2026-04-27T01:59:29Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/131682025-05-12T08:21:01Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19614

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