SPINE20 recommendations 2023: One Earth, one family, one future WITHOUT spine DISABILITY

Harvinder S Chhabra¹, Koji Tamai², Hana Alsebayel³, Sami AlEissa⁴, Yahya Alqahtani⁵, Markus Arand⁶, Saumyajit Basu⁷, Thomas R Blattert⁸, André Bussières⁹, Marco Campello¹⁰, Giuseppe Costanzo¹¹, Pierre Côté¹², Bambang Darwano¹³, Jörg Franke¹⁴, Bhavuk Garg¹⁵, Rumaisah Hasan¹⁶, Manabu Ito¹⁷, Komal Kamra¹⁸, Frank Kandziora¹⁹, Nishad Kassim²⁰, So Kato²¹, Donna Lahey²², Ketna Mehta²³, Cristiano M Menezes²⁴, Eric J Muehlbauer²⁵, Rajani Mullerpatan²⁶, Paulo Pereira²⁷, Lisa Roberts²⁸, Carlo Ruosi²⁹, William Sullivan³⁰, Ajoy P Shetty³¹, Carlos Tucci³², Sanjay Wadhwa¹⁵, Ahmed Alturkistany³³, Jamiu O Busari³⁴, Jeffrey C Wang³⁵, Marco G A Teli³⁶, Shanmuganathan Rajasekaran³¹, Raghava D Mulukutla³⁷, Michael Piccirillo³⁸, Patrick C Hsieh³⁵, Edward J Dohring²², Sudhir K Srivastava³⁹, Jeremie Larouche⁴⁰, Adriaan Vlok⁴¹, Margareta Nordin⁴²

Affiliations

¹ Sri Balaji Action Medical Institute, New Delhi, India.
² Osaka Metropolitan University, Osaka, Japan.
³ King Saud University, Riyadh, Saudi Arabia.
⁴ National Guard Health Affairs, Riyadh, Saudi Arabia.
⁵ Presidency of State Security, Riyadh, Saudi Arabia.
⁶ Trauma Surgery, Ludwigsburg, Germany.
⁷ Kothari Medical Centre, Kolkata, India.
⁸ Interdisciplinary Spine Center, Ingolstadt, Germany.
⁹ Université du Québec à Trois-Rivières, Québec, Canada.
¹⁰ New York University Grossman School of Medicine, NY, USA.
¹¹ Sapienza Rome University, Rome, Italy.
¹² Ontario Tech University, Oshawa, Ontario, Canada.
¹³ Gading Pluit Hospital, Jakarta, Indonesia.
¹⁴ Klinikum Magdeburg gGmbH, Magdeburg, Germany.
¹⁵ All India Institute of Medical Sciences, New Delhi, India.
¹⁶ Dr Tajuddin Chalid Hospital - Hasanuddin University, Makassar, Indonesia.
¹⁷ National Hospital Organization Hokkaido Medical Center, Sapporo, Japan.
¹⁸ THE SPINAL FOUNDATION, Delhi, India.
¹⁹ Center for Spinal Surgery and Neurotraumatology, Frankfurt, Germany.
²⁰ The Association of People with Disability, Bangalore, India.
²¹ The University of Tokyo, Tokyo, Japan.
²² Spine Institute of Arizona, Arizona, USA.
²³ Nina Foundation, Mumbai, India.
²⁴ Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
²⁵ North American Spine Society, Chicago, USA.
²⁶ Mahatma Gandhi Mission Institute of Health Sciences, Navi Mumbai, India.
²⁷ University of Porto, Porto, Portugal.
²⁸ University of Southampton, Southampton, United Kingdom.
²⁹ FEDERICO II University, Naples, Italy.
³⁰ Vanderbilt University Medical Center, Nashville, USA.
³¹ Ganga Hospital, Coimbatore, India.
³² Hospital Israelita Albert Einstein, São Paulo, Brazil.
³³ King Faisal Specialist Hospital & Research Center, Jeddah, Saudi Arabia.
³⁴ Maastricht University, Maastricht, Netherlands.
³⁵ University of Southern California Keck School of Medicine, CA, USA.
³⁶ Santi Paolo e Carlo University Hospital, Milan, Italy.
³⁷ UdaiOmni Hospital, Hyderabad, India.
³⁸ AO Spine (AO Foundation), Davos, Switzerland.
³⁹ K.J.Somaiya Medical College and Research Centre, Mumbai, India.
⁴⁰ University of Toronto, Toronto, Canada.
⁴¹ Stellenbosch University, Cape Town, South Africa.
⁴² New York University, New York, NY, USA.

PMID: 38020998
PMCID: PMC10668083
DOI: 10.1016/j.bas.2023.102688

Review

SPINE20 recommendations 2023: One Earth, one family, one future WITHOUT spine DISABILITY

Harvinder S Chhabra et al. Brain Spine. 2023.

. 2023 Oct 6:3:102688.

doi: 10.1016/j.bas.2023.102688. eCollection 2023.

