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The Global Spine Care Initiative: World Spine Care Executive Summary on Reducing Spine-Related Disability in Low- and Middle-Income Communities Publisher Pubmed



Haldeman S1, 2, 3 ; Nordin M4, 5 ; Chou R6, 7 ; Cote P8, 9 ; Hurwitz EL10 ; Johnson CD11, 12 ; Randhawa K8, 9 ; Green BN11, 12 ; Kopanskygiles D13, 14 ; Acaroglu E15 ; Ameis A16 ; Cedraschi C17, 18 ; Aartun E9 ; Adjeikwayisi A19 Show All Authors
Authors
  1. Haldeman S1, 2, 3
  2. Nordin M4, 5
  3. Chou R6, 7
  4. Cote P8, 9
  5. Hurwitz EL10
  6. Johnson CD11, 12
  7. Randhawa K8, 9
  8. Green BN11, 12
  9. Kopanskygiles D13, 14
  10. Acaroglu E15
  11. Ameis A16
  12. Cedraschi C17, 18
  13. Aartun E9
  14. Adjeikwayisi A19
  15. Ayhan S20
  16. Aziz A21
  17. Bas T22
  18. Blyth F23
  19. Borenstein D24
  20. Brady OD25
  21. Brooks P26
  22. Camilleri C27
  23. Castellote JM28, 29
  24. Clay MB30
  25. Davatchi F31
  26. Dudler J32
  27. Dunn R33, 34
  28. Eberspaecher S35
  29. Emmerich J36
  30. Farcy JP37
  31. Fisherjeffes N34, 38
  32. Goertz C39, 40
  33. Grevitt M41
  34. Griffith EA42
  35. Hajjajhassouni N43
  36. Hartvigsen J44, 45
  37. Hondras M46
  38. Kane EJ47
  39. Laplante J48
  40. Lemeunier N49
  41. Mayer J50
  42. Mior S51
  43. Mmopelwa T52
  44. Modic M53
  45. Moss J54
  46. Mullerpatan R55
  47. Muteti E56
  48. Mwaniki L57
  49. Ngandeusingwe M58
  50. Outerbridge G59
  51. Rajasekaran S60
  52. Shearer H9
  53. Smuck M61
  54. Sonmez E62
  55. Tavares P51
  56. Taylorvaisey A9
  57. Torres C63
  58. Torres P64
  59. Van Der Horst A65, 66
  60. Verville L8, 9
  61. Vialle E67
  62. Kumar GV68
  63. Vlok A69
  64. Wong CC72
  65. Wong JJ9
  66. Yu H8, 9
  67. Yuksel S73
Show Affiliations
Authors Affiliations
  1. 1. Department of Epidemiology, School of Public Health, University of California Los Angeles, Los Angeles, CA, United States
  2. 2. Department of Neurology, University of California, Irvine, Irvine, CA, United States
  3. 3. World Spine Care, Santa Ana, CA, United States
  4. 4. Departments of Orthopedic Surgery and Environmental Medicine, New York University, New York, NY, United States
  5. 5. World Spine Care Europe, Holmfirth, United Kingdom
  6. 6. Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, OR, United States
  7. 7. Department of Medicine, Oregon Health and Science University, Portland, OR, United States
  8. 8. Faculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, ON, Canada
  9. 9. UOIT-CMCC Centre for Disability Prevention and Rehabilitation, Toronto, ON, Canada
  10. 10. Office of Public Health Studies, University of Hawai‘i, Manoa, Honolulu, HI, United States
  11. 11. National University of Health Sciences, Lombard, IL, United States
  12. 12. Qualcomm Health Center, Stanford Health Care, San Diego, CA, United States
  13. 13. Department of Research, Canadian Memorial Chiropractic College, Toronto, ON, Canada
  14. 14. Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada
  15. 15. ARTES Spine Center, Ankara, Turkey
  16. 16. Certification Program in Insurance Medicine and MedicoLegal Expertise, Faculty of Medicine, University of Montreal, Toronto, ON, Canada
  17. 17. Division of General Medical Rehabilitation, Multidisciplinary Pain Centre, Geneva University Hospitals, Geneva, Switzerland
  18. 18. Division of Clinical Pharmacology and Toxicology, Multidisciplinary Pain Centre, Geneva University Hospitals, Geneva, Switzerland
  19. 19. Ridge Regional Hospital, Ghana World Spine Care, Accra, Greater Accra, Ghana
  20. 20. ARTES Spine Center, Acibadem University, Ankara, Turkey
  21. 21. Orthopaedics and Spine Department, Ghurki Trust Teaching Hospital Lahore Pakistan, Lahore, Punjab, Pakistan
  22. 22. Department of Surgery, Hospital Universitario and Politecnico La Fe, Valencia University, Valencia, Spain
  23. 23. Concord Clinical School, University of Sydney, Concord, NSW, Australia
  24. 24. Arthritis and Rheumatism Associates, The George Washington University Medical Center, Potomac, MD, United States
  25. 25. World Spine Care, Tampa, FL, United States
  26. 26. Centre for Health Policy, School of Population and Global Health, University of Melbourne, Toorak, Melbourne, VIC, Australia
  27. 27. St Michael’s Hospital, North York, ON, Canada
  28. 28. National School of Occupational Medicine, Carlos III Institute of Health, Madrid, Spain
  29. 29. Physical Medicine and Rehabilitation Department, University Complutense, Madrid, Spain
  30. 30. Rehabilitation Care Line, Physical Medicine and Rehabilitation, Cincinnati Veterans Affairs Medical Center, Cincinnati, OH, United States
  31. 31. Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Tehran, Iran
  32. 32. Department of Rheumatology, HFR Fribourg - Hospital Cantonal, Fribourg, FR, Switzerland
  33. 33. Department of Orthopaedic Surgery, University of Cape Town, Cape Town, Western Cape, South Africa
  34. 34. Groote Schuur Hospital, Cape Town, Western Cape, South Africa
  35. 35. Department of Orthopedics, Princess Marina Hospital, Gaborone, Botswana
  36. 36. University of La Plata, La Plata, Buenos Aires, Argentina
  37. 37. Department of Orthopedic Surgery (retired), New York University, Piermont, NY, United States
  38. 38. Panorama Medi Clinic, Western Cape, Cape Town, South Africa
  39. 39. Palmer College of Chiropractic, Davenport, IA, United States
  40. 40. The Spine Institute for Quality, Davenport, IA, United States
  41. 41. Nottingham University Hospitals, Edwalton, Nottingham, United Kingdom
  42. 42. Emergency Medicine, Carlsbad, CA, United States
  43. 43. Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
  44. 44. Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
  45. 45. Nordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark
  46. 46. Department of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, United States
  47. 47. College of Rehabilitative Sciences, Doctor of Physical Therapy Program, University of St. Augustine for Health Sciences, San Marcos, CA, United States
  48. 48. School of Sociological and Anthropological Studies, University of Ottawa, Ottawa, ON, Canada
  49. 49. Institut Franco-Europeen de Chiropraxie, Toulouse, France
  50. 50. U.S. Spine and Sport Foundation, San Diego, CA, United States
  51. 51. Canadian Memorial Chiropractic College, Toronto, ON, Canada
  52. 52. ARTES Ankara Spine Centre, Life Gaborone Hospital, Gaborone, Botswana
  53. 53. Cleveland Clinic, Lerner College of Medicine, Cleveland, OH, United States
  54. 54. Canadian Memorial Chiropractic College, President Emerita, Toronto, ON, Canada
  55. 55. MGM School of Physiotherapy, Mahatma Gandhi Mission Institute of Health Sciences, Navi Mumbai, Maharashtra, India
  56. 56. Moi University/Moi Teaching and Referral Hospital, Eldoret, Kenya
  57. 57. Law Society of Kenya, Nairobi, Kenya
  58. 58. Faculty of Medicine and Biomedical Sciences, The University of Yaounde I, Yaounde, Center Region, Cameroon
  59. 59. World Spine Care and Canadian Memorial Chiropractic College, Chelsea, QC, Canada
  60. 60. Department of Orthopaedics and Spine Surgery, Ganga Hospital, Coimbatore, Tamilnadu, India
  61. 61. Department of Orthopaedic Surgery, Stanford University, Redwood City, CA, United States
  62. 62. Department of Neurological Surgery, Baskent University School of Medicine, Ankara, Turkey
  63. 63. Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
  64. 64. Exercise Science Laboratory, School of Kinesiology, Faculty of Medicine, Universidad Finis Terrae, Santiago, Chile
  65. 65. Department of Surgery, University of Namibia, Windhoek, Namibia
  66. 66. Central Hospital, Windhoek, Namibia
  67. 67. Catholic University of Parana, Curitiba, Parana, Brazil
  68. 68. AMRI Hospitals, Salt Lake, Kolkata, West Bengal, India
  69. 69. Division of Neurosurgery, University of Stellenbosch, Western Cape, Bellville, South Africa
  70. 70. Department of Orthopedic, Weill Cornell Medical School and Institute of Academic Medicine, Houston Methodist Hospital, Houston, TX, United States
  71. 71. Department of Orthopedic Surgery, University of Texas Medical Branch, Galveston, TX, United States
  72. 72. Sarawak General Hospital, Kuching, Sarawak, Malaysia
  73. 73. Department of Biostatistics, Ankara Yildirim Beyazit University Medical School, Ankara, Turkey

