The Global Spine Care Initiative: World Spine Care executive summary on reducing spine-related disability in low- and middle-income communities

Haldeman S 1 , Nordin M 2 , Chou R 3 , Côté P 4 , Hurwitz EL 5 , Johnson CD 6 Show all authors , Randhawa K 4 , Green BN 7 , Kopansky-Giles D 8 , Acaroğlu E 9 , Ameis A 10 , Cedraschi C 11 , Aartun E 12 , Adjei-Kwayisi A 13 , Ayhan S 14 , Aziz A 15 , Bas T 16 , Blyth F 17 , Borenstein D 18 , Brady O 19 , Brooks P 20 , Camilleri C 21 , Castellote JM 22 , Clay MB 23 , Davatchi F 24 , Dudler J 25 , Dunn R 26 , Eberspaecher S 27 , Emmerich J 28 , Farcy JP 29 , Fisher-Jeffes N 30 , Goertz C 31 , Grevitt M 32 , Griffith EA 33 , Hajjaj-Hassouni N 34 , Hartvigsen J 35 , Hondras M 36 , Kane EJ 37 , Laplante J 38 , Lemeunier N 39 , Mayer J 40 , Mior S 41 , Mmopelwa T 42 , Modic M 43 , Moss J 44 , Mullerpatan R 45 , Muteti E 46 , Mwaniki L 47 , Ngandeu-Singwe M 48 , Outerbridge G 49 , Rajasekaran S 50 , Shearer H 12 , Smuck M 51 , Sönmez E 52 , Tavares P 41 , Taylor-Vaisey A 12 , Torres C 53 , Torres P 54 , van der Horst A 55 , Verville L 4 , Vialle E 56 , Kumar GV 57 , Vlok A 58 , Watters W 59 , Wong CC 60 , Wong JJ 12 , Yu H 4 , Yüksel S 61

