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. 2021 Dec 16;11(12):e053951. doi: 10.1136/bmjopen-2021-053951

Table 2.

Tools, parameters and timing of the study measurements

Assessment tool Parameter Assessment periods
Differential changes in blood parameters (sample taken from the antecubital vein)
 Electrochemiluminescence immunoassay 25(OH)D (nmol/L). 0M, 3M, 6M, 12M
 Photometry—NM-BAPTA Calcium (mmol/L). 0M, 3M, 6M, 12M
 Potentiometry with ion-selective electrodes Ionised calcium (mmol/L). 0M, 3M, 6M, 12M
 Chemiluminescence immunoassay (CLIA) Parathyroid hormone (ng/L). 0M, 3M, 6M, 12M
 Photometry—molybdate ultraviolet Phosphate (mmol/L). 0M, 3M, 6M, 12M
 Photometry—particle-enhanced turbidimetric immunoassay Cystatin C (mg/L). 0M, 3M, 6M, 12M
 Estimated from cystatin C following CKD-EPI and Grubb Estimated glomerular filtration rate (mL/min). 0M, 3M, 6M, 12M
 CLIA Testosterone (ng/dL). 0M, 3M, 6M, 12M
Differential changes in personal characteristics
 Body mass index From weight and height (kg/m²). 0M, 3M, 6M, 12M
 Sun exposure based on Hanwell et al 47 Time spent outdoors (min) with level of exposed skin.* 0M, 3M, 6M, 12M
 Physical activity Sport per week (hours and frequency). 0M, 3M, 6M, 12M
 Medication and supplements Sort and dosage (supplements only). 0M, 3M, 6M, 12M
 Further illnesses Incidence since last measurement. 0M, 3M, 6M, 12M
 Skin phototype on the posterior forearm based on Fitzpatrick48 Six categories ranging from light to very dark skin types. Screening
 SCI characteristics Time since SCI (years), neurological level of injury,49 the degree of impairment following the American Spinal Injury Association Impairment Scale.49 Screening
Differential changes in bone mineral density
 X-ray densitometry, Lunar iDXA Serie with enCORE V.17 Software T-scores for the forearm (radius), hip (femoral neck) and knee (distal femur and proximal tibia). 0M, 12M
Differential changes in functional independence
 Spinal Cord Independence Measure III50 Self-care subscore (0–20), respiration and sphincter management subscore (0–40), indoor mobility subscore (0–10), outdoor mobility subscore (0–30), total score (0–100). 0M, 3M, 6M, 12M
Differential changes in urinary tract infections
 Exact questions of the first-wave questionnaire of the Swiss Spinal Cord Injury (SwiSCI) survey27 51 Incidence since the last measurement, medical care required. 0M, 3M, 6M, 12M
Differential changes in pressure injuries
 Exact questions of the first-wave questionnaire of the SwiSCI survey27 51 Localisation and grade following the European and United States National Pressure Ulcer Advisory panels classification.52 0M, 3M, 6M, 12M
Differential changes in pain
 Exact questions of the first-wave and second-wave questionnaire of the SwisSCI survey,27 51 based on the International SCI Pain Basic Data Set53 as well as the SCI Secondary Conditions Scale54 The occurrence, kind, location and influence of pain during the last week as well as chronic pain (>3 months). 0M, 3M, 6M, 12M
Differential changes in strength
 Jamar Smart Hand Dynamometer (Patterson Medical, Warrenville, Illinois) Three measurements of the left and right hand (mean kg). 0M, 3M, 6M, 12M
Differential changes in mood
 Hospital Anxiety and Depression Scale55 Total score (14–56). 0M, 3M, 6M, 12M
Differential changes in fatigue
 Fatigue Severity Scale56 Total score (9–63). 0M, 3M, 6M, 12M
Differential changes in falls
 Occurrence Incidence since last measurement, reason daily activity, sport or accident) and medical care required. 0M, 3M, 6M, 12M
Safety of the investigational medical products
 Serious adverse events The occurrence of life-threatening medical complications, the requirement of hospitalisation. Any time
 Side effects, tolerability and adherence Number of and reason for missed intake, side effects. 0M, 3M, 6M, 12M

Assessment periods are referenced to the date of the first visit (0M) and include screening (screening; max 30 days before 0M), 3-month follow-up (3M; 90±7 days), 6-month follow-up (6M; 180±7 days) and 12-month follow-up (12M; 365±7 days). Serious adverse events are continuously evaluated.

*Level of exposed skin: (1) hands and face, (2) hands, face and arms, (3) hands, face and legs, (4) entire body (bathing suit).

CKD-EPI, Chronic Kidney Disease Epidemiology Collaboration; NM-BAPTA, 5-nitro-5′-methyl-(1,2-bis(o-aminophenoxy)ethane-N, N, N′, N′-tetraacetic acid); SCI, spinal cord injury.