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The Global Spine Care Initiative: Care Pathway for People With Spine-Related Concerns Publisher Pubmed



Haldeman S1, 2, 3 ; Johnson CD4, 5 ; Chou R6 ; Nordin M7, 8 ; Cote P9, 10 ; Hurwitz EL11 ; Green BN4, 5 ; Cedraschi C12 ; Acaroglu E13 ; Kopanskygiles D14, 15 ; Ameis A16 ; Adjeikwayisi A17 ; Ayhan S18 ; Blyth F19 Show All Authors
Authors
  1. Haldeman S1, 2, 3
  2. Johnson CD4, 5
  3. Chou R6
  4. Nordin M7, 8
  5. Cote P9, 10
  6. Hurwitz EL11
  7. Green BN4, 5
  8. Cedraschi C12
  9. Acaroglu E13
  10. Kopanskygiles D14, 15
  11. Ameis A16
  12. Adjeikwayisi A17
  13. Ayhan S18
  14. Blyth F19
  15. Borenstein D20
  16. Brady OD21
  17. Brooks P22
  18. Camilleri C23
  19. Castellote JM24
  20. Clay MB25
  21. Davatchi F26
  22. Dunn R27
  23. Goertz C28, 29
  24. Griffith EA30
  25. Hondras M31
  26. Kane EJ32
  27. Lemeunier N33
  28. Mayer J34
  29. Mmopelwa T35
  30. Modic M36
  31. Moss J37
  32. Mullerpatan R38
  33. Muteti E39
  34. Mwaniki L40
  35. Ngandeusingwe M41
  36. Outerbridge G42
  37. Randhawa K9, 10
  38. Shearer H10
  39. Sonmez E43
  40. Torres C44
  41. Torres P45
  42. Verville L9, 10
  43. Vlok A46
  44. Wong CC49
  45. Yu H9, 10
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. National University of Health Sciences, Lombard, IL, United States
  5. 5. Qualcomm Health Center, Stanford Health Care, San Diego, CA, United States
  6. 6. Department of Medical Informatics and Clinical Epidemiology and Department of Medicine, Oregon Health & Science University, Portland, OR, United States
  7. 7. Departments of Orthopedic Surgery and Environmental Medicine, New York University, New York, NY, United States
  8. 8. World Spine Care Europe, Holmfirth, United Kingdom
  9. 9. Faculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, Canada
  10. 10. UOIT-CMCC Centre for Disability Prevention and Rehabilitation, Toronto, Canada
  11. 11. Office of Public Health Studies, University of Hawai’i, Manoa, Honolulu, HI, United States
  12. 12. Division of General Medical Rehabilitation and Division of Clinical Pharmacology and Toxicology, Multidisciplinary Pain Centre, Geneva University Hospitals, Geneva, Switzerland
  13. 13. ARTES Spine Center, Ankara, Turkey
  14. 14. Department of Research, Canadian Memorial Chiropractic College, North York, ON, Canada
  15. 15. Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada
  16. 16. Faculty of Medicine Certification Program in Insurance Medicine and MedicoLegal Expertise, University of Montreal, Toronto, ON, Canada
  17. 17. Ridge Regional Hospital, Ghana World Spine Care, Accra, Greater Accra, Ghana
  18. 18. ARTES Spine Center, Acibadem University, Ankara, Turkey
  19. 19. Concord Clinical School, University of Sydney, Concord, NSW, Australia
  20. 20. Arthritis and Rheumatism Associates, The George Washington University Medical Center, Potomac, MD, United States
  21. 21. World Spine Care, Tampa, FL, United States
  22. 22. Centre for Health Policy, School of Population and Global Health, University of Melbourne, Toorak, Melbourne, VIC, Australia
  23. 23. St. Michael’s Hospital, North York, ON, Canada
  24. 24. National School of Occupational Medicine, Carlos III Institute of Health and Physical Medicine and Rehabilitation, University of Complutense, Madrid, Madrid, Spain
  25. 25. Rehabilitation Care Line, Physical Medicine and Rehabilitation, Cincinnati Veterans Affairs Medical Center, Cincinnati, OH, United States
  26. 26. Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Tehran, Iran
  27. 27. Department of Orthopaedic Surgery, University of Cape Town and Groote Schuur Hospital, Cape Town, Western Cape, South Africa
  28. 28. Palmer College of Chiropractic, Davenport, IA, United States
  29. 29. The Spine Institute for Quality, Davenport, IA, United States
  30. 30. Emergency Medicine, Carlsbad, CA, United States
  31. 31. Department of Anesthesiology, University of Kansas, Medical Center, Kansas City, KS, United States
  32. 32. College of Rehabilitative Sciences, Doctor of Physical Therapy Program, University of St. Augustine for Health Sciences, San Marcos, CA, United States
  33. 33. Institut Franco-Europeen de Chiropraxie, Toulouse, France
  34. 34. U.S. Spine & Sport Foundation, San Diego, CA, United States
  35. 35. ARTES Ankara Spine Centre, Life Gaborone Hospital, Gaborone, Botswana
  36. 36. Cleveland Clinic, Lerner College of Medicine, Cleveland, OH, United States
  37. 37. Canadian Memorial Chiropractic College, President Emerita, Toronto, ON, Canada
  38. 38. Mahatma Gandhi Mission Institute of Health Sciences, MGM School of Physiotherapy, Navi Mumbai, Maharashtra, India
  39. 39. Moi University/Moi Teaching & Referral Hospital, Eldoret, Kenya
  40. 40. Law Society of Kenya, Nairobi, Kenya
  41. 41. Faculty of Medicine and Biomedical Sciences, The University of Yaounde I, Yaounde, Center Region, Cameroon
  42. 42. World Spine Care and Canadian Memorial Chiropractic College, Chelsea, QC, Canada
  43. 43. Department of Neurological Surgery, Baskent University School of Medicine, Ankara, Turkey
  44. 44. Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
  45. 45. Exercise Science Laboratory, School of Kinesiology, Faculty of Medicine, Universidad Finis Terrae, Santiago, Chile
  46. 46. Division of Neurosurgery, University of Stellenbosch, Western Cape, Bellville, South Africa
  47. 47. Department of Orthopedic Weill Cornell Medical School and Institute of Academic Medicine, Houston Methodist Hospital, Houston, TX, United States
  48. 48. Department of Orthopedic Surgery, University of Texas Medical Branch, Galveston, TX, United States
  49. 49. Sarawak General Hospital, Kuching, Sarawak, Malaysia

