age, sex, marital status, province of residence, self-employment status, earnings, and employment status in the year prior to injury. Data were analyzed from August 2022 to January 2023. Main outcomes and Measures: The first outcome was the change in individual annual earnings up to 5 years after injury. The change in mean yearly earnings was assessed using a linear mixed-effects differences-in-differences regression. Income values are reported in 2022 Canadian dollars (CAD $1.00 = US $0.73). The second outcome was the change in employment status up to 5 years after injury. A multivariable probit regression model was used to compare proportions of individuals employed among those who had experienced SCI and the paired comparison group of participants. Results: A total of 1630 patients with SCI (mean [SD] age, 47 [13] years; 1304 male [80.0%]) were matched to patients in a preinjury comparison group (resampled from the same 1630 patients in the SCI group). The mean (SD) of preinjury wage earnings was CAD $46 000 ($48 252). The annual decline in individual earnings was CAD $20 275 (95% CI, -$24 455 to -$16 095) in the first year after injury and CAD $20 348 (95% CI, -$24 710 to -$15 985) in the fifth year after injury. At 5 years after injury, 52% of individuals who had an injury were working compared with 79% individuals in the preinjury comparison group. SCI survivors had a decrease in employment of 17.1 percentage points (95% CI, 14.5 to 19.7 percentage points) in the first year after injury and 17.8 percentage points (14.5 to 21.1 percentage points) in the fifth year after injury. Conclusions and Relevance: In this study, SCI was associated with a decline in earnings and employment up to 5 years after injury for adults aged 18 to 64 years in Canada.

Indexed as

EmploymentIncomeSpinal Cord InjuriesAdolescentAdultCanadaCervical CordFemaleHumansMaleMiddle AgedRetrospective StudiesYoung Adult

Identifiers

PMID38916890
PMCPMC11200142

What OpenQuestion holds

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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.