American Journal of Physical Medicine & Rehabilitation, 2025 · DOI: 10.1097/PHM.0000000000002549 · Published: February 1, 2025
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.
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.
Authors should properly disclose enrollment processes, and readers should carefully interpret studies performed with patient registries, considering the potential for selection bias.
The status of participation in research might be unblinded to healthcare providers, who could potentially modulate their interventions to improve outcomes.