TY - JOUR
T1 - The Global Spine Care Initiative
T2 - classification system for spine-related concerns
AU - Haldeman, Scott
AU - Johnson, Claire D.
AU - Chou, Roger
AU - Nordin, Margareta
AU - Côté, Pierre
AU - Hurwitz, Eric L.
AU - Green, Bart N.
AU - Kopansky-Giles, Deborah
AU - Cedraschi, Christine
AU - Aartun, Ellen
AU - Acaroğlu, Emre
AU - Ameis, Arthur
AU - Ayhan, Selim
AU - Blyth, Fiona
AU - Borenstein, David
AU - Brady, O’Dane D.
AU - Davatchi, Fereydoun
AU - Goertz, Christine
AU - Hajjaj-Hassouni, Najia
AU - Hartvigsen, Jan
AU - Hondras, Maria
AU - Lemeunier, Nadège
AU - Mayer, John
AU - Mior, Silvano
AU - Mmopelwa, Tiro
AU - Modic, Michael
AU - Mullerpatan, Rajani
AU - Mwaniki, Lillian
AU - Ngandeu-Singwe, Madeleine
AU - Outerbridge, Geoff
AU - Randhawa, Kristi
AU - Sönmez, Erkin
AU - Torres, Carlos
AU - Torres, Paola
AU - Watters, William
AU - Yu, Hainan
N1 - Publisher Copyright:
© 2018, The Author(s).
PY - 2018/9/1
Y1 - 2018/9/1
N2 - Purpose: 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); mild symptoms (i.e., neck or back pain) but no interference with activities (class I); moderate or severe symptoms with interference of activities (class II); spine-related neurological signs or symptoms (class III); severe bony spine deformity, trauma or pathology (class IV); and 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. Graphical abstract: These slides can be retrieved under Electronic Supplementary Material.[Figure not available: see fulltext.].
AB - Purpose: 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); mild symptoms (i.e., neck or back pain) but no interference with activities (class I); moderate or severe symptoms with interference of activities (class II); spine-related neurological signs or symptoms (class III); severe bony spine deformity, trauma or pathology (class IV); and 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. Graphical abstract: These slides can be retrieved under Electronic Supplementary Material.[Figure not available: see fulltext.].
KW - Back pain
KW - Critical pathways
KW - Delphi technique
KW - Neck pain
KW - Spinal diseases
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U2 - 10.1007/s00586-018-5724-8
DO - 10.1007/s00586-018-5724-8
M3 - Article
C2 - 30151807
AN - SCOPUS:85051505641
SN - 0940-6719
VL - 27
SP - 889
EP - 900
JO - European Spine Journal
JF - European Spine Journal
ER -