Claire D Johnson1,2, Scott Haldeman3,4,5, Roger Chou6,7, Margareta Nordin8,9, Bart N Green10,11, Pierre Côté12,13, Eric L Hurwitz14, Deborah Kopansky-Giles15,16, Emre Acaroğlu17, Christine Cedraschi18,19, Arthur Ameis20, Kristi Randhawa12,13, Ellen Aartun13, Afua Adjei-Kwayisi21, Selim Ayhan22, Amer Aziz23, Teresa Bas24, Fiona Blyth25, David Borenstein26, O'Dane Brady27, Peter Brooks28, Connie Camilleri29, Juan M Castellote30, Michael B Clay31, Fereydoun Davatchi32, Jean Dudler33, Robert Dunn34, Stefan Eberspaecher35, Juan Emmerich36, Jean Pierre Farcy37, Norman Fisher-Jeffes38, Christine Goertz39, Michael Grevitt40, Erin A Griffith41, Najia Hajjaj-Hassouni42, Jan Hartvigsen43,44, Maria Hondras45, Edward J Kane46, Julie Laplante47, Nadège Lemeunier48, John Mayer49, Silvano Mior50, Tiro Mmopelwa51, Michael Modic52, Jean Moss50, Rajani Mullerpatan53, Elijah Muteti54, Lillian Mwaniki55, Madeleine Ngandeu-Singwe56, Geoff Outerbridge57, Shanmuganathan Rajasekaran58, Heather Shearer13, Matthew Smuck59, Erkin Sönmez60, Patricia Tavares50, Anne Taylor-Vaisey13, Carlos Torres61, Paola Torres62, Alexander van der Horst63,64, Leslie Verville12,13, Emiliano Vialle65, Gomatam Vijay Kumar66, Adriaan Vlok67, William Watters68,69, Chung Chek Wong70, Jessica J Wong13, Hainan Yu12,13, Selcen Yüksel71. 1. National University of Health Sciences, Lombard, IL, USA. globalspinecareinitiative@gmail.com. 2. Qualcomm Health Center, Stanford Health Care, San Diego, CA, USA. globalspinecareinitiative@gmail.com. 3. Department of Epidemiology, School of Public Health, University of California Los Angeles, Los Angeles, CA, USA. 4. Department of Neurology, University of California, Irvine, Irvine, CA, USA. 5. World Spine Care, Santa Ana, CA, USA. 6. Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, OR, USA. 7. Department of Medicine, Oregon Health and Science University, Portland, OR, USA. 8. Departments of Orthopedic Surgery and Environmental Medicine, New York University, New York, NY, USA. 9. World Spine Care Europe, Holmfirth, UK. 10. National University of Health Sciences, Lombard, IL, USA. 11. Qualcomm Health Center, Stanford Health Care, San Diego, CA, USA. 12. Faculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, Canada. 13. UOIT-CMCC Centre for Disability Prevention and Rehabilitation, Toronto, Canada. 14. Office of Public Health Studies, University of Hawai`i, Mānoa, Honolulu, HI, USA. 15. Department of Research, Canadian Memorial Chiropractic College, Toronto, ON, Canada. 16. Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada. 17. ARTES Spine Center, Ankara, Turkey. 18. Division of General Medical Rehabilitation, Multidisciplinary Pain Centre, Geneva University Hospitals, Geneva, Switzerland. 19. Division of Clinical Pharmacology and Toxicology, Multidisciplinary Pain Centre, Geneva University Hospitals, Geneva, Switzerland. 20. Certification Program in Insurance Medicine and MedicoLegal Expertise, Faculty of Medicine, University of Montreal, Toronto, ON, Canada. 21. Ridge Regional Hospital, Ghana World Spine Care, Accra, Greater Accra, Ghana. 22. ARTES Spine Center, Acibadem University, Ankara, Turkey. 23. Orthopaedics and Spine Department, Ghurki Trust Teaching Hospital, Lahore, Punjab, Pakistan. 24. Department of Surgery, Hospital Universitario and Politecnico La Fe, Valencia University, Valencia, Spain. 25. Concord Clinical School, University of Sydney, Concord, NSW, Australia. 26. Arthritis and Rheumatism Associates, The George Washington University Medical Center, Potomac, MD, USA. 27. World Spine Care, Tampa, FL, USA. 28. Centre for Health Policy, School of Population and Global Health, University of Melbourne, Toorak, Melbourne, VIC, Australia. 29. St Michael's Hospital, North York, ON, Canada. 30. National School of Occupational Medicine, Carlos III Institute of Health and Physical Medicine and Rehabilitation, University of Complutense, Madrid, Madrid, Spain. 31. Rehabilitation Care Line, Physical Medicine and Rehabilitation, Cincinnati Veterans Affairs Medical Center, Cincinnati, OH, USA. 32. Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Tehran, Iran. 33. Department of Rheumatology, HFR Fribourg - Hospital Cantonal, Fribourg, FR, Switzerland. 34. Department of Orthopaedic Surgery, Groote Schuur Hospital, University of Cape Town, Cape Town, Western Cape, South Africa. 35. Department of Orthopedics, Princess Marina Hospital, Gaborone, Botswana. 36. University of La Plata, La Plata, Buenos Aires, Argentina. 