Brain and Spine (Jan 2023)
SPINE20 recommendations 2023: One Earth, one family, one future WITHOUT spine DISABILITY
- Harvinder S. Chhabra,
- Koji Tamai,
- Hana Alsebayel,
- Sami AlEissa,
- Yahya Alqahtani,
- Markus Arand,
- Saumyajit Basu,
- Thomas R. Blattert,
- André Bussières,
- Marco Campello,
- Giuseppe Costanzo,
- Pierre Côté,
- Bambang Darwano,
- Jörg Franke,
- Bhavuk Garg,
- Rumaisah Hasan,
- Manabu Ito,
- Komal Kamra,
- Frank Kandziora,
- Nishad Kassim,
- So Kato,
- Donna Lahey,
- Ketna Mehta,
- Cristiano M. Menezes,
- Eric J. Muehlbauer,
- Rajani Mullerpatan,
- Paulo Pereira,
- Lisa Roberts,
- Carlo Ruosi,
- William Sullivan,
- Ajoy P. Shetty,
- Carlos Tucci,
- Sanjay Wadhwa,
- Ahmed Alturkistany,
- Jamiu O. Busari,
- Jeffrey C. Wang,
- Marco G.A. Teli,
- Shanmuganathan Rajasekaran,
- Raghava D. Mulukutla,
- Michael Piccirillo,
- Patrick C. Hsieh,
- Edward J. Dohring,
- Sudhir K. Srivastava,
- Jeremie Larouche,
- Adriaan Vlok,
- Margareta Nordin
Affiliations
- Harvinder S. Chhabra
- Sri Balaji Action Medical Institute, New Delhi, India
- Koji Tamai
- Osaka Metropolitan University, Osaka, Japan; Corresponding author. Department of Orthopedics, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.
- Hana Alsebayel
- King Saud University, Riyadh, Saudi Arabia
- Sami AlEissa
- National Guard Health Affairs, Riyadh, Saudi Arabia
- Yahya Alqahtani
- Presidency of State Security, Riyadh, Saudi Arabia
- Markus Arand
- Trauma Surgery, Ludwigsburg, Germany
- Saumyajit Basu
- Kothari Medical Centre, Kolkata, India
- Thomas R. Blattert
- Interdisciplinary Spine Center, Ingolstadt, Germany
- André Bussières
- Université du Québec à Trois-Rivières, Québec, Canada
- Marco Campello
- New York University Grossman School of Medicine, NY, USA
- Giuseppe Costanzo
- Sapienza Rome University, Rome, Italy
- Pierre Côté
- Ontario Tech University, Oshawa, Ontario, Canada
- Bambang Darwano
- Gading Pluit Hospital, Jakarta, Indonesia
- Jörg Franke
- Klinikum Magdeburg gGmbH, Magdeburg, Germany
- Bhavuk Garg
- All India Institute of Medical Sciences, New Delhi, India
- Rumaisah Hasan
- Dr Tajuddin Chalid Hospital - Hasanuddin University, Makassar, Indonesia
- Manabu Ito
- National Hospital Organization Hokkaido Medical Center, Sapporo, Japan
- Komal Kamra
- THE SPINAL FOUNDATION, Delhi, India
- Frank Kandziora
- Center for Spinal Surgery and Neurotraumatology, Frankfurt, Germany
- Nishad Kassim
- The Association of People with Disability, Bangalore, India
- So Kato
- The University of Tokyo, Tokyo, Japan
- Donna Lahey
- Spine Institute of Arizona, Arizona, USA
- Ketna Mehta
- Nina Foundation, Mumbai, India
- Cristiano M. Menezes
- Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
- Eric J. Muehlbauer
- North American Spine Society, Chicago, USA
- Rajani Mullerpatan
- Mahatma Gandhi Mission Institute of Health Sciences, Navi Mumbai, India
- Paulo Pereira
- University of Porto, Porto, Portugal
- Lisa Roberts
- University of Southampton, Southampton, United Kingdom
- Carlo Ruosi
- FEDERICO II University, Naples, Italy
- William Sullivan
- Vanderbilt University Medical Center, Nashville, USA
- Ajoy P. Shetty
- Ganga Hospital, Coimbatore, India
- Carlos Tucci
- Hospital Israelita Albert Einstein, São Paulo, Brazil
- Sanjay Wadhwa
- All India Institute of Medical Sciences, New Delhi, India
- Ahmed Alturkistany
- King Faisal Specialist Hospital & Research Center, Jeddah, Saudi Arabia
- Jamiu O. Busari
- Maastricht University, Maastricht, Netherlands
- Jeffrey C. Wang
- University of Southern California Keck School of Medicine, CA, USA
- Marco G.A. Teli
- Santi Paolo e Carlo University Hospital, Milan, Italy
- Shanmuganathan Rajasekaran
- Ganga Hospital, Coimbatore, India
- Raghava D. Mulukutla
- UdaiOmni Hospital, Hyderabad, India
- Michael Piccirillo
- AO Spine (AO Foundation), Davos, Switzerland
- Patrick C. Hsieh
- University of Southern California Keck School of Medicine, CA, USA
- Edward J. Dohring
- Spine Institute of Arizona, Arizona, USA
- Sudhir K. Srivastava
- K.J.Somaiya Medical College and Research Centre, Mumbai, India
- Jeremie Larouche
- University of Toronto, Toronto, Canada
- Adriaan Vlok
- Stellenbosch University, Cape Town, South Africa
- Margareta Nordin
- New York University, New York, NY, USA
- Journal volume & issue
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Vol. 3
p. 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.
