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

• DOI: 10.1007/s00586-018-5724-8
• Publication Date: 2018-08-27T10:05:08Z
• Authors: Scott Haldeman; Claire D. Johnson; Roger Chou; Margareta Nordin; Pierre Côté; Eric L. Hurwitz; Bart N. Green; Deborah Kopansky-...; Christine Cedraschi; Ellen Aartun; Emre Acaroğlu; Arthur Ameis; Selim Ayhan; Fiona Blyth; David Borenstein; O’Dane Brady; Fereydoun Davatchi; Christine Goertz; Najia Hajjaj-Hass...; Jan Hartvigsen; Maria Hondras; Nadège Lemeunier; John Mayer; Silvano Mior; Tiro Mmopelwa; Michael Modic; Rajani Mullerpatan; Lillian Mwaniki; Madeleine Ngandeu...; Geoff Outerbridge; Kristi Randhawa; Erkin Sönmez; Carlos Torres; Paola Torres; William Watters; Hainan Yu
• Keywords: Delphi Method

The purpose of this report is to describe the development a classification system that would apply anyone with spine-related concern and can be used in an evidence-based spine care pathway. Existing systems for spinal disorders were assembled. A seed document was developed through round-table discussions followed by modified Delphi process. International interprofessional clinicians scientists expertise conditions invited participate. Thirty-six experts from 15 countries participated. After second round, there 95% agreement proposed system. six major classifications included: no or minimal symptoms (class 0); mild (i.e., neck back pain) but interference activities I); moderate severe II); neurological signs III); bony deformity, trauma pathology IV); destructive lesions associated systemic V). Subclasses each class included chronicity severity when different interventions anticipated recommended. An international group comprehensive all potential presentations people who may seek advice at program. This pathway, clinical practice, research purposes. needs tested validity, reliability, consistency among specialties communities cultures. These slides retrieved under Electronic Supplementary Material.