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  4. Incidence of traumatic spinal cord injury worldwide: A systematic review, data integration, and update

Incidence of traumatic spinal cord injury worldwide: A systematic review, data integration, and update

World Neurosurgery: X, 2023 · DOI: https://doi.org/10.1016/j.wnsx.2023.100171 · Published: January 31, 2023

Spinal Cord InjuryTraumaPublic Health

Simple Explanation

Traumatic Spinal Cord Injury (TSCI) is a severe condition that can be prevented, but it has high rates of sickness and death. Because there is no cure, it's important to understand TSCI's epidemiology to create effective prevention plans. Previous SCI reports varied due to different data collection, case definitions, and country socio-economic structures. The InSCI study is a good example in this regard. This review updates a prior study on worldwide TSCI incidence up to April 2013, assessing new publications and compliance with guidelines to enhance knowledge on TSCI incidence.

Study Duration
Records published between April 2013 and May 2020 were added to the original systematic review.
Participants
58 resources including 45 papers, 10 SCI registry reports, 1 book, and 2 theses
Evidence Level
Systematic Review

Key Findings

  • 1
    The review identified TSCI incidence data for eight new countries, expanding knowledge to 49 countries. The TSCI incidence ranges from 3.3 to 195.4 cases per million (cpm) in subnational studies.
  • 2
    National studies show TSCI incidence ranging from 5.1 to 150.48 cpm. However, many studies were low quality, lacking consistent case selection due to unclear TSCI definitions and ascertainment methods.
  • 3
    The absence of a standard form of reporting TSCI hinders the comparability of data across different data sources. Use of various definitions for TSCI may lead to heterogeneity in reports.

Research Summary

This study updates a previous systematic review on the worldwide incidence of traumatic spinal cord injury (TSCI) by including records published between April 2013 and May 2020. The review found data for eight new countries, bringing the total to 49, and reports TSCI incidence ranging from 3.3 to 195.4 cases per million based on subnational studies and 5.1 to 150.48 cases per million based on national studies. The study concludes that there is an increasing number of publications on TSCI epidemiology, but the lack of standardized reporting and varying definitions of TSCI hinder data comparability.

Practical Implications

Preventive Strategies

Understanding TSCI epidemiology at the country level is crucial for planning cost-effective preventive measures.

Data Standardization

Adopting a standard form of reporting TSCI can improve data comparability across different data sources.

Registry Development

Developing countries should consider collaborating with international institutions to design registries and standardize data reporting for TSCI.

Study Limitations

  • 1
    Low quality of many studies
  • 2
    Inconsistent case selection due to unclear definition of TSCI
  • 3
    Unclear ascertainment methods

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