37. Department of Orthopedic Surgery (retired), New York University, Piermont, NY, USA. 38. Private Practice - Panorama Medi Clinic and Sessional Consultant, Groote Schuur Hospital, Cape Town, Western Cape, South Africa. 39. Palmer College of Chiropractic, The Spine Institute for Quality, Davenport, IA, USA. 40. Nottingham University Hospitals, Edwalton, Nottingham, UK. 41. Emergency Medicine, Carlsbad, CA, USA. 42. Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco. 43. Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark. 44. Nordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark. 45. Department of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, USA. 46. College of Rehabilitative Sciences, Doctor of Physical Therapy Program, University of St. Augustine for Health Sciences, San Marcos, CA, USA. 47. School of Sociological and Anthropological Studies, University of Ottawa, Ottawa, ON, Canada. 48. Institut Franco-Européen de Chiropraxie, Toulouse, France. 49. U.S. Spine and Sport Foundation, San Diego, CA, USA. 50. Canadian Memorial Chiropractic College, Toronto, ON, Canada. 51. ARTES Ankara Spine Centre, Life Gaborone Hospital, Gaborone, Botswana. 52. Cleveland Clinic, Lerner College of Medicine, Cleveland, OH, USA. 53. MGM School of Physiotherapy, Mahatma Gandhi Mission Institute of Health Sciences, Navi Mumbai, Maharashtra, India. 54. Moi Teaching and Referral Hospital, Moi University, Eldoret, Kenya. 55. Law Society of Kenya, Nairobi, Kenya. 56. Faculty of Medicine and Biomedical Sciences, The University of Yaoundé I, Yaoundé, Center Region, Cameroon. 57. World Spine Care, Canadian Memorial Chiropractic College, Chelsea, QC, Canada. 58. Department of Orthopaedics and Spine Surgery, Ganga Hospital, Coimbatore, Tamilnadu, India. 59. Department of Orthopaedic Surgery, Stanford University, Redwood City, CA, USA. 60. Department of Neurological Surgery, Başkent University School of Medicine, Ankara, Turkey. 61. Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada. 62. Exercise Science Laboratory, Faculty of Medicine, School of Kinesiology, Universidad Finis Terrae, Santiago, Chile. 63. Department of Surgery, University of Namibia, Windhoek, Namibia. 64. Central Hospital, Windhoek, Namibia. 65. Catholic University of Parana, Curitiba, Paraná, Brazil. 66. AMRI Hospitals, Salt Lake, Kolkata, West Bengal, India. 67. Division of Neurosurgery, University of Stellenbosch, Bellville, Western Cape, South Africa. 68. Department of Orthopedic, Weill Cornell Medical School, Institute of Academic Medicine, Houston Methodist Hospital, Houston, TX, USA. 69. Department of Orthopedic Surgery, University of Texas Medical Branch, Galveston, TX, USA. 70. Sarawak General Hospital, Kuching, Sarawak, Malaysia. 71. Department of Biostatistics, Ankara Yildirim Beyazit University Medical School, Ankara, Turkey.
Abstract
PURPOSE: Spine-related disorders are a leading cause of global disability and are a burden on society and to public health. Currently, there is no comprehensive, evidence-based model of care for spine-related disorders, which includes back and neck pain, deformity, spine injury, neurological conditions, spinal diseases, and pathology, that could be applied in global health care settings. The purposes of this paper are to propose: (1) principles to transform the delivery of spine care; (2) an evidence-based model that could be applied globally; and (3) implementation suggestions. METHODS: The Global Spine Care Initiative (GSCI) meetings and literature reviews were synthesized into a seed document and distributed to spine care experts. After three rounds of a modified Delphi process, all participants reached consensus on the final model of care and implementation steps. RESULTS: Sixty-six experts representing 24 countries participated. The GSCI model of care has eight core principles: person-centered, people-centered, biopsychosocial, proactive, evidence-based, integrative, collaborative, and self-sustaining. The model of care includes a classification system and care pathway, levels of care, and a focus on the patient's journey. The six steps for implementation are initiation and preparation; assessment of the current situation; planning and designing solutions; implementation; assessment and evaluation of program; and sustain program and scale up. CONCLUSION: The GSCI proposes an evidence-based, practical, sustainable, and scalable model of care representing eight core principles with a six-step implementation plan. The aim of this model is to help transform spine care globally, especially in low- and middle-income countries and underserved communities. These slides can be retrieved under Electronic Supplementary Material.
