The Global Spine Care Initiative: a review of reviews and recommendations for the non-invasive management of acute osteoporotic vertebral compression fracture pain in low- and middle-income communities

Arthur Ameis, Kristi Randhawa, Hainan Yu, Pierre Côté, Scott Haldeman, Roger Chou, Eric L. Hurwitz, Margareta Nordin, Jessica J. Wong, Heather M. Shearer, Anne Taylor-Vaisey

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Purpose: The purpose of this review was to develop recommendations for non-invasive management of pain due to osteoporotic vertebral compression fractures (OVCF) that could be applied in medically underserved areas and low- and middle-income countries. Methods: We conducted a systematic review and best evidence synthesis of systematic reviews on the non-invasive management of OVCF. Eligible reviews were critically appraised using the Scottish Intercollegiate Guidelines Network criteria. Low risk of bias systematic reviews and high-quality primary studies that were identified in the reviews were used to develop recommendations. Results: From 6 low risk of bias systematic reviews and 14 high-quality primary studies we established that for acute pain management, in addition to rest and analgesic medication, orthoses may provide temporary pain relief, in addition to early mobilization. Calcitonin can be considered as a supplement to analgesics; however, cost is of concern. Once acute pain control is achieved, exercise can be effective for improving function and quality of life. Conclusion: The findings from this study will help to inform the GSCI care pathway and model of care for use in medically underserved areas and low- and middle-income countries. Conservative management of acute pain and recovery of function in adults with OVCF should include early mobilization, exercise, spinal orthosis for pain relief, and calcitonin for analgesic-refractory acute pain.

Original languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalEuropean Spine Journal
DOIs
StateAccepted/In press - Oct 16 2017

Fingerprint

Compression Fractures
Acute Pain
Medically Underserved Area
Spine
Analgesics
Pain
Orthotic Devices
Early Ambulation
Calcitonin
Pain Management
Intractable Pain
Recovery of Function
Quality of Life
Guidelines
Costs and Cost Analysis

Keywords

  • Compression
  • Conservative treatment
  • Early medical intervention
  • Fractures
  • Osteoporosis
  • Review literature as topic
  • Spine

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

The Global Spine Care Initiative : a review of reviews and recommendations for the non-invasive management of acute osteoporotic vertebral compression fracture pain in low- and middle-income communities. / Ameis, Arthur; Randhawa, Kristi; Yu, Hainan; Côté, Pierre; Haldeman, Scott; Chou, Roger; Hurwitz, Eric L.; Nordin, Margareta; Wong, Jessica J.; Shearer, Heather M.; Taylor-Vaisey, Anne.

In: European Spine Journal, 16.10.2017, p. 1-8.

Research output: Contribution to journalArticle

Ameis, Arthur ; Randhawa, Kristi ; Yu, Hainan ; Côté, Pierre ; Haldeman, Scott ; Chou, Roger ; Hurwitz, Eric L. ; Nordin, Margareta ; Wong, Jessica J. ; Shearer, Heather M. ; Taylor-Vaisey, Anne. / The Global Spine Care Initiative : a review of reviews and recommendations for the non-invasive management of acute osteoporotic vertebral compression fracture pain in low- and middle-income communities. In: European Spine Journal. 2017 ; pp. 1-8.
@article{52bf8160fee540aeab45449107b05214,
title = "The Global Spine Care Initiative: a review of reviews and recommendations for the non-invasive management of acute osteoporotic vertebral compression fracture pain in low- and middle-income communities",
abstract = "Purpose: The purpose of this review was to develop recommendations for non-invasive management of pain due to osteoporotic vertebral compression fractures (OVCF) that could be applied in medically underserved areas and low- and middle-income countries. Methods: We conducted a systematic review and best evidence synthesis of systematic reviews on the non-invasive management of OVCF. Eligible reviews were critically appraised using the Scottish Intercollegiate Guidelines Network criteria. Low risk of bias systematic reviews and high-quality primary studies that were identified in the reviews were used to develop recommendations. Results: From 6 low risk of bias systematic reviews and 14 high-quality primary studies we established that for acute pain management, in addition to rest and analgesic medication, orthoses may provide temporary pain relief, in addition to early mobilization. Calcitonin can be considered as a supplement to analgesics; however, cost is of concern. Once acute pain control is achieved, exercise can be effective for improving function and quality of life. Conclusion: The findings from this study will help to inform the GSCI care pathway and model of care for use in medically underserved areas and low- and middle-income countries. Conservative management of acute pain and recovery of function in adults with OVCF should include early mobilization, exercise, spinal orthosis for pain relief, and calcitonin for analgesic-refractory acute pain.",
keywords = "Compression, Conservative treatment, Early medical intervention, Fractures, Osteoporosis, Review literature as topic, Spine",
author = "Arthur Ameis and Kristi Randhawa and Hainan Yu and Pierre C{\^o}t{\'e} and Scott Haldeman and Roger Chou and Hurwitz, {Eric L.} and Margareta Nordin and Wong, {Jessica J.} and Shearer, {Heather M.} and Anne Taylor-Vaisey",
year = "2017",
month = "10",
day = "16",
doi = "10.1007/s00586-017-5273-6",
language = "English (US)",
pages = "1--8",
journal = "European Spine Journal",
issn = "0940-6719",
publisher = "Springer Verlag",

