The Global Spine Care Initiative: World Spine Care executive summary on reducing spine-related disability in low- and middle-income communities.
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Haldeman Scott, Nordin Margareta, Chou Roger, Côté Pierre, Hurwitz Eric L, Johnson Claire D, Randhawa Kristi, Green Bart N, Kopansky-Giles Deborah, Acaroğlu Emre, Ameis Arthur, Cedraschi Christine, Aartun Ellen, Adjei-Kwayisi Afua, Ayhan Selim, Aziz Amer, Bas Teresa, Blyth Fiona, Borenstein David, Brady O'Dane, Brooks Peter, Camilleri Connie, Castellote Juan M, Clay Michael B, Davatchi Fereydoun, Dudler Jean, Dunn Robert, Eberspaecher Stefan, Emmerich Juan, Farcy Jean Pierre, Fisher-Jeffes Norman, Goertz Christine, Grevitt Michael, Griffith Erin A, Hajjaj-Hassouni Najia, Hartvigsen Jan, Hondras Maria, Kane Edward J, Laplante Julie, Lemeunier Nadège, Mayer John, Mior Silvano, Mmopelwa Tiro, Modic Michael, Moss Jean, Mullerpatan Rajani, Muteti Elijah, Mwaniki Lillian, Ngandeu-Singwe Madeleine, Outerbridge Geoff, Rajasekaran Shanmuganathan, Shearer Heather, Smuck Matthew, Sönmez Erkin, Tavares Patricia, Taylor-Vaisey Anne, Torres Carlos, Torres Paola, van der Horst Alexander, Verville Leslie, Vialle Emiliano, Kumar Gomatam Vijay, Vlok Adriaan, Watters William, Wong Chung Chek, Wong Jessica J, Yu Hainan, Yüksel Selcen
Аннотация
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.