Evidence map›Paper›PMID 42086359›Full record

Observational studyThe Canadian journal of urology2026

Barriers to urologic care following spinal cord injury.

Mark W Shilling, Shawn L Fernandez, George J Ryan, Juila G Kim, David C Majure, Frances M Alba, Reza Ehsanian

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in The Canadian journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Mark W ShillingDivison of Pain, Department of Anesthesiology and Critical Care, University of New Mexico School of Medicine, Albuquerque, NM 87131, USA.
Shawn L FernandezDepartment of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, NM 87131, USA.
George J RyanDivison of Pain, Department of Anesthesiology and Critical Care, University of New Mexico School of Medicine, Albuquerque, NM 87131, USA.
Juila G KimUniversity of New Mexico College of Nursing, Albuquerque, NM 87131, USA.
David C MajureDivison of Physical Medicine and Rehabilitation, Department of Orthopedics, University of New Mexico School of Medicine, Albuquerque, NM 87131, USA.
Frances M AlbaDivision of Urology, Department of Surgery, University of New Mexico School of Medicine, Albuquerque, NM 87131, USA.
Reza EhsanianDivison of Pain, Department of Anesthesiology and Critical Care, University of New Mexico School of Medicine, Albuquerque, NM 87131, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals with spinal cord injury (SCI) are at high risk for developing neurogenic bladder or neurogenic lower urinary tract dysfunction (NLUTD), which can lead to severe complications and negatively impact quality of life. Despite the critical need for timely urologic care, barriers to access remain poorly understood, particularly in resource-limited settings. This study aims to identify systemic and perceived barriers to urologic follow-up for individuals with SCI treated at an academic medical center.

methodsA single-center, observational study was conducted on individuals presenting with a diagnosis code indicative of complete SCI at an academic hospital between October 2015 and October 2023. Data were extracted from electronic medical records using ICD-10 codes for SCI, and phone interviews were conducted to assess symptoms, quality of life, and perceived barriers to care. Descriptive statistics summarized the findings. Univariate and multivariate Firth logistic regression analyses were performed to analyze for possible covariates impacting the odds of follow-up or having obtained a urodynamics study.

resultsOf 213 records, 136 met the inclusion criteria. Among them, only 17 (13%) received a urology consultation during their hospital stay, and 28 (21%) had been seen in a urology clinic post-injury. Phone interviews with 42 patients revealed that 93% reported NLUTD symptoms, with a mean quality of life impact score of 7.3. Barriers identified included availability (71%), accessibility (45%), accommodation (69%), affordability (43%), and acceptability (31%) barriers. Firth logistic regression demonstrated that male sex was associated with lower odds (OR = 0.205, 95% CI: 0.048, 0.772, p = 0.02) of having obtained a urodynamics study.

conclusionSignificant gaps in urologic care for individuals with SCI exist. Statistically significant variation in management via Firth logistic regression analyses also demonstrates potential disparities in follow-up and management. Addressing these challenges requires improved discharge planning, increased healthcare accessibility, and innovative care models such as telemedicine. Future research should explore broader geographic regions and interventions to improve outcomes.

Indexed as

Health Services AccessibilityLower Urinary Tract SymptomsSpinal Cord InjuriesUrinary Bladder, NeurogenicAdultAgedFemaleHumansMaleMiddle AgedQuality of Lifehealthcare disparitiesneurogenic lower urinary tract dysfunctionrural urologySpinal cord injuryurologic care

Identifiers

PMID42086359

What OpenQuestion holds

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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.