Source: European Spine Journal Published:2018


Abstract

Purpose: Spinal disorders, including back and neck pain, are major causes of disability, economic hardship, and morbidity, especially in underserved communities and low- and middle-income countries. Currently, there is no model of care to address this issue. This paper provides an overview of the papers from the Global Spine Care Initiative (GSCI), which was convened to develop an evidence-based, practical, and sustainable, spinal healthcare model for communities around the world with various levels of resources. Methods: Leading spine clinicians and scientists around the world were invited to participate. The interprofessional, international team consisted of 68 members from 24 countries, representing most disciplines that study or care for patients with spinal symptoms, including family physicians, spine surgeons, rheumatologists, chiropractors, physical therapists, epidemiologists, research methodologists, and other stakeholders. Results: Literature reviews on the burden of spinal disorders and six categories of evidence-based interventions for spinal disorders (assessment, public health, psychosocial, noninvasive, invasive, and the management of osteoporosis) were completed. In addition, participants developed a stratification system for surgical intervention, a classification system for spinal disorders, an evidence-based care pathway, and lists of resources and recommendations to implement the GSCI model of care. Conclusion: The GSCI proposes an evidence-based model that is consistent with recent calls for action to reduce the global burden of spinal disorders. The model requires testing to determine feasibility. If it proves to be implementable, this model holds great promise to reduce the tremendous global burden of spinal disorders. Graphical abstract: These slides can be retrieved under Electronic Supplementary Material.[Figure not available: see fulltext.] © 2018, Springer-Verlag GmbH Germany, part of Springer Nature.
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