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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

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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