Evidence map›Paper›PMID 32849242›Full record

ArticleFrontiers in neurology2020

Considerations for Studying Sex as a Biological Variable in Spinal Cord Injury.

Andrew N Stewart, Steven M MacLean, Arnold J Stromberg, Jessica P Whelan, William M Bailey, John C Gensel, Melinda E Wilson

Erratum issuedAbstract read
In one paragraph

Article in Frontiers in neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 66 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Andrew N StewartDepartment of Physiology, University of Kentucky, Lexington, KY, United States.
Steven M MacLeanDepartment of Physiology, University of Kentucky, Lexington, KY, United States.
Arnold J StrombergDepartment of Statistics, College of Arts and Sciences, University of Kentucky, Lexington, KY, United States.
Jessica P WhelanDepartment of Physiology, University of Kentucky, Lexington, KY, United States.
William M BaileyDepartment of Physiology, University of Kentucky, Lexington, KY, United States.
John C GenselDepartment of Physiology, University of Kentucky, Lexington, KY, United States.
Melinda E WilsonDepartment of Physiology, University of Kentucky, Lexington, KY, United States.

Funding

CRR LIGAND ASSAY AND ANALYSIS CORER24HD102061 · NICHD · UNIVERSITY OF VIRGINIA · PI HAISENLEDER, DANIEL J. · 2019 to 2023
$2.2M
The role of macrophage phenotype and age in spinal cord injuryR01NS091582 · NINDS · UNIVERSITY OF KENTUCKY · PI GENSEL, JOHN C · 2015 to 2019
$1.6M
Role of Age on Anti-oxidant Defense in Spinal Cord Injury: Physiological Changes and InterventionF32NS111241 · NINDS · UNIVERSITY OF KENTUCKY · PI STEWART, ANDREW NATHANIEL · 2019 to 2021
$161k
NICHD NIH HHS R24 HD102061NINDS NIH HHS F32 NS111241NINDS NIH HHS R01 NS091582
6 · The paper itself

Abstract

In response to NIH initiatives to investigate sex as a biological variable in preclinical animal studies, researchers have increased their focus on male and female differences in neurotrauma. Inclusion of both sexes when modeling neurotrauma is leading to the identification of novel areas for therapeutic and scientific exploitation. Here, we review the organizational and activational effects of sex hormones on recovery from injury and how these changes impact the long-term health of spinal cord injury (SCI) patients. When determining how sex affects SCI it remains imperative to expand outcomes beyond locomotor recovery and consider other complications plaguing the quality of life of patients with SCI. Interestingly, the SCI field predominately utilizes female rodents for basic science research which contrasts most other male-biased research fields. We discuss the unique caveats this creates to the translatability of preclinical research in the SCI field. We also review current clinical and preclinical data examining sex as biological variable in SCI. Further, we report how technical considerations such as housing, size, care management, and age, confound the interpretation of sex-specific effects in animal studies of SCI. We have uncovered novel findings regarding how age differentially affects mortality and injury-induced anemia in males and females after SCI, and further identified estrus cycle dysfunction in mice after injury. Emerging concepts underlying sexually dimorphic responses to therapy are also discussed. Through a combination of literature review and primary research observations we present a practical guide for considering and incorporating sex as biological variable in preclinical neurotrauma studies.

Indexed as

bladderestrogengenderpainstroketestosteronetraumatic brain injury (TBI)

Identifiers

PMID32849242
PMCPMC7419700

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.