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The Global Spine Care Initiative: classification system for spine-related concerns.

Publication ,  Journal Article
Haldeman, S; Johnson, CD; Chou, R; Nordin, M; Côté, P; Hurwitz, EL; Green, BN; Kopansky-Giles, D; Cedraschi, C; Aartun, E; Acaroğlu, E; Yu, H ...
Published in: Eur Spine J
September 2018

PURPOSE: The purpose of this report is to describe the development of a classification system that would apply to anyone with a spine-related concern and that can be used in an evidence-based spine care pathway. METHODS: Existing classification systems for spinal disorders were assembled. A seed document was developed through round-table discussions followed by a modified Delphi process. International and interprofessional clinicians and scientists with expertise in spine-related conditions were invited to participate. RESULTS: Thirty-six experts from 15 countries participated. After the second round, there was 95% agreement of the proposed classification system. The six major classifications included: no or minimal symptoms (class 0); mild symptoms (i.e., neck or back pain) but no interference with activities (class I); moderate or severe symptoms with interference of activities (class II); spine-related neurological signs or symptoms (class III); severe bony spine deformity, trauma or pathology (class IV); and spine-related symptoms or destructive lesions associated with systemic pathology (class V). Subclasses for each major class included chronicity and severity when different interventions were anticipated or recommended. CONCLUSIONS: An international and interprofessional group developed a comprehensive classification system for all potential presentations of people who may seek care or advice at a spine care program. This classification can be used in the development of a spine care pathway, in clinical practice, and for research purposes. This classification needs to be tested for validity, reliability, and consistency among clinicians from different specialties and in different communities and cultures. These slides can be retrieved under Electronic Supplementary Material.

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Published In

Eur Spine J

DOI

EISSN

1432-0932

Publication Date

September 2018

Volume

27

Issue

Suppl 6

Start / End Page

889 / 900

Location

Germany

Related Subject Headings

  • Spinal Diseases
  • Orthopedics
  • Humans
  • Disability Evaluation
  • Delphi Technique
  • 4201 Allied health and rehabilitation science
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
  • 0903 Biomedical Engineering
 

Citation

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Haldeman, S., Johnson, C. D., Chou, R., Nordin, M., Côté, P., Hurwitz, E. L., … Yu, H. (2018). The Global Spine Care Initiative: classification system for spine-related concerns. Eur Spine J, 27(Suppl 6), 889–900. https://doi.org/10.1007/s00586-018-5724-8
Haldeman, Scott, Claire D. Johnson, Roger Chou, Margareta Nordin, Pierre Côté, Eric L. Hurwitz, Bart N. Green, et al. “The Global Spine Care Initiative: classification system for spine-related concerns.Eur Spine J 27, no. Suppl 6 (September 2018): 889–900. https://doi.org/10.1007/s00586-018-5724-8.
Haldeman S, Johnson CD, Chou R, Nordin M, Côté P, Hurwitz EL, et al. The Global Spine Care Initiative: classification system for spine-related concerns. Eur Spine J. 2018 Sep;27(Suppl 6):889–900.
Haldeman, Scott, et al. “The Global Spine Care Initiative: classification system for spine-related concerns.Eur Spine J, vol. 27, no. Suppl 6, Sept. 2018, pp. 889–900. Pubmed, doi:10.1007/s00586-018-5724-8.
Haldeman S, Johnson CD, Chou R, Nordin M, Côté P, Hurwitz EL, Green BN, Kopansky-Giles D, Cedraschi C, Aartun E, Acaroğlu E, Ameis A, Ayhan S, Blyth F, Borenstein D, Brady O, Davatchi F, Goertz C, Hajjaj-Hassouni N, Hartvigsen J, Hondras M, Lemeunier N, Mayer J, Mior S, Mmopelwa T, Modic M, Mullerpatan R, Mwaniki L, Ngandeu-Singwe M, Outerbridge G, Randhawa K, Sönmez E, Torres C, Torres P, Watters W, Yu H. The Global Spine Care Initiative: classification system for spine-related concerns. Eur Spine J. 2018 Sep;27(Suppl 6):889–900.
Journal cover image

Published In

Eur Spine J

DOI

EISSN

1432-0932

Publication Date

September 2018

Volume

27

Issue

Suppl 6

Start / End Page

889 / 900

Location

Germany

Related Subject Headings

  • Spinal Diseases
  • Orthopedics
  • Humans
  • Disability Evaluation
  • Delphi Technique
  • 4201 Allied health and rehabilitation science
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
  • 0903 Biomedical Engineering