The Global Spine Care Initiative: resources to implement a spine care program

Kopansky-Giles D 1 , Johnson CD 2 , Haldeman S 3 , Chou R 4 , Côté P 5 , Green BN 6 Show all authors , Nordin M 7 , Acaroğlu E 8 , Ameis A 9 , Cedraschi C 10 , Hurwitz EL 11 , Ayhan S 12 , Borenstein D 13 , Brady O 14 , Brooks P 15 , Davatchi F 16 , Dunn R 17 , Goertz C 18 , Hajjaj-Hassouni N 19 , Hartvigsen J 20 , Hondras M 21 , Lemeunier N 22 , Mayer J 23 , Mior S 24 , Moss J 25 , Mullerpatan R 26 , Muteti E 27 , Mwaniki L 28 , Ngandeu-Singwe M 29 , Outerbridge G 30 , Randhawa K 5 , Torres C 31 , Torres P 32 , Vlok A 33 , Wong CC 34

Affiliations 

  • 1 Department of Research, Canadian Memorial Chiropractic College, Toronto, ON, Canada
  • 2 National University of Health Sciences, Lombard, IL, USA. globalspinecareinitiative@gmail.com
  • 3 Department of Epidemiology, School of Public Health, University of California Los Angeles, Los Angeles, CA, USA
  • 4 Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, OR, USA
  • 5 Faculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, Canada
  • 6 National University of Health Sciences, Lombard, IL, USA
  • 7 Departments of Orthopedic Surgery and Environmental Medicine, New York University, New York, NY, USA
  • 8 ARTES Spine Center, Ankara, Turkey
  • 9 Certification Program in Insurance Medicine and MedicoLegal Expertise, University of Montreal Faculty of Medicine, Toronto, ON, Canada
  • 10 Division of General Medical Rehabilitation, Multidisciplinary Pain Centre, Geneva University Hospitals, Geneva, Switzerland
  • 11 Office of Public Health Studies, University of Hawai'I, Mānoa, Honolulu, HI, USA
  • 12 ARTES Spine Center, Acibadem University, Ankara, Turkey
  • 13 Arthritis and Rheumatism Associates, The George Washington University Medical Center, Potomac, MD, USA
  • 14 World Spine Care, Tampa, FL, USA
  • 15 Centre for Health Policy, School of Population and Global Health, University of Melbourne, Toorak, Melbourne, VIC, Australia
  • 16 Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Tehran, Iran
  • 17 Department of Orthopaedic Surgery, University of Cape Town, Cape Town, Western Cape, South Africa
  • 18 Palmer College of Chiropractic, Davenport, IA, USA
  • 19 Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
  • 20 Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
  • 21 Department of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, USA
  • 22 Institut Franco-Européen de Chiropraxie, Toulouse, France
  • 23 U.S. Spine and Sport Foundation, San Diego, CA, USA
  • 24 Canadian Memorial Chiropractic College, Toronto, ON, Canada
  • 25 Canadian Memorial Chiropractic College, President Emerita, Toronto, ON, Canada
  • 26 MGM School of Physiotherapy, Mahatma Gandhi Mission Institute of Health Sciences, Navi Mumbai, Maharashtra, India
  • 27 Moi University/Moi Teaching and Referral Hospital, Eldoret, Kenya
  • 28 Law Society of Kenya, Nairobi, Kenya
  • 29 Faculty of Medicine and Biomedical Sciences, The University of Yaoundé I, Yaounde, Center Region, Cameroon
  • 30 World Spine Care and Canadian Memorial Chiropractic College, Chelsea, QC, Canada
  • 31 University of Ottawa, Ottawa, ON, Canada
  • 32 Exercise Science Laboratory, School of Kinesiology, Faculty of Medicine, Universidad Finis Terrae, Santiago, Chile
  • 33 Division of Neurosurgery, University of Stellenbosch, Bellville, Western Cape, South Africa
  • 34 Sarawak General Hospital, Kuching, Sarawak, Malaysia
Eur Spine J, 2018 09;27(Suppl 6):915-924.
PMID: 30151804 DOI: 10.1007/s00586-018-5725-7

Abstract

PURPOSE: The purpose of this report is to describe the development of a list of resources necessary to implement a model of care for the management of spine-related concerns anywhere in the world, but especially in underserved communities and low- and middle-income countries.

METHODS: Contents from the Global Spine Care Initiative (GSCI) Classification System and GSCI care pathway papers provided a foundation for the resources list. A seed document was developed that included resources for spine care that could be delivered in primary, secondary and tertiary settings, as well as resources needed for self-care and community-based settings for a wide variety of spine concerns (e.g., back and neck pain, deformity, spine injury, neurological conditions, pathology and spinal diseases). An iterative expert consensus process was used using electronic surveys.

RESULTS: Thirty-five experts completed the process. An iterative consensus process was used through an electronic survey. A consensus was reached after two rounds. The checklist of resources included the following categories: healthcare provider knowledge and skills, materials and equipment, human resources, facilities and infrastructure. The list identifies resources needed to implement a spine care program in any community, which are based upon spine care needs.

CONCLUSION: To our knowledge, this is the first international and interprofessional attempt to develop a list of resources needed to deliver care in an evidence-based care pathway for the management of people presenting with spine-related concerns. This resource list needs to be field tested in a variety of communities with different resource capacities to verify its utility. 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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