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    The Global Spine Care Initiative: care pathway for people with spine-related concerns
    (SPRINGER, 2018-01-01) Haldeman, Scott; Johnson, Claire D.; Chou, Roger; Nordin, Margareta; Cote, Pierre; Hurwitz, Eric L.; Green, Bart N.; Cedraschi, Christine; Acaroglu, Emre; Kopansky-Giles, Deborah; Ameis, Arthur; Adjei-Kwayisi, Afua; Ayhan, Selim; Blyth, Fiona; Borenstein, David; Brady, O'Dane; Brooks, Peter; Camilleri, Connie; Castellote, Juan M.; Clay, Michael B.; Davatchi, Fereydoun; Dunn, Robert; Goertz, Christine; Griffith, Erin A.; Hondras, Maria; Kane, Edward J.; Lemeunier, Nadege; Mayer, John; Mmopelwa, Tiro; Modic, Michael; Moss, Jean; Mullerpatan, Rajani; Muteti, Elijah; Mwaniki, Lillian; Ngandeu-Singwe, Madeleine; Outerbridge, Geoff; Randhawa, Kristi; Shearer, Heather; Sonmez, Erkin; Torres, Carlos; Torres, Paola; Verville, Leslie; Vlok, Adriaan; Watters III, William; Wong, Chung Chek; Yu, Hainan
    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 five decision steps: awareness, initial triage, provider assessment, interventions (e.g., non-invasive treatment
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    The Global Spine Care Initiative: resources to implement a spine care program
    (SPRINGER, 2018-01-01) Kopansky-Giles, Deborah; Johnson, Claire D.; Haldeman, Scott; Chou, Roger; Cote, Pierre; Green, Bart N.; Nordin, Margareta; Acaroglu, Emre; Ameis, Arthur; Cedraschi, Christine; Hurwitz, Eric L.; Ayhan, Selim; Borenstein, David; Brady, O'Dane; Brooks, Peter; Davatchi, Fereydoun; Dunn, Robert; Goertz, Christine; Hajjaj-Hassouni, Najia; Hartvigsen, Jan; Hondras, Maria; Lemeunier, Nadege; Mayer, John; Mior, Silvano; Moss, Jean; Mullerpatan, Rajani; Muteti, Elijah; Mwaniki, Lillian; Ngandeu-Singwe, Madeleine; Outerbridge, Geoff; Randhawa, Kristi; Torres, Carlos; Torres, Paola; Vlok, Adriaan; Wong, Chung Chek
    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.