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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

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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