Scott Haldeman1,2,3, Margareta Nordin4,5, Roger Chou6,7, Pierre Côté8,9, Eric L Hurwitz10, Claire D Johnson11,12, Kristi Randhawa8,9, Bart N Green13,14, Deborah Kopansky-Giles15,16, Emre Acaroğlu17, Arthur Ameis18, Christine Cedraschi19,20, Ellen Aartun9, Afua Adjei-Kwayisi21, Selim Ayhan22, Amer Aziz23, Teresa Bas24, Fiona Blyth25, David Borenstein26, O'Dane Brady27, Peter Brooks28, Connie Camilleri29, Juan M Castellote30,31, Michael B Clay32, Fereydoun Davatchi33, Jean Dudler34, Robert Dunn35,36, Stefan Eberspaecher37, Juan Emmerich38, Jean Pierre Farcy39, Norman Fisher-Jeffes36,40, Christine Goertz41,42, Michael Grevitt43, Erin A Griffith44, Najia Hajjaj-Hassouni45, Jan Hartvigsen46,47, Maria Hondras48, Edward J Kane49, Julie Laplante50, Nadège Lemeunier51, John Mayer52, Silvano Mior53, Tiro Mmopelwa54, Michael Modic55, Jean Moss56, Rajani Mullerpatan57, Elijah Muteti58, Lillian Mwaniki59, Madeleine Ngandeu-Singwe60, Geoff Outerbridge61, Shanmuganathan Rajasekaran62, Heather Shearer9, Matthew Smuck63, Erkin Sönmez64, Patricia Tavares53, Anne Taylor-Vaisey9, Carlos Torres65, Paola Torres66, Alexander van der Horst67,68, Leslie Verville8,9, Emiliano Vialle69, Gomatam Vijay Kumar70, Adriaan Vlok71, William Watters72,73, Chung Chek Wong74, Jessica J Wong9, Hainan Yu8,9, Selcen Yüksel75. 1. Department of Epidemiology, School of Public Health, University of California Los Angeles, Los Angeles, CA, USA. 2. Department of Neurology, University of California, Irvine, Irvine, CA, USA. 3. World Spine Care, Santa Ana, CA, USA. 4. Departments of Orthopedic Surgery and Environmental Medicine, New York University, New York, NY, USA. 5. World Spine Care Europe, Holmfirth, UK. 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. Faculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, ON, Canada. 9. UOIT-CMCC Centre for Disability Prevention and Rehabilitation, Toronto, ON, Canada. 10. Office of Public Health Studies, University of Hawai'i, Mānoa, Honolulu, HI, USA. 11. National University of Health Sciences, Lombard, IL, USA. globalspinecareinitiative@gmail.com. 12. Qualcomm Health Center, Stanford Health Care, San Diego, CA, USA. globalspinecareinitiative@gmail.com. 13. National University of Health Sciences, Lombard, IL, USA. 14. Qualcomm Health Center, Stanford Health Care, San Diego, CA, 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. Certification Program in Insurance Medicine and MedicoLegal Expertise, Faculty of Medicine, University of Montreal, Toronto, ON, Canada. 19. Division of General Medical Rehabilitation, Multidisciplinary Pain Centre, Geneva University Hospitals, Geneva, Switzerland. 20. Division of Clinical Pharmacology and Toxicology, Multidisciplinary Pain Centre, Geneva University Hospitals, Geneva, Switzerland. 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 Pakistan, 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, Madrid, Spain. 31. Physical Medicine and Rehabilitation Department, University Complutense, Madrid, Spain. 32. Rehabilitation Care Line, Physical Medicine and Rehabilitation, Cincinnati Veterans Affairs Medical Center, Cincinnati, OH, USA. 33. Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Tehran, Iran. 34. Department of Rheumatology, HFR Fribourg - Hospital Cantonal, Fribourg, FR, Switzerland. 35. Department of Orthopaedic Surgery, University of Cape Town, Cape Town, Western Cape, South Africa. 36. Groote Schuur Hospital, Cape Town, Western Cape, South Africa. 37. Department of Orthopedics, Princess Marina Hospital, Gaborone, Botswana. 38. University of La Plata, La Plata, Buenos Aires, Argentina. 39. Department of Orthopedic Surgery (retired), New York University, Piermont, NY, USA. 40. Panorama Medi Clinic, Cape Town, Western Cape, South Africa. 41. Palmer College of Chiropractic, Davenport, IA, USA. 42. The Spine Institute for Quality, Davenport, IA, USA. 43. Nottingham University Hospitals, Edwalton, Nottingham, UK. 44. Emergency Medicine, Carlsbad, CA, USA. 45. Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco. 46. Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark. 47. Nordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark. 48. Department of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, USA. 49. College of Rehabilitative Sciences, Doctor of Physical Therapy Program, University of St. Augustine for Health Sciences, San Marcos, CA, USA. 50. School of Sociological and Anthropological Studies, University of Ottawa, Ottawa, ON, Canada. 51. Institut Franco-Européen de Chiropraxie, Toulouse, France. 52. U.S. Spine and Sport Foundation, San Diego, CA, USA. 53. Canadian Memorial Chiropractic College, Toronto, ON, Canada. 54. ARTES Ankara Spine Centre, Life Gaborone Hospital, Gaborone, Botswana. 55. Cleveland Clinic, Lerner College of Medicine, Cleveland, OH, USA. 56. Canadian Memorial Chiropractic College, President Emerita, Toronto, ON, Canada. 57. MGM School of Physiotherapy, Mahatma Gandhi Mission Institute of Health Sciences, Navi Mumbai, Maharashtra, India. 58. Moi University/Moi Teaching and Referral Hospital, Eldoret, Kenya. 59. Law Society of Kenya, Nairobi, Kenya. 60. Faculty of Medicine and Biomedical Sciences, The University of Yaoundé I, Yaounde, Center Region, Cameroon. 61. World Spine Care and Canadian Memorial Chiropractic College, Chelsea, QC, Canada. 62. Department of Orthopaedics and Spine Surgery, Ganga Hospital, Coimbatore, Tamilnadu, India. 63. Department of Orthopaedic Surgery, Stanford University, Redwood City, CA, USA. 64. Department of Neurological Surgery, Başkent University School of Medicine, Ankara, Turkey. 65. Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada. 66. Exercise Science Laboratory, School of Kinesiology, Faculty of Medicine, Universidad Finis Terrae, Santiago, Chile. 67. Department of Surgery, University of Namibia, Windhoek, Namibia. 68. Central Hospital, Windhoek, Namibia. 69. Catholic University of Parana, Curitiba, Paraná, Brazil. 70. AMRI Hospitals, Salt Lake, Kolkata, West Bengal, India. 71. Division of Neurosurgery, University of Stellenbosch, Bellville, Western Cape, South Africa. 72. Department of Orthopedic, Weill Cornell Medical School and Institute of Academic Medicine, Houston Methodist Hospital, Houston, TX, USA. 73. Department of Orthopedic Surgery, University of Texas Medical Branch, Galveston, TX, USA. 74. Sarawak General Hospital, Kuching, Sarawak, Malaysia. 75. Department of Biostatistics, Ankara Yildirim Beyazit University Medical School, Ankara, Turkey.
Abstract
PURPOSE: Spinal disorders, including back and neck pain, are major causes of disability, economic hardship, and morbidity, especially in underserved communities and low- and middle-income countries. Currently, there is no model of care to address this issue. This paper provides an overview of the papers from the Global Spine Care Initiative (GSCI), which was convened to develop an evidence-based, practical, and sustainable, spinal healthcare model for communities around the world with various levels of resources. METHODS: Leading spine clinicians and scientists around the world were invited to participate. The interprofessional, international team consisted of 68 members from 24 countries, representing most disciplines that study or care for patients with spinal symptoms, including family physicians, spine surgeons, rheumatologists, chiropractors, physical therapists, epidemiologists, research methodologists, and other stakeholders. RESULTS: Literature reviews on the burden of spinal disorders and six categories of evidence-based interventions for spinal disorders (assessment, public health, psychosocial, noninvasive, invasive, and the management of osteoporosis) were completed. In addition, participants developed a stratification system for surgical intervention, a classification system for spinal disorders, an evidence-based care pathway, and lists of resources and recommendations to implement the GSCI model of care. CONCLUSION: The GSCI proposes an evidence-based model that is consistent with recent calls for action to reduce the global burden of spinal disorders. The model requires testing to determine feasibility. If it proves to be implementable, this model holds great promise to reduce the tremendous global burden of spinal disorders. These slides can be retrieved under Electronic Supplementary Material.
