2024-03-28T22:57:56Zhttp://repisalud.isciii.es/oai/requestoai:repisalud.isciii.es:20.500.12105/131682023-10-31T13:58:10Zcom_20.500.12105_2095com_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_2096
00925njm 22002777a 4500
dc
Haldeman, Scott
author
Johnson, Claire D
author
Chou, Roger
author
Nordin, Margareta
author
Côté, Pierre
author
Hurwitz, Eric L
author
Green, Bart N
author
Cedraschi, Christine
author
Acaroğlu, Emre
author
Kopansky-Giles, Deborah
author
Ameis, Arthur
author
Adjei-Kwayisi, Afua
author
Ayhan, Selim
author
Blyth, Fiona
author
Borenstein, David
author
Brady, O'Dane
author
Brooks, Peter
author
Camilleri, Connie
author
Castellote, Juan Manuel
author
Clay, Michael B
author
Davatchi, Fereydoun
author
Dunn, Robert
author
Goertz, Christine
author
Griffith, Erin A
author
Hondras, Maria
author
Kane, Edward J
author
Lemeunier, Nadège
author
Mayer, John
author
Mmopelwa, Tiro
author
Modic, Michael
author
Moss, Jean
author
Mullerpatan, Rajani
author
Muteti, Elijah
author
Mwaniki, Lillian
author
Ngandeu-Singwe, Madeleine
author
Outerbridge, Geoff
author
Randhawa, Kristi
author
Shearer, Heather
author
Sönmez, Erkin
author
Torres, Carlos
author
Torres, Paola
author
Verville, Leslie
author
Vlok, Adriaan
author
Watters, William
author
Wong, Chung Chek
author
Yu, Hainan
author
2018
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 fve 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 evidencebased 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 diferent cultural background and resources.
Eur Spine J. 2018 Sep;27(Suppl 6):901-914.
http://hdl.handle.net/20.500.12105/13168
30151811
10.1007/s00586-018-5721-y
1432-0932
European Spine Journal
Delivery of health care
Evidence-based practice
Quality of health care
Triage
The Global Spine Care Initiative: care pathway for people with spine-related concerns