Evidence map›Paper›PMID 30099669›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2018

The Global Spine Care Initiative: public health and prevention interventions for common spine disorders in low- and middle-income communities.

Bart N Green, Claire D Johnson, Scott Haldeman, Edward J Kane, Michael B Clay, Erin A Griffith, Juan M Castellote, Matthew Smuck, Shanmuganathan Rajasekaran, Eric L Hurwitz and 3 more

Abstract read
PubMed Publisher
In one paragraph

Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. COVID-19 and its Impact on Back Pain.Global spine journal · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 11 institutions in 4 countries.

Bart N GreenQualcomm Health Center, Stanford Health Care, San Diego, CA, USA.ORCID 0000-0002-9906-6397
Claire D JohnsonQualcomm Health Center, Stanford Health Care, San Diego, CA, USA. globalspinecareinitiative@gmail.com.ORCID 0000-0001-9616-6205
Scott HaldemanDepartment of Epidemiology, School of Public Health, University of California Los Angeles, Los Angeles, CA, USA.ORCID 0000-0002-8688-9562
Edward J KaneCollege of Rehabilitative Sciences, Doctor of Physical Therapy Program, University of St. Augustine for Health Sciences, San Marcos, CA, USA.ORCID 0000-0002-2263-5934
Michael B ClayRehabilitation Care Line, Physical Medicine and Rehabilitation, Cincinnati Veterans Affairs Medical Center, Cincinnati, OH, USA.
Erin A GriffithEmergency Medicine, Carlsbad, CA, USA.
Juan M CastelloteNational School of Occupational Medicine, Carlos III Institute of Health, Madrid, Spain.ORCID 0000-0002-7242-8730
Matthew SmuckPhysical Medicine and Rehabilitation Section, Department of Orthopaedic Surgery, Stanford University, Redwood City, CA, USA.
Shanmuganathan RajasekaranDepartment of Orthopaedics and Spine Surgery, Ganga Hospital, Coimbatore, Tamilnadu, India.
Eric L HurwitzOffice of Public Health Studies, University of Hawai'i, Mānoa, Honolulu, HI, USA.ORCID 0000-0003-3641-0784
Margareta NordinDepartments of Orthopedic Surgery and Environmental Medicine, New York University, New York, NY, USA.ORCID 0000-0003-0356-8665
Kristi RandhawaFaculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, Canada.ORCID 0000-0001-6563-7203
Hainan YuFaculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, Canada.ORCID 0000-0002-7734-0674
National University of Health Sciences · USOntario Tech University · CAGanga Hospital · INNew York University · USStanford University · USStructural Analytics (United States) · USUniversidad Complutense de Madrid · ESUniversity of California, Los Angeles · USUniversity of Hawaiʻi at Mānoa · USUniversity of St. Augustine for Health Sciences · USVeterans Health Administration · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to develop recommendations for prevention interventions for spinal disorders that could be delivered globally, but especially in underserved areas and in low- and middle-income countries.

methodsWe extracted risk factors, associations, and comorbidities of common spinal disorders (e.g., back and neck pain, spinal trauma, infection, developmental disorders) from a scoping review of meta-analyses and systematic reviews of clinical trials, cohort studies, case control studies, and cross-sectional studies. Categories were informed by the Global Spine Care Initiative (GSCI) classification system using the biopsychosocial model. Risk factors were clustered and mapped visually. Potential prevention interventions for individuals and communities were identified.

resultsForty-one risk factors, 51 associations, and 39 comorbidities were extracted; some were associated with more than one disorder. Interventions were at primary, secondary, tertiary, and quaternary prevention levels. Public health-related actions included screening for osteopenia, avoiding exposure to certain substances associated with spinal disorders, insuring adequate dietary intake for vitamins and minerals, smoking cessation, weight management, injury prevention, adequate physical activity, and avoiding harmful clinical practices (e.g., over-medicalization).

conclusionPrevention principles and health promotion strategies were identified that were incorporated in the GSCI care pathway. Interventions should encourage healthy behaviors of individuals and promote public health interventions that are most likely to optimize physical and psychosocial health targeting the unique characteristics of each community. Prevention interventions that are implemented in medically underserved areas should be based upon best evidence, resource availability, and selected through group decision-making processes by individuals and the community. These slides can be retrieved under Electronic Supplementary Material.

Indexed as

Health PromotionPreventive Health ServicesPublic HealthComorbidityDeveloping CountriesHumansRisk FactorsSpinal DiseasesEpidemiologyHealth promotionRisk factorsSpinal diseases

Identifiers

PMID30099669
OpenAlexW2886532188

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.