Authors

Affiliations

¹ Sri Balaji Action Medical Institute, New Delhi, India.
² Osaka Metropolitan University, Osaka, Japan.
³ King Saud University, Riyadh, Saudi Arabia.
⁴ National Guard Health Affairs, Riyadh, Saudi Arabia.
⁵ Presidency of State Security, Riyadh, Saudi Arabia.
⁶ Trauma Surgery, Ludwigsburg, Germany.
⁷ Kothari Medical Centre, Kolkata, India.
⁸ Interdisciplinary Spine Center, Ingolstadt, Germany.
⁹ Université du Québec à Trois-Rivières, Québec, Canada.
¹⁰ New York University Grossman School of Medicine, NY, USA.
¹¹ Sapienza Rome University, Rome, Italy.
¹² Ontario Tech University, Oshawa, Ontario, Canada.
¹³ Gading Pluit Hospital, Jakarta, Indonesia.
¹⁴ Klinikum Magdeburg gGmbH, Magdeburg, Germany.
¹⁵ All India Institute of Medical Sciences, New Delhi, India.
¹⁶ Dr Tajuddin Chalid Hospital - Hasanuddin University, Makassar, Indonesia.
¹⁷ National Hospital Organization Hokkaido Medical Center, Sapporo, Japan.
¹⁸ THE SPINAL FOUNDATION, Delhi, India.
¹⁹ Center for Spinal Surgery and Neurotraumatology, Frankfurt, Germany.
²⁰ The Association of People with Disability, Bangalore, India.
²¹ The University of Tokyo, Tokyo, Japan.
²² Spine Institute of Arizona, Arizona, USA.
²³ Nina Foundation, Mumbai, India.
²⁴ Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
²⁵ North American Spine Society, Chicago, USA.
²⁶ Mahatma Gandhi Mission Institute of Health Sciences, Navi Mumbai, India.
²⁷ University of Porto, Porto, Portugal.
²⁸ University of Southampton, Southampton, United Kingdom.
²⁹ FEDERICO II University, Naples, Italy.
³⁰ Vanderbilt University Medical Center, Nashville, USA.
³¹ Ganga Hospital, Coimbatore, India.
³² Hospital Israelita Albert Einstein, São Paulo, Brazil.
³³ King Faisal Specialist Hospital & Research Center, Jeddah, Saudi Arabia.
³⁴ Maastricht University, Maastricht, Netherlands.
³⁵ University of Southern California Keck School of Medicine, CA, USA.
³⁶ Santi Paolo e Carlo University Hospital, Milan, Italy.
³⁷ UdaiOmni Hospital, Hyderabad, India.
³⁸ AO Spine (AO Foundation), Davos, Switzerland.
³⁹ K.J.Somaiya Medical College and Research Centre, Mumbai, India.
⁴⁰ University of Toronto, Toronto, Canada.
⁴¹ Stellenbosch University, Cape Town, South Africa.
⁴² New York University, New York, NY, USA.

PMID: 38020998
PMCID: PMC10668083
DOI: 10.1016/j.bas.2023.102688

Abstract

Introduction: The purpose is to report on the fourth set of recommendations developed by SPINE20 to advocate for evidence-based spine care globally under the theme of "One Earth, One Family, One Future WITHOUT Spine DISABILITY".

Research question: Not applicable.

Material and methods: Recommendations were developed and refined through two modified Delphi processes with international, multi-professional panels.

Results: Seven recommendations were delivered to the G20 countries calling them to:-establish, prioritize and implement accessible National Spine Care Programs to improve spine care and health outcomes.-eliminate structural barriers to accessing timely rehabilitation for spinal disorders to reduce poverty.-implement cost-effective, evidence-based practice for digital transformation in spine care, to deliver self-management and prevention, evaluate practice and measure outcomes.-monitor and reduce safety lapses in primary care including missed diagnoses of serious spine pathologies and risk factors for spinal disability and chronicity.-develop, implement and evaluate standardization processes for spine care delivery systems tailored to individual and population health needs.-ensure accessible and affordable quality care to persons with spine disorders, injuries and related disabilities throughout the lifespan.-promote and facilitate healthy lifestyle choices (including physical activity, nutrition, smoking cessation) to improve spine wellness and health.

Discussion and conclusion: SPINE20 proposes that focusing on the recommendations would facilitate equitable access to health systems, affordable spine care delivered by a competent healthcare workforce, and education of persons with spine disorders, which will contribute to reducing spine disability, associated poverty, and increase productivity of the G20 nations.

Keywords: Digital; Equity; Lifestyle; Patient safety; Poverty; Social determinants; Spine care; Standardization.

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Conflict of interest statement

Nothing to disclose.

References

1. AlEissa S.I., Tamai K., Konbaz F., et al. SPINE20 A global advocacy group promoting evidence-based spine care of value. Eur. Spine J. 2021;30(8):2091–2101. - PubMed
1. Auraaen A.S.L. 2018. The Economics of Patient Safety in Primary and Ambulatory Care: Flying Blind. - DOI
1. Barrett D., Heale R. What are Delphi studies? Evid. Base Nurs. 2020;23(3):68–69. - PubMed
1. Bickenbach J.O., Alana||Shakespeare Tom||von Groote. Per||World health Organization||The international spinal cord society". International perspectives on spinal cord injury. 2013. https://apps.who.int/iris/handle/10665/94190 edited by Jerome Bickenbach.
1. Briggs A.M.S.H., Jordan J.E., Huckel Schneider C., Kopansky-Giles D.S.S., Young J.J., Parambath S., Mishrra S.M.L. Global Alliance for Musculoskeletal Health; Sydney, Australia: 2021. Towards a Global Strategy to Improve Musculoskeletal Health.https://gmusc.com/wp-content/uploads/2021/07/Final-report-with-metadata.pdf

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SPINE20 recommendations 2023: One Earth, one family, one future WITHOUT spine DISABILITY

Affiliations

SPINE20 recommendations 2023: One Earth, one family, one future WITHOUT spine DISABILITY

Authors

Affiliations

Abstract

Conflict of interest statement

References

Publication types

LinkOut - more resources

Full Text Sources