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The Global Spine Care Initiative: care pathway for people with spine-related concerns.

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

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. 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

901 / 914

Location

Germany

Related Subject Headings

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

Citation

APA
Chicago
ICMJE
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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: care pathway for people with spine-related concerns. Eur Spine J, 27(Suppl 6), 901–914. https://doi.org/10.1007/s00586-018-5721-y
Haldeman, Scott, Claire D. Johnson, Roger Chou, Margareta Nordin, Pierre Côté, Eric L. Hurwitz, Bart N. Green, et al. “The Global Spine Care Initiative: care pathway for people with spine-related concerns.Eur Spine J 27, no. Suppl 6 (September 2018): 901–14. https://doi.org/10.1007/s00586-018-5721-y.
Haldeman S, Johnson CD, Chou R, Nordin M, Côté P, Hurwitz EL, et al. The Global Spine Care Initiative: care pathway for people with spine-related concerns. Eur Spine J. 2018 Sep;27(Suppl 6):901–14.
Haldeman, Scott, et al. “The Global Spine Care Initiative: care pathway for people with spine-related concerns.Eur Spine J, vol. 27, no. Suppl 6, Sept. 2018, pp. 901–14. Pubmed, doi:10.1007/s00586-018-5721-y.
Haldeman S, Johnson CD, Chou R, Nordin M, Côté P, Hurwitz EL, Green BN, Cedraschi C, Acaroğlu E, Kopansky-Giles D, Ameis A, Adjei-Kwayisi A, Ayhan S, Blyth F, Borenstein D, Brady O, Brooks P, Camilleri C, Castellote JM, Clay MB, Davatchi F, Dunn R, Goertz C, Griffith EA, Hondras M, Kane EJ, Lemeunier N, Mayer J, Mmopelwa T, Modic M, Moss J, Mullerpatan R, Muteti E, Mwaniki L, Ngandeu-Singwe M, Outerbridge G, Randhawa K, Shearer H, Sönmez E, Torres C, Torres P, Verville L, Vlok A, Watters W, Wong CC, Yu H. The Global Spine Care Initiative: care pathway for people with spine-related concerns. Eur Spine J. 2018 Sep;27(Suppl 6):901–914.
Journal cover image

Published In

Eur Spine J

DOI

EISSN

1432-0932

Publication Date

September 2018

Volume

27

Issue

Suppl 6

Start / End Page

901 / 914

Location

Germany

Related Subject Headings

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