German Transcreation of the International Standards to Document Remaining Autonomic Function After Spinal Cord Injury (Second Edition): A Feasibility Study in Individuals With Subacute Phase Spinal Cord Injury/Disease (SCI/D).

The study included only 12 participants, which is too small to generalize the findings to the broader spinal cord injury population. The sample was a convenience sample, not a randomised one, which introduces selection bias. The assessment time did not include the time required to set up the equipment or prepare the patient. There is no evidence that the tool is reliable when used by different assessors (inter-rater reliability was not tested). The high rate of 'not tested' items for sexual function may reflect the clinical environment or assessor behavior rather than just patient refusal.

One author holds an endowed chair and receives funding from various spinal research foundations and companies (e.g., Convatec, Coloplast). Another author is the current chairman of the Autonomic Standard Committee of the American Spinal Injury Association and has served on an advisory board for Coloplast.

Do not interpret the 39-minute completion time as the total time required for clinical use, as it excludes equipment setup and patient preparation. Additionally, the high rate of skipped sexual function questions indicates that the tool's feasibility is compromised in this domain without specific training and protocols for discussing sensitive topics.