PURPOSE: Spine-related disorders are a leading cause of global disability and are a burden on society and to public health. Currently, there is no comprehensive, evidence-based model of care for spine-related disorders, which includes back and neck pain, deformity, spine injury, neurological conditions, spinal diseases, and pathology, that could be applied in global health care settings. The purposes of this paper are to propose: (1) principles to transform the delivery of spine care; (2) an evidence-based model that could be applied globally; and (3) implementation suggestions. METHODS: The Global Spine Care Initiative (GSCI) meetings and literature reviews were synthesized into a seed document and distributed to spine care experts. After three rounds of a modified Delphi process, all participants reached consensus on the final model of care and implementation steps. RESULTS: Sixty-six experts representing 24 countries participated. The GSCI model of care has eight core principles: person-centered, people-centered, biopsychosocial, proactive, evidence-based, integrative, collaborative, and self-sustaining. The model of care includes a classification system and care pathway, levels of care, and a focus on the patient's journey. The six steps for implementation are initiation and preparation; assessment of the current situation; planning and designing solutions; implementation; assessment and evaluation of program; and sustain program and scale up. CONCLUSION: The GSCI proposes an evidence-based, practical, sustainable, and scalable model of care representing eight core principles with a six-step implementation plan. The aim of this model is to help transform spine care globally, especially in low- and middle-income countries and underserved communities. These slides can be retrieved under Electronic Supplementary Material.
Entities:
Keywords:
Global burden of disease; Musculoskeletal system; Quality of health care; Spinal diseases
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Authors: Bart N Green; Claire D Johnson; Scott Haldeman; Edward J Kane; Michael B Clay; Erin A Griffith; Juan M Castellote; Matthew Smuck; Shanmuganathan Rajasekaran; Eric L Hurwitz; Margareta Nordin; Kristi Randhawa; Hainan Yu Journal: Eur Spine J Date: 2018-08-11 Impact factor: 3.134
Authors: Scott Haldeman; Claire D Johnson; Roger Chou; Margareta Nordin; Pierre Côté; Eric L Hurwitz; Bart N Green; Deborah Kopansky-Giles; Christine Cedraschi; Ellen Aartun; Emre Acaroğlu; Arthur Ameis; Selim Ayhan; Fiona Blyth; David Borenstein; O'Dane Brady; Fereydoun Davatchi; Christine Goertz; Najia Hajjaj-Hassouni; Jan Hartvigsen; Maria Hondras; Nadège Lemeunier; John Mayer; Silvano Mior; Tiro Mmopelwa; Michael Modic; Rajani Mullerpatan; Lillian Mwaniki; Madeleine Ngandeu-Singwe; Geoff Outerbridge; Kristi Randhawa; Erkin Sönmez; Carlos Torres; Paola Torres; William Watters; Hainan Yu Journal: Eur Spine J Date: 2018-08-27 Impact factor: 3.134