}

TY - JOUR

T1 - The Global Spine Care Initiative

T2 - a review of reviews and recommendations for the non-invasive management of acute osteoporotic vertebral compression fracture pain in low- and middle-income communities

AU - Ameis, Arthur

AU - Randhawa, Kristi

AU - Yu, Hainan

AU - Côté, Pierre

AU - Haldeman, Scott

AU - Chou, Roger

AU - Hurwitz, Eric L.

AU - Nordin, Margareta

AU - Wong, Jessica J.

AU - Shearer, Heather M.

AU - Taylor-Vaisey, Anne

PY - 2017/10/16

Y1 - 2017/10/16

N2 - Purpose: The purpose of this review was to develop recommendations for non-invasive management of pain due to osteoporotic vertebral compression fractures (OVCF) that could be applied in medically underserved areas and low- and middle-income countries. Methods: We conducted a systematic review and best evidence synthesis of systematic reviews on the non-invasive management of OVCF. Eligible reviews were critically appraised using the Scottish Intercollegiate Guidelines Network criteria. Low risk of bias systematic reviews and high-quality primary studies that were identified in the reviews were used to develop recommendations. Results: From 6 low risk of bias systematic reviews and 14 high-quality primary studies we established that for acute pain management, in addition to rest and analgesic medication, orthoses may provide temporary pain relief, in addition to early mobilization. Calcitonin can be considered as a supplement to analgesics; however, cost is of concern. Once acute pain control is achieved, exercise can be effective for improving function and quality of life. Conclusion: The findings from this study will help to inform the GSCI care pathway and model of care for use in medically underserved areas and low- and middle-income countries. Conservative management of acute pain and recovery of function in adults with OVCF should include early mobilization, exercise, spinal orthosis for pain relief, and calcitonin for analgesic-refractory acute pain.

AB - Purpose: The purpose of this review was to develop recommendations for non-invasive management of pain due to osteoporotic vertebral compression fractures (OVCF) that could be applied in medically underserved areas and low- and middle-income countries. Methods: We conducted a systematic review and best evidence synthesis of systematic reviews on the non-invasive management of OVCF. Eligible reviews were critically appraised using the Scottish Intercollegiate Guidelines Network criteria. Low risk of bias systematic reviews and high-quality primary studies that were identified in the reviews were used to develop recommendations. Results: From 6 low risk of bias systematic reviews and 14 high-quality primary studies we established that for acute pain management, in addition to rest and analgesic medication, orthoses may provide temporary pain relief, in addition to early mobilization. Calcitonin can be considered as a supplement to analgesics; however, cost is of concern. Once acute pain control is achieved, exercise can be effective for improving function and quality of life. Conclusion: The findings from this study will help to inform the GSCI care pathway and model of care for use in medically underserved areas and low- and middle-income countries. Conservative management of acute pain and recovery of function in adults with OVCF should include early mobilization, exercise, spinal orthosis for pain relief, and calcitonin for analgesic-refractory acute pain.

KW - Compression

KW - Conservative treatment

KW - Early medical intervention

KW - Fractures

KW - Osteoporosis

KW - Review literature as topic

KW - Spine

UR - http://www.scopus.com/inward/record.url?scp=85031916103&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85031916103&partnerID=8YFLogxK

U2 - 10.1007/s00586-017-5273-6

DO - 10.1007/s00586-017-5273-6

M3 - Article

C2 - 29038868

AN - SCOPUS:85031916103

SP - 1

EP - 8

JO - European Spine Journal

JF - European Spine Journal

SN - 0940-6719

ER -