Source: European Spine Journal Published:2018


Abstract

Purpose: The purpose of this report is to describe the development of an evidence-based care pathway that can be implemented globally. Methods: The Global Spine Care Initiative (GSCI) care pathway development team extracted interventions recommended for the management of spinal disorders from six GSCI articles that synthesized the available evidence from guidelines and relevant literature. Sixty-eight international and interprofessional clinicians and scientists with expertise in spine-related conditions were invited to participate. An iterative consensus process was used. Results: After three rounds of review, 46 experts from 16 countries reached consensus for the care pathway that includes five decision steps: awareness, initial triage, provider assessment, interventions (e.g., non-invasive treatment; invasive treatment; psychological and social intervention; prevention and public health; specialty care and interprofessional management), and outcomes. The care pathway can be used to guide the management of patients with any spine-related concern (e.g., back and neck pain, deformity, spinal injury, neurological conditions, pathology, spinal diseases). The pathway is simple and can be incorporated into educational tools, decision-making trees, and electronic medical records. Conclusion: A care pathway for the management of individuals presenting with spine-related concerns includes evidence-based recommendations to guide health care providers in the management of common spinal disorders. The proposed pathway is person-centered and evidence-based. The acceptability and utility of this care pathway will need to be evaluated in various communities, especially in low- and middle-income countries, with different cultural background and resources. Graphical abstract: These slides can be retrieved under Electronic Supplementary Material.[Figure not available: see fulltext.]. © 2018, The Author(s).
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