The Global Spine Care Initiative: classification system for spine-related concerns

dc.contributor.authorHaldeman, Scott
dc.contributor.authorJohnson, Claire D.
dc.contributor.authorChou, Roger
dc.contributor.authorNordin, Margareta
dc.contributor.authorCote, Pierre
dc.contributor.authorHurwitz, Eric L.
dc.contributor.authorGreen, Bart N.
dc.contributor.authorKopansky-Giles, Deborah
dc.contributor.authorCedraschi, Christine
dc.contributor.authorAartun, Ellen
dc.contributor.authorAcaroglu, Emre
dc.contributor.authorAmeis, Arthur
dc.contributor.authorAyhan, Selim
dc.contributor.authorBlyth, Fiona
dc.contributor.authorBorenstein, David
dc.contributor.authorBrady, O'Dane
dc.contributor.authorDavatchi, Fereydoun
dc.contributor.authorGoertz, Christine
dc.contributor.authorHajjaj-Hassouni, Najia
dc.contributor.authorHartvigsen, Jan
dc.contributor.authorHondras, Maria
dc.contributor.authorLemeunier, Nadege
dc.contributor.authorMayer, John
dc.contributor.authorMior, Silvano
dc.contributor.authorMmopelwa, Tiro
dc.contributor.authorModic, Michael
dc.contributor.authorMullerpatan, Rajani
dc.contributor.authorMwaniki, Lillian
dc.contributor.authorNgandeu-Singwe, Madeleine
dc.contributor.authorOuterbridge, Geoff
dc.contributor.authorRandhawa, Kristi
dc.contributor.authorSonmez, Erkin
dc.contributor.authorTorres, Carlos
dc.contributor.authorTorres, Paola
dc.contributor.authorWatters III, William
dc.contributor.authorYu, Hainan
dc.description.abstractPurpose The purpose of this report is to describe the development of a classification system that would apply to anyone with a spine-related concern and that can be used in an evidence-based spine care pathway. Methods Existing classification systems for spinal disorders were assembled. A seed document was developed through round-table discussions followed by a modified Delphi process. International and interprofessional clinicians and scientists with expertise in spine-related conditions were invited to participate. Results Thirty-six experts from 15 countries participated. After the second round, there was 95\% agreement of the proposed classification system. The six major classifications included: no or minimal symptoms (class 0)
dc.description.abstractmild symptoms (i.e., neck or back pain) but no interference with activities (class I)
dc.description.abstractmoderate or severe symptoms with interference of activities (class II)
dc.description.abstractspine-related neurological signs or symptoms (class III)
dc.description.abstractsevere bony spine deformity, trauma or pathology (class IV)
dc.description.abstractand spine-related symptoms or destructive lesions associated with systemic pathology (class V). Subclasses for each major class included chronicity and severity when different interventions were anticipated or recommended. Conclusions An international and interprofessional group developed a comprehensive classification system for all potential presentations of people who may seek care or advice at a spine care program. This classification can be used in the development of a spine care pathway, in clinical practice, and for research purposes. This classification needs to be tested for validity, reliability, and consistency among clinicians from different specialties and in different communities and cultures.
dc.relation.ispartofEUROPEAN SPINE JOURNAL
dc.subjectCritical pathways
dc.subjectSpinal diseases
dc.subjectDelphi technique
dc.subjectNeck pain
dc.subjectBack pain
dc.titleThe Global Spine Care Initiative: classification system for spine-related concerns
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