PURPOSE:Spinal disorders, including back and neck pain, are major causes of disability, economic hardship, and morbidity, especially in underserved communities and low- and middle-income countries. Currently, there is no model of care to address this issue. This paper provides an overview of the papers from the Global Spine Care Initiative (GSCI), which was convened to develop an evidence-based, practical, and sustainable, spinal healthcare model for communities around the world with various levels of resources. METHODS: Leading spine clinicians and scientists around the world were invited to participate. The interprofessional, international team consisted of 68 members from 24 countries, representing most disciplines that study or care for patients with spinal symptoms, including family physicians, spine surgeons, rheumatologists, chiropractors, physical therapists, epidemiologists, research methodologists, and other stakeholders. RESULTS: Literature reviews on the burden of spinal disorders and six categories of evidence-based interventions for spinal disorders (assessment, public health, psychosocial, noninvasive, invasive, and the management of osteoporosis) were completed. In addition, participants developed a stratification system for surgical intervention, a classification system for spinal disorders, an evidence-based care pathway, and lists of resources and recommendations to implement the GSCI model of care. CONCLUSION: The GSCI proposes an evidence-based model that is consistent with recent calls for action to reduce the global burden of spinal disorders. The model requires testing to determine feasibility. If it proves to be implementable, this model holds great promise to reduce the tremendous global burden of spinal disorders. These slides can be retrieved under Electronic Supplementary Material.
Entities:
Keywords:
Back pain; Global burden of disease; Neck pain; Quality of health care; Spinal diseases
Authors: Margareta Nordin; Kristi Randhawa; Paola Torres; Hainan Yu; Scott Haldeman; O'Dane Brady; Pierre Côté; Carlos Torres; Michael Modic; Rajani Mullerpatan; Christine Cedraschi; Roger Chou; Emre Acaroğlu; Eric L Hurwitz; Nadège Lemeunier; Jean Dudler; Anne Taylor-Vaisey; Erkin Sönmez Journal: Eur Spine J Date: 2018-02-28 Impact factor: 3.134
Authors: Jan Hartvigsen; Mark J Hancock; Alice Kongsted; Quinette Louw; Manuela L Ferreira; Stéphane Genevay; Damian Hoy; Jaro Karppinen; Glenn Pransky; Joachim Sieper; Rob J Smeets; Martin Underwood Journal: Lancet Date: 2018-03-21 Impact factor: 79.321
Authors: Claire D Johnson; Scott Haldeman; Roger Chou; Margareta Nordin; Bart N Green; Pierre Côté; Eric L Hurwitz; Deborah Kopansky-Giles; Emre Acaroğlu; Christine Cedraschi; Arthur Ameis; Kristi Randhawa; 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: 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: Christine Cedraschi; Margareta Nordin; Scott Haldeman; Kristi Randhawa; Deborah Kopansky-Giles; Claire D Johnson; Roger Chou; Eric L Hurwitz; Pierre Côté Journal: Eur Spine J Date: 2018-01-27 Impact factor: 3.134
Authors: Nadine E Foster; Johannes R Anema; Dan Cherkin; Roger Chou; Steven P Cohen; Douglas P Gross; Paulo H Ferreira; Julie M Fritz; Bart W Koes; Wilco Peul; Judith A Turner; Chris G Maher Journal: Lancet Date: 2018-03-21 Impact factor: 79.321
Authors: Bart N Green; Claire D Johnson; Scott Haldeman; Erin Griffith; Michael B Clay; Edward J Kane; Juan M Castellote; Shanmuganathan Rajasekaran; Matthew Smuck; Eric L Hurwitz; Kristi Randhawa; Hainan Yu; Margareta Nordin Journal: PLoS One Date: 2018-06-01 Impact factor: 3.240
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: Claire D Johnson; Scott Haldeman; Roger Chou; Margareta Nordin; Bart N Green; Pierre Côté; Eric L Hurwitz; Deborah Kopansky-Giles; Emre Acaroğlu; Christine Cedraschi; Arthur Ameis; Kristi Randhawa; 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: 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: Kai-Uwe Lewandrowski; José-Antonio Soriano-Sánchez; Xifeng Zhang; Jorge Felipe Ramírez León; Sergio Soriano Solis; José Gabriel Rugeles Ortíz; Carolina Ramírez Martínez; Gabriel Oswaldo Alonso Cuéllar; Kaixuan Liu; Qiang Fu; Marlon Sudário de Lima E Silva; Paulo Sérgio Teixeira de Carvalho; Stefan Hellinger; Álvaro Dowling; Nicholas Prada; Gun Choi; Girish Datar; Anthony Yeung Journal: J Spine Surg Date: 2020-01