Affiliations 

  • 1 Department of Epidemiology, School of Public Health, University of California Los Angeles, Los Angeles, CA, USA
  • 2 Departments of Orthopedic Surgery and Environmental Medicine, New York University, New York, NY, USA
  • 3 Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, OR, USA
  • 4 Faculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, ON, Canada
  • 5 Office of Public Health Studies, University of Hawai'i, Mānoa, Honolulu, HI, USA
  • 6 National University of Health Sciences, Lombard, IL, USA. [email protected]
  • 7 National University of Health Sciences, Lombard, IL, USA
  • 8 Department of Research, Canadian Memorial Chiropractic College, Toronto, ON, Canada
  • 9 ARTES Spine Center, Ankara, Turkey
  • 10 Certification Program in Insurance Medicine and MedicoLegal Expertise, Faculty of Medicine, University of Montreal, Toronto, ON, Canada
  • 11 Division of General Medical Rehabilitation, Multidisciplinary Pain Centre, Geneva University Hospitals, Geneva, Switzerland
  • 12 UOIT-CMCC Centre for Disability Prevention and Rehabilitation, Toronto, ON, Canada
  • 13 Ridge Regional Hospital, Ghana World Spine Care, Accra, Greater Accra, Ghana
  • 14 ARTES Spine Center, Acibadem University, Ankara, Turkey
  • 15 Orthopaedics and Spine Department, Ghurki Trust Teaching Hospital Lahore Pakistan, Lahore, Punjab, Pakistan
  • 16 Department of Surgery, Hospital Universitario and Politecnico La Fe, Valencia University, Valencia, Spain
  • 17 Concord Clinical School, University of Sydney, Concord, NSW, Australia
  • 18 Arthritis and Rheumatism Associates, The George Washington University Medical Center, Potomac, MD, USA
  • 19 World Spine Care, Tampa, FL, USA
  • 20 Centre for Health Policy, School of Population and Global Health, University of Melbourne, Toorak, Melbourne, VIC, Australia
  • 21 St Michael's Hospital, North York, ON, Canada
  • 22 National School of Occupational Medicine, Carlos III Institute of Health, Madrid, Spain
  • 23 Rehabilitation Care Line, Physical Medicine and Rehabilitation, Cincinnati Veterans Affairs Medical Center, Cincinnati, OH, USA
  • 24 Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Tehran, Iran
  • 25 Department of Rheumatology, HFR Fribourg - Hospital Cantonal, Fribourg, FR, Switzerland
  • 26 Department of Orthopaedic Surgery, University of Cape Town, Cape Town, Western Cape, South Africa
  • 27 Department of Orthopedics, Princess Marina Hospital, Gaborone, Botswana
  • 28 University of La Plata, La Plata, Buenos Aires, Argentina
  • 29 Department of Orthopedic Surgery (retired), New York University, Piermont, NY, USA
  • 30 Groote Schuur Hospital, Cape Town, Western Cape, South Africa
  • 31 Palmer College of Chiropractic, Davenport, IA, USA
  • 32 Nottingham University Hospitals, Edwalton, Nottingham, UK
  • 33 Emergency Medicine, Carlsbad, CA, USA
  • 34 Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
  • 35 Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
  • 36 Department of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, USA
  • 37 College of Rehabilitative Sciences, Doctor of Physical Therapy Program, University of St. Augustine for Health Sciences, San Marcos, CA, USA
  • 38 School of Sociological and Anthropological Studies, University of Ottawa, Ottawa, ON, Canada
  • 39 Institut Franco-Européen de Chiropraxie, Toulouse, France
  • 40 U.S. Spine and Sport Foundation, San Diego, CA, USA
  • 41 Canadian Memorial Chiropractic College, Toronto, ON, Canada
  • 42 ARTES Ankara Spine Centre, Life Gaborone Hospital, Gaborone, Botswana
  • 43 Cleveland Clinic, Lerner College of Medicine, Cleveland, OH, USA
  • 44 Canadian Memorial Chiropractic College, President Emerita, Toronto, ON, Canada
  • 45 MGM School of Physiotherapy, Mahatma Gandhi Mission Institute of Health Sciences, Navi Mumbai, Maharashtra, India
  • 46 Moi University/Moi Teaching and Referral Hospital, Eldoret, Kenya
  • 47 Law Society of Kenya, Nairobi, Kenya
  • 48 Faculty of Medicine and Biomedical Sciences, The University of Yaoundé I, Yaounde, Center Region, Cameroon
  • 49 World Spine Care and Canadian Memorial Chiropractic College, Chelsea, QC, Canada
  • 50 Department of Orthopaedics and Spine Surgery, Ganga Hospital, Coimbatore, Tamilnadu, India
  • 51 Department of Orthopaedic Surgery, Stanford University, Redwood City, CA, USA
  • 52 Department of Neurological Surgery, Başkent University School of Medicine, Ankara, Turkey
  • 53 Department of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada
  • 54 Exercise Science Laboratory, School of Kinesiology, Faculty of Medicine, Universidad Finis Terrae, Santiago, Chile
  • 55 Department of Surgery, University of Namibia, Windhoek, Namibia
  • 56 Catholic University of Parana, Curitiba, Paraná, Brazil
  • 57 AMRI Hospitals, Salt Lake, Kolkata, West Bengal, India
  • 58 Division of Neurosurgery, University of Stellenbosch, Bellville, Western Cape, South Africa
  • 59 Department of Orthopedic, Weill Cornell Medical School and Institute of Academic Medicine, Houston Methodist Hospital, Houston, TX, USA
  • 60 Sarawak General Hospital, Kuching, Sarawak, Malaysia
  • 61 Department of Biostatistics, Ankara Yildirim Beyazit University Medical School, Ankara, Turkey
Eur Spine J, 2018 09;27(Suppl 6):776-785.
PMID: 30151809 DOI: 10.1007/s00586-018-5722-x

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.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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