Spinal Cord Research Help
AboutCategoriesLatest ResearchContact
Subscribe
Spinal Cord Research Help

Making Spinal Cord Injury (SCI) Research Accessible to Everyone. Simplified summaries of the latest research, designed for patients, caregivers and anybody who's interested.

Quick Links

  • Home
  • About
  • Categories
  • Latest Research
  • Disclaimer

Contact

  • Contact Us
© 2025 Spinal Cord Research Help

All rights reserved.

  1. Home
  2. Research
  3. Spinal Cord Injury
  4. Is the Level of Consent to a National Research Registry Associated With Patient Outcomes After Traumatic Spinal Cord Injury? A Population-Based Study From the Rick Hansen Spinal Cord Injury Registry

Is the Level of Consent to a National Research Registry Associated With Patient Outcomes After Traumatic Spinal Cord Injury? A Population-Based Study From the Rick Hansen Spinal Cord Injury Registry

American Journal of Physical Medicine & Rehabilitation, 2025 · DOI: 10.1097/PHM.0000000000002549 · Published: February 1, 2025

Spinal Cord InjuryPatient ExperienceHealthcare

Simple Explanation

This study looks at whether patients who fully participate in a spinal cord injury registry have different outcomes than those who don't. The researchers used data from the Rick Hansen Spinal Cord Injury Registry to compare patients who gave full consent to data collection with those who declined some parts of it. The study found that patients who didn't fully participate in the registry had longer hospital stays, more complications like pneumonia and pressure injuries, and were less likely to be discharged home. This suggests that patients who are less engaged with research may also have poorer health outcomes. The researchers suggest that healthcare providers should be aware that patients who don't fully participate in research may be more vulnerable and need extra attention. They also highlight the importance of being transparent about how patient registries work and interpreting their findings carefully.

Study Duration
2014 to 2019
Participants
2811 participants with traumatic spinal cord injury (TSCI)
Evidence Level
Not specified

Key Findings

  • 1
    Participants who declined community follow-up interviews but accepted minimal data collection had significantly longer acute length of stay compared to those who provided full consent.
  • 2
    Participants who declined community follow-up were more likely to develop pneumonia or pressure injuries during acute care.
  • 3
    Participants who declined community follow-up were significantly less likely to have home as their final discharge destination.

Research Summary

This retrospective cohort study examined the association between the level of consent to the Rick Hansen Spinal Cord Injury Registry (RHSCIR) and patient outcomes after traumatic spinal cord injury (TSCI). The study found that participants who declined community follow-up interviews but accepted minimal data collection (DWC) had significantly longer acute length of stay, were more likely to develop pneumonia or pressure injuries, and were less likely to be discharged home compared to those who provided full consent (PC). The authors conclude that individuals who do not participate fully in longitudinal research may experience worse health outcomes and decreased community reintegration, suggesting the need for healthcare providers to be aware of this subgroup of individuals.

Practical Implications

Clinical Attention

Healthcare providers should be aware that patients who do not fully participate in research registries may be a subgroup vulnerable to poorer outcomes and in need of specific attention.

Transparency in Research

Authors should properly disclose enrollment processes, and readers should carefully interpret studies performed with patient registries, considering the potential for selection bias.

Intervention Strategies

The status of participation in research might be unblinded to healthcare providers, who could potentially modulate their interventions to improve outcomes.

Study Limitations

  • 1
    DC participants were not analyzed, potentially underestimating the differences between participants with full consent and those with no consent.
  • 2
    DWC participants were merged into a single group, potentially masking differences between those who declined community follow-up and those who withdrew consent.
  • 3
    Administrative factors, such as delayed transfers to rehabilitation facilities, were not considered and may have confounded the results.

Your Feedback

Was this summary helpful?

Back to Spinal Cord Injury