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dc.rights.licenseopenen_US
dc.contributor.authorBUZZELL, A.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorCHAMBERLAIN, Jonviea D.
dc.contributor.authorERIKS-HOOGLAND, I.
dc.contributor.authorJORDAN, X.
dc.contributor.authorSCHUBERT, M.
dc.contributor.authorZWAHLEN, M.
dc.contributor.authorBRINKHOF, M. W. G.
dc.date.accessioned2021-03-25T14:02:41Z
dc.date.available2021-03-25T14:02:41Z
dc.date.issued2020-09-18
dc.identifier.issn1362-4393en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/26802
dc.description.abstractEnSTUDY DESIGN: Observational, population-based cohort study. OBJECTIVES: To evaluate the origin and contribution to excess of survival differences following non-traumatic spinal cord injury (NTSCI) using etiology as proxy for variation in underlying health condition. SETTING: Specialized rehabilitation centers in Switzerland. METHODS: Medical record data collected by the Swiss Spinal Cord Injury cohort (SwiSCI) study were linked with mortality information from the Swiss National Cohort. Considering contemporary theory and empirical evidence, a directed acyclic graph (DAG) was developed to formally evaluate causal differences among NTSCI etiologies, relative to traumatic SCI (TSCI). Statistical inference was contingent on hazard ratios (HRs) and marginal survival differences, derived using flexible parametric modeling. RESULTS: 3643 individuals (NTSCI = 1357; TSCI = 2286) diagnosed with SCI between 1990 and 2011 were included, contributing a cumulative 41,344 person-years and 1323 deaths. Test statistics confirmed DAG-dataset consistency. As compared to TSCI, mortality was elevated in all NTSCI etiological groups; malignant etiologies had the highest HRs (10; 95% CI, 8.0 to 14) followed by infection (2.6; 1.8 to 3.6) and vascular (2.5; 2.0 to 3.2) etiology groups. At the attained age of 55, the estimated reduction in survival among non-malignant etiologies was 9.4% (5.8 to 13) at 5 years and 17% (11 to 23) at 20 years. CONCLUSIONS: Causal differences in survival among NTSCI etiological groups are likely a result of chronic variation in health conditions. This study supports the development of long-term interdisciplinary management and policy for individuals with NTSCI, specific to etiology.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.title.enEtiology-specific variation in survival following non-traumatic spinal cord injury: a causal inference approach using data from a population-based cohort
dc.title.alternativeSpinal Corden_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1038/s41393-020-00554-9en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed32948845en_US
bordeaux.journalSpinal Corden_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - U1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.teamVINTAGEen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDSchweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschungen_US
hal.identifierhal-03181283
hal.version1
hal.date.transferred2021-03-25T14:02:45Z
hal.exporttrue
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Spinal%20Cord&rft.date=2020-09-18&rft.eissn=1362-4393&rft.issn=1362-4393&rft.au=BUZZELL,%20A.&CHAMBERLAIN,%20Jonviea%20D.&ERIKS-HOOGLAND,%20I.&JORDAN,%20X.&SCHUBERT,%20M.&rft.genre=article


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