Predicting compliance with annual follow-up evaluations in persons with spinal cord injury

Canupp, Kay C.; Waites, Ken B.; DeVivo, Michael J.; Richards, J. S.

doi:10.1038/sj.sc.3100367

Cited by 36 publications

(20 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…39,40 Because individuals tend to negate the possibility that 'silent' complications may be developing, they may be unwilling to take the time and expense to come back for regular evaluations. 41 A follow-up system involving reminder cards or phone calls from family physicians, outreach services, and/or peer support groups might encourage persons with SCI to have annual physical examinations. The use of technology can help to increase access to a range of health professionals and services to SCI population and support the delivery of outreach services.…”

Section: Discussionmentioning

confidence: 99%

Utilization of health services following spinal cord injury: a 6-year follow-up study

et al. 2004

View full text Add to dashboard Cite

Study design: Cohort study with 6-years follow-up. Objective: To describe the utilization of health services by persons with spinal cord injury (SCI) and compare it with that of the general population. Setting: Alberta, Canada. Methods: All persons who sustained an SCI in Alberta between April 1992 and March 1994 were followed from date of injury to 6 years postinjury. Cases were matched (1:5) with controls randomly selected from the general population and matched for age, gender, and region of residence. Administrative data from centralized health care databases were compiled to provide a complete picture of health care use, including hospitalizations, physician contacts, long-term care admissions, home care services, and the occurrence of secondary complications. Results: In all, 233 individuals with SCI and 1165 matched controls were followed for 6 years. Compared with the control group, persons with SCI were rehospitalized 2.6 times more often, spent 3.3 more days in hospital, were 2.7 times more likely to have a physician contact, and required 30 times more hours of home care services. Of those with SCI, 47.6% were treated for a urinary tract infection, 33.8% for pneumonia, 27.5% for depression, and 19.7% for decubitus ulcer. Conclusion: SCI places a heavy burden on the health care system. Persons with SCI have greater rates of contact with the health system compared with the general population. Secondary complications continue to affect persons with SCI long after the acute trauma.

show abstract

Section: Discussionmentioning

confidence: 99%

Utilization of health services following spinal cord injury: a 6-year follow-up study

et al. 2004

View full text Add to dashboard Cite

show abstract

“…A literature search revealed only one published manuscript discussing annual follow-up with examinations and this study was outside of the Department of Veterans Affairs healthcare system. 3 In 1997, Canupp et al 3 studied differences between 102 persons with SCI who had been compliant Figure 3 Histogram illustrating the percent frequency with which respondents selected reasons why receiving an annual CPHE is important. Respondents were instructed to select all responses that applied to them.…”

Section: Discussionmentioning

confidence: 99%

Patients' perspective on the comprehensive preventive health evaluation in veterans with spinal cord injury

et al. 2005

View full text Add to dashboard Cite

Study design: Survey research methods. Objectives: To assess patient satisfaction with the annual comprehensive preventative health evaluation (CPHE) and to determine if the patient's needs were being met. Setting: Department of Veterans Affairs National Survey, United States. Methods: A total of 853 subjects with spinal cord injuries participated in a mailed survey regarding the annual CPHE. Subjects were asked about satisfaction with the examination, preferences on how the examination is conducted and whether their needs were being met with the examination. Results: In all, 76% of the subjects that responded to the survey had completed a CPHE within the previous year. Subjects cited getting their medication and supplies refilled and talking to the doctor as the top two reasons for completing the evaluation. Subjects indicated that they would most like to discuss their muscle strength and weakness, bladder care, chronic pain, digestion and bowel care issues, and equipment problems during their evaluation. The majority of subjects (81%) indicated that they were satisfied with the CPHE. Subjects that were satisfied with the CPHE were also more satisfied with other aspects of care as well. Conclusion: The majority of respondents had completed a CPHE within the previous year. Most respondents cite health issues related to the spinal cord injury as areas they would most like to discuss during the evaluation. The majority of subjects were satisfied with the conduct of the CPHE.

show abstract

“…The most Table 1 An alphabetical list of SCI centres in the United Kingdom and Eire important variables in non-compliance include cost, distance, transportation and the belief that follow-up is not necessary. 14 …”

Section: Discussionmentioning

confidence: 99%

Long-term urological management in spinal injury units in the UK and Eire: a follow-up study

et al. 2014

View full text Add to dashboard Cite

Aims: The majority of patients with spinal cord injury (SCI) will develop neurogenic lower urinary tract dysfunction (NLUTD). These patients require a long-term urological follow-up. The follow-up protocol has varied across SCI units in the United Kingdom and Eire. We reviewed the long-term management in the SCI units to identify changes in practice over a decade and compared them to current guidelines. Methods: We present results of a review of all SCI centres in the United Kingdom and Eire on their long-term urological management before and after the current guidelines and compared the results with European Association of Urology (EAU) Guidelines on NLUTD and the proposed British guidelines for the urological management of patients with SCI. Data were collected through questionnaires posted to SCI units. Results: SCI patients are followed up in outpatients annually in the SCI centres and the frequency of follow-up remains largely unchanged. More SCI units perform renal tract imaging annually as a part of SCI follow-up. Most units follow the proposed British guideline indications for urodynamics and do not perform 'routine urodynamics'. Conclusions: We conclude that the long-term management of SCI patients in SCI units in the United Kingdom and Eire has changed overtime to follow the proposed British guidelines. EAU guidelines offer a more extensive follow-up regime. Last, there is a continued lack of high-quality evidence to support an optimal long-term follow-up protocol. Importantly, there is a lack of evidence on clinical outcomes when these guidelines have been followed. Spinal Cord (2014) 52, 640-645; doi:10.1038/sc.2014.90; published online 10 June 2014 INTRODUCTIONThe annual incidence of spinal cord injury (SCI) is up to 40 cases per million. 1 Most of these patients develop neurogenic lower urinary tract dysfunction (NLUTD). 2 Mortality due to urological complications has decreased over recent years; 3 due to meticulous attention to the kidneys and bladder. Long-term urological follow-up is needed to optimise the bladder by low-pressure filling and complete bladder emptying. Restoration of continence is a goal for improved quality of life. 4 SCI patients are best managed in a SCI centre with integrated facilities for rehabilitation and a multidisciplinary approach: involving urologists, rehabilitation specialists, specialist nurses and physiotherapists etc. 5 Although it is agreed that patients with NLUTD should have regular follow-up, there is little concusses how this should be monitored over the long-term to detect urological complications. 6 We conducted a survey of SCI units in 2004 to evaluate the longterm urological management of SCI patients in the United Kingdom and Eire, which showed a considerable variation in urological practice among SCI centres in the United Kingdom and Eire. 7 Since then guidelines have been published on the management of NLUTD, and NLUTD in association with SCI. These include the European Association of Urology (EAU) guidelines for management of NLUTD, 4 proposed Britis...

show abstract

Predicting compliance with annual follow-up evaluations in persons with spinal cord injury

Cited by 36 publications

References 14 publications

Utilization of health services following spinal cord injury: a 6-year follow-up study

Utilization of health services following spinal cord injury: a 6-year follow-up study

Patients' perspective on the comprehensive preventive health evaluation in veterans with spinal cord injury

Long-term urological management in spinal injury units in the UK and Eire: a follow-up study

Contact Info

Product

Resources

About