SPINE20 recommendations 2021: spine care for people’s health and prosperity

Abstract

Purpose The focus of SPINE20 is to develop evidence-based policy recommendations for the G20 countries to work with governments to reduce the burden of spine disease, and disability. Methods On September 17–18, 2021, SPINE20 held its annual meeting in Rome, Italy. Prior to the meeting, the SPINE20 created six proposed recommendations. These recommendations were uploaded to the SPINE20 website 10 days before the meeting and opened to the public for comments. The recommendations were discussed at the meeting allowing the participants to object and provide comments. Results In total, 27 societies endorsed the following recommendations. SPINE20 calls upon the G20 countries: (1) to expand telehealth for the access to spine care, especially in light of the current situation with COVID-19. (2) To adopt value-based interprofessional spine care as an approach to improve patient outcomes and reduce disability. (3) To facilitate access and invest in the development of a competent rehabilitation workforce to reduce the burden of disability related to spine disorders. (4) To adopt a strategy to promote daily physical activity and exercises among the elderly population to maintain an active and independent life with a healthy spine, particularly after COVID-19 pandemic. (5) To engage in capacity building with emerging countries and underserved communities for the benefit of spine patients. (6) To promote strategies to transfer evidence-based advances into patient benefit through effective implementation processes. Conclusions SPINE20’s initiatives will make governments and decision makers aware of efforts to reduce needless suffering from disabling spine pain through education that can be instituted across the globe.

Decreased daily exercise since the COVID-19 pandemic and the deterioration of health-related quality of life in the elderly population: a population-based cross-sectional study

“…In terms of the importance of exercise in the elderly population, SPINE20 which is an