Rising to the Challenge: Spinal Ailments in India

Chhabra, Harvinder Singh

doi:10.4103/ortho.ijortho_294_19

Cited by 2 publications

(2 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Spinal disorders are associated with a considerable healthcare burden and the need for frequent specialized medical consultations for symptomatic management. 10 Before COVID-19 pandemic, limited spine practices utilized telemedicine. Several challenges impeded adoption, including a lack of perceived benefit, technology implementation costs, difficulty diagnosing musculoskeletal disorders, and concerns regarding reimbursement and liability.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine in Follow-up after Spine Surgery: Need of the Hour

Totala,

Janu,

Sharma

et al. 2024

Asian J Neurosurg

View full text Add to dashboard Cite

Purpose There is an acute shortage of neurosurgeons and spine surgeons especially in rural areas of low- and middle-income countries including India. Patients of spine surgery need to travel long distances for follow-up at tertiary care hospitals. This study was done to evaluate role and success rate of telemedicine in follow-up after spine surgery based on patients' diagnosis and demographic features and to identify barriers to successful telemedicine consultations. Methods All patients undergoing spine surgeries including craniovertebral junction (CVJ) surgeries from January 2021 to June 2022 were included in the study. Success rate of telemedicine was calculated using a simple formula: Success rate of telemedicine = successful telemedicine consultations / total number of telemedicine consultation × 100. Success rate was evaluated with respect to demographic features and underlying disease-related factors. Results Eighty-four patients formed the study group in which a total of 181 video teleconsultations were done. Overall success rate of telemedicine was 82.87%. Higher socioeconomic and educational statuses were related to higher success rates of tele-consultations (p < 0.05). Difficulty in assessing neurological condition using video call in follow-up cases of CVJ and issues related to Internet communication network leading to inability to video call and share image/videos were major causes of failures. Conclusion Telemedicine may prove an effective option for following up patients undergoing spine surgeries except CVJ, which is likely to improve further with improvements in Internet connectivity.

show abstract

Section: Discussionmentioning

confidence: 99%

Telemedicine in Follow-up after Spine Surgery: Need of the Hour

Totala,

Janu,

Sharma

et al. 2024

Asian J Neurosurg

View full text Add to dashboard Cite

show abstract

“…G20 needs to promote interdisciplinary care through awareness, education and policies to reinforce the different healthcare professionals to commit to improve equitability, access to cost-effective spine care [15]. Assessment of the particularities of the population is of utmost importance to identify the best healthcare systems for their needs [16]. Promotion of education of both population and politics may valuably determine positive effects in a middle-to-long-term project.…”

Section: Potential Solutionsmentioning

confidence: 99%

SPINE20 recommendations 2022: spine care—working together to recover stronger

Darwono¹,

Tamai

Côté

et al. 2022

Eur Spine J

View full text Add to dashboard Cite

Purpose Globally, spine disorders are the leading cause of disability, affecting more than half a billion individuals. However, less than 50% of G20 countries specifically identify spine health within their public policy priorities. Therefore, it is crucial to raise awareness among policy makers of the disabling effect of spine disorders and their impact on the economic welfare of G20 nations. In 2019, SPINE20 was established as the leading advocacy group to bring global attention to spine disorders. Methods Recommendations were developed through two Delphi methods with international and multi-professional panels. Results In 2022, seven recommendations were delivered to the leaders of G20 countries, urging them to: Develop action plans to provide universal access to evidence-based spine care that incorporates the needs of minorities and vulnerable populations. Invest in the development of sustainable human resource capacity, through multisectoral and inter-professional competency-based education and training to promote evidence-based approaches to spine care, and to build an appropriate healthcare working environment that optimizes the delivery of safe health services. Develop policies using the best available evidence to properly manage spine disorders and to prolong functional healthy life expectancy in the era of an aging population. Create a competent workforce and improve the healthcare infrastructure/facilities including equipment to provide evidence-based inter-professional rehabilitation services to patients with spinal cord injury throughout their continuum of care. Build collaborative and innovative translational research capacity within national, regional, and global healthcare systems for state-of-the-art and cost-effective spine care across the healthcare continuum ensuring equality, diversity, and inclusion of all stakeholders. Develop international consensus statements on patient outcomes and how they can be used to define and develop pathways for value-based care. Recognize that intervening on determinants of health including physical activity, nutrition, physical and psychosocial workplace environment, and smoking-free lifestyle can reduce the burden of spine disabilities and improve the health status and wellness of the population. At the third SPINE20 summit 2022 which took place in Bali, Indonesia, in August 2022, 17 associations endorsed its recommendations. Conclusion SPINE20 advocacy efforts focus on developing public policy recommendations to improve the health, welfare, and wellness of all who suffer from spinal pain and disability. We propose that focusing on facilitating access to systems that prioritize value-based care delivered by a competent healthcare workforce will reduce disability and improve the productivity of the G20 nations.

show abstract

Rising to the Challenge: Spinal Ailments in India

Cited by 2 publications

References 22 publications

Telemedicine in Follow-up after Spine Surgery: Need of the Hour

Telemedicine in Follow-up after Spine Surgery: Need of the Hour

SPINE20 recommendations 2022: spine care—working together to recover stronger

Contact Info

Product

Resources

About