Evidence map›Paper›PMID 41141969›Full record

ArticleBrain & spine2025

Mapping healthcare services and practice variations in spinal care across countries: The Spine Atlas Initiative.

Christian Herrmann, Pierre Côté, Florian Ringel, Jarkko Halme, Sabrina Donzelli, Sashin Ahuja, Tore Solberg, Emin Aghayev

Abstract read
In one paragraph

Article in Brain & spine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Regional variability and economic impact on surgical practices for metastatic spinal disease in Europe - a survey on spine surgeons.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 · 2026
    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

8 authors.

Christian HerrmannEUROSPINE, the Spine Society of Europe, Uster, Switzerland.
Pierre CôtéInstitute for Disability and Rehabilitation Research and Faculty of Health Sciences, Ontario Tech University, Toronto, Canada.
Florian RingelDepartment of Neurosurgery, University Medical Centre Mainz, Mainz, Germany.
Jarkko HalmeKuopion Yliopistollinen Sairaala KYS, Kyopio, Kuopio, Finland.
Sabrina DonzelliNational Scoliosis Center, Fairfax, VA, USA.
Sashin AhujaUniversity Hospital of Wales, Cardiff, UK.
Tore SolbergUniversity Hospital of North Norway, Tromsø, Norway.
Emin AghayevEUROSPINE, the Spine Society of Europe, Uster, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Inspired by cancer registration, the Spine Atlas Initiative (SAI) aims to create a global, standardised framework for mapping spine care services and treatment variations across countries. This initiative seeks to improve understanding of spine pathology trends and treatment patterns internationally. Research question: How can a standardised international data collection and visualisation framework enhance the understanding of spine care variations and inform healthcare practices? Material and methods: The SAI will conduct international data calls, focusing on specific spinal pathologies, beginning with lumbar degenerative spondylolisthesis (LDS) in 2025. Participants, including hospitals, registries, and practitioners, will report 7 mandatory and 7 optional data parameters. Data will be collected through templates, the Spine Tango platform, or existing registry formats. Data quality and representativeness will be strictly evaluated to ensure comparability across regions. Results: The 2025 LDS data call has attracted over 280 surgeons from 50 countries, which expressed their interest to participate. The collected data will provide valuable insights into variations in LDS treatment practices and outcomes across different regions. Discussion and conclusion: The SAI offers a collaborative, low-barrier approach to data collection, providing a platform for international research and comparison. The initiative will enhance understanding of treatment variability and outcomes, foster evidence-based improvements in clinical practice, and guide healthcare policy. Future data calls will expand to cover other spinal pathologies and non-surgical treatments, contributing to a global research network and improving spine care worldwide.

Indexed as

Lumbar degenerative spondylolisthesisMultidisciplinary careService mappingSpinal cord injurySpine epidemiologyTreatment variation

Identifiers

PMID41141969
PMCPMC12549518

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.