TY - JOUR
T1 - The Global Spine Care Initiative
T2 - care pathway for people with spine-related concerns
AU - Haldeman, Scott
AU - Johnson, Claire D.
AU - Chou, Roger
AU - Nordin, Margareta
AU - Côté, Pierre
AU - Hurwitz, Eric L.
AU - Green, Bart N.
AU - Cedraschi, Christine
AU - Acaroğlu, Emre
AU - Kopansky-Giles, Deborah
AU - Ameis, Arthur
AU - Adjei-Kwayisi, Afua
AU - Ayhan, Selim
AU - Blyth, Fiona
AU - Borenstein, David
AU - Brady, O’Dane D.
AU - Brooks, Peter
AU - Camilleri, Connie
AU - Castellote, Juan M.
AU - Clay, Michael B.
AU - Davatchi, Fereydoun
AU - Dunn, Robert
AU - Goertz, Christine
AU - Griffith, Erin A.
AU - Hondras, Maria
AU - Kane, Edward J.
AU - Lemeunier, Nadège
AU - Mayer, John
AU - Mmopelwa, Tiro
AU - Modic, Michael
AU - Moss, Jean
AU - Mullerpatan, Rajani
AU - Muteti, Elijah
AU - Mwaniki, Lillian
AU - Ngandeu-Singwe, Madeleine
AU - Outerbridge, Geoff
AU - Randhawa, Kristi
AU - Shearer, Heather
AU - Sönmez, Erkin
AU - Torres, Carlos
AU - Torres, Paola
AU - Verville, Leslie
AU - Vlok, Adriaan
AU - Watters, William
AU - Wong, Chung Chek
AU - Yu, Hainan
N1 - Publisher Copyright:
© 2018, The Author(s).
PY - 2018/9/1
Y1 - 2018/9/1
N2 - 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.].
AB - 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.].
KW - Delivery of health care
KW - Evidence-based practice
KW - Quality of health care
KW - Triage
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U2 - 10.1007/s00586-018-5721-y
DO - 10.1007/s00586-018-5721-y
M3 - Article
C2 - 30151811
AN - SCOPUS:85051546895
SN - 0940-6719
VL - 27
SP - 901
EP - 914
JO - European Spine Journal
JF - European Spine Journal
ER -