Authors: Claire D Johnson; Scott Haldeman; Margareta Nordin; Roger Chou; Pierre Côté; Eric L Hurwitz; Bart N Green; Deborah Kopansky-Giles; Kristi Randhawa; Christine Cedraschi; Arthur Ameis; Emre Acaroğlu; Ellen Aartun; Afua Adjei-Kwayisi; Selim Ayhan; Amer Aziz; Teresa Bas; Fiona Blyth; David Borenstein; O'Dane Brady; Peter Brooks; Connie Camilleri; Juan M Castellote; Michael B Clay; Fereydoun Davatchi; Jean Dudler; Robert Dunn; Stefan Eberspaecher; Juan Emmerich; Jean Pierre Farcy; Norman Fisher-Jeffes; Christine Goertz; Michael Grevitt; Erin A Griffith; Najia Hajjaj-Hassouni; Jan Hartvigsen; Maria Hondras; Edward J Kane; Julie Laplante; Nadège Lemeunier; John Mayer; Silvano Mior; Tiro Mmopelwa; Michael Modic; Jean Moss; Rajani Mullerpatan; Elijah Muteti; Lillian Mwaniki; Madeleine Ngandeu-Singwe; Geoff Outerbridge; Shanmuganathan Rajasekaran; Heather Shearer; Matthew Smuck; Erkin Sönmez; Patricia Tavares; Anne Taylor-Vaisey; Carlos Torres; Paola Torres; Alexander van der Horst; Leslie Verville; Emiliano Vialle; Gomatam Vijay Kumar; Adriaan Vlok; William Watters; Chung Chek Wong; Jessica J Wong; Hainan Yu; Selcen Yüksel Journal: Eur Spine J Date: 2018-08-27 Impact factor: 3.134
Authors: Scott Haldeman; Claire D Johnson; Roger Chou; Margareta Nordin; Pierre Côté; Eric L Hurwitz; Bart N Green; Christine Cedraschi; Emre Acaroğlu; Deborah Kopansky-Giles; Arthur Ameis; Afua Adjei-Kwayisi; Selim Ayhan; Fiona Blyth; David Borenstein; O'Dane Brady; Peter Brooks; Connie Camilleri; Juan M Castellote; Michael B Clay; Fereydoun Davatchi; Robert Dunn; Christine Goertz; Erin A Griffith; Maria Hondras; Edward J Kane; Nadège Lemeunier; John Mayer; Tiro Mmopelwa; Michael Modic; Jean Moss; Rajani Mullerpatan; Elijah Muteti; Lillian Mwaniki; Madeleine Ngandeu-Singwe; Geoff Outerbridge; Kristi Randhawa; Heather Shearer; Erkin Sönmez; Carlos Torres; Paola Torres; Leslie Verville; Adriaan Vlok; William Watters; Chung Chek Wong; Hainan Yu Journal: Eur Spine J Date: 2018-08-27 Impact factor: 3.134
Authors: Deborah Kopansky-Giles; Claire D Johnson; Scott Haldeman; Roger Chou; Pierre Côté; Bart N Green; Margareta Nordin; Emre Acaroğlu; Arthur Ameis; Christine Cedraschi; Eric L Hurwitz; Selim Ayhan; David Borenstein; O'Dane Brady; Peter Brooks; Fereydoun Davatchi; Robert Dunn; Christine Goertz; Najia Hajjaj-Hassouni; Jan Hartvigsen; Maria Hondras; Nadège Lemeunier; John Mayer; Silvano Mior; Jean Moss; Rajani Mullerpatan; Elijah Muteti; Lillian Mwaniki; Madeleine Ngandeu-Singwe; Geoff Outerbridge; Kristi Randhawa; Carlos Torres; Paola Torres; Adriaan Vlok; Chung Chek Wong Journal: Eur Spine J Date: 2018-08-27 Impact factor: 3.134
Authors: Scott Haldeman; Margareta Nordin; Roger Chou; Pierre Côté; Eric L Hurwitz; Claire D Johnson; Kristi Randhawa; Bart N Green; Deborah Kopansky-Giles; Emre Acaroğlu; Arthur Ameis; Christine Cedraschi; Ellen Aartun; Afua Adjei-Kwayisi; Selim Ayhan; Amer Aziz; Teresa Bas; Fiona Blyth; David Borenstein; O'Dane Brady; Peter Brooks; Connie Camilleri; Juan M Castellote; Michael B Clay; Fereydoun Davatchi; Jean Dudler; Robert Dunn; Stefan Eberspaecher; Juan Emmerich; Jean Pierre Farcy; Norman Fisher-Jeffes; Christine Goertz; Michael Grevitt; Erin A Griffith; Najia Hajjaj-Hassouni; Jan Hartvigsen; Maria Hondras; Edward J Kane; Julie Laplante; Nadège Lemeunier; John Mayer; Silvano Mior; Tiro Mmopelwa; Michael Modic; Jean Moss; Rajani Mullerpatan; Elijah Muteti; Lillian Mwaniki; Madeleine Ngandeu-Singwe; Geoff Outerbridge; Shanmuganathan Rajasekaran; Heather Shearer; Matthew Smuck; Erkin Sönmez; Patricia Tavares; Anne Taylor-Vaisey; Carlos Torres; Paola Torres; Alexander van der Horst; Leslie Verville; Emiliano Vialle; Gomatam Vijay Kumar; Adriaan Vlok; William Watters; Chung Chek Wong; Jessica J Wong; Hainan Yu; Selcen Yüksel Journal: Eur Spine J Date: 2018-08-27 Impact factor: 3.134