Evidence map›Paper›PMID 30151807›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: classification system for spine-related concerns.

Scott Haldeman, Claire D Johnson, Roger Chou, Margareta Nordin, Pierre Côté, Eric L Hurwitz, Bart N Green, Deborah Kopansky-Giles, Christine Cedraschi, Ellen Aartun and 26 more

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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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

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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

36 authors.

Scott HaldemanDepartment of Epidemiology, School of Public Health, University of California Los Angeles, Los Angeles, CA, USA.ORCID 0000-0002-8688-9562
Claire D JohnsonNational University of Health Sciences, Lombard, IL, USA. globalspinecareinitiative@gmail.com.ORCID 0000-0001-9616-6205
Roger ChouDepartment of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, OR, USA.ORCID 0000-0001-9889-8610
Margareta NordinDepartments of Orthopedic Surgery and Environmental Medicine, New York University, New York, NY, USA.ORCID 0000-0003-0356-8665
Pierre CôtéFaculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, Canada.ORCID 0000-0001-7227-6485
Eric L HurwitzOffice of Public Health Studies, University of Hawai'i, Mānoa, Honolulu, HI, USA.ORCID 0000-0003-3641-0784
Bart N GreenNational University of Health Sciences, Lombard, IL, USA.ORCID 0000-0002-9906-6397
Deborah Kopansky-GilesDepartment of Research, Canadian Memorial Chiropractic College, Toronto, ON, Canada.ORCID 0000-0002-4651-3499
Christine CedraschiDivision of General Medical Rehabilitation, Multidisciplinary Pain Centre, Geneva University Hospitals, Geneva, Switzerland.ORCID 0000-0002-3743-5644
Ellen AartunUOIT-CMCC Centre for Disability Prevention and Rehabilitation, Toronto, Canada.
Emre AcaroğluARTES Spine Center, Ankara, Turkey.ORCID 0000-0002-8163-2944
Arthur AmeisFaculty of Medicine, Certification Program in Insurance Medicine and MedicoLegal Expertise, University of Montreal, Toronto, ON, Canada.ORCID 0000-0003-4880-5150
Selim AyhanARTES Spine Center, Acibadem University, Ankara, Turkey.ORCID 0000-0003-0153-3012
Fiona BlythConcord Clinical School, University of Sydney, Concord, NSW, Australia.
David BorensteinArthritis and Rheumatism Associates, The George Washington University Medical Center, Potomac, MD, USA.ORCID 0000-0002-9506-1732
O'Dane BradyWorld Spine Care, Tampa, FL, USA.ORCID 0000-0002-3143-0439
Fereydoun DavatchiRheumatology Research Center, Tehran University of Medical Sciences, Tehran, Tehran, Iran.ORCID 0000-0003-0508-7013
Christine GoertzPalmer College of Chiropractic, Davenport, IA, USA.ORCID 0000-0002-4700-3669
Najia Hajjaj-HassouniMohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.ORCID 0000-0003-0722-6822
Jan HartvigsenDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.ORCID 0000-0002-5876-7410
Maria HondrasDepartment of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, USA.ORCID 0000-0002-1821-8206
Nadège LemeunierInstitut Franco-Européen de Chiropraxie, Toulouse, France.
John MayerU.S. Spine and Sport Foundation, San Diego, CA, USA.
Silvano MiorCanadian Memorial Chiropractic College, Toronto, ON, Canada.ORCID 0000-0001-6575-2797
Tiro MmopelwaARTES Ankara Spine Centre, Life Gaborone Hospital, Gaborone, Botswana.
Michael ModicCleveland Clinic, Lerner College of Medicine, Cleveland, OH, USA.ORCID 0000-0003-2702-2472
Rajani MullerpatanMahatma Gandhi Mission Institute of Health Sciences, MGM School of Physiotherapy, Navi Mumbai, Maharashtra, India.
Lillian MwanikiLaw Society of Kenya, Nairobi, Kenya.
Madeleine Ngandeu-SingweFaculty of Medicine and Biomedical Sciences, The University of Yaoundé I, Yaounde, Center Region, Cameroon.
Geoff OuterbridgeWorld Spine Care and Canadian Memorial Chiropractic College, Chelsea, QC, Canada.ORCID 0000-0002-3290-5387
Kristi RandhawaFaculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, Canada.ORCID 0000-0001-6563-7203
Erkin SönmezDepartment of Neurological Surgery, School of Medicine, Başkent University, Ankara, Turkey.ORCID 0000-0002-5693-3542
Carlos TorresDepartment of Medical Imaging, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada.
Paola TorresExercise Science Laboratory, School of Kinesiology, Faculty of Medicine, Universidad Finis Terrae, Santiago, Chile.
William WattersDepartment of Orthopedic, Weill Cornell Medical School and Institute of Academic Medicine, Houston Methodist Hospital, Houston, TX, USA.
Hainan YuFaculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, Canada.ORCID 0000-0002-7734-0674

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe 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.

methodsExisting 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.

resultsThirty-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.

conclusionsAn 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. These slides can be retrieved under Electronic Supplementary Material.

Indexed as

Disability EvaluationDelphi TechniqueHumansSpinal DiseasesBack painCritical pathwaysDelphi techniqueNeck painSpinal diseases

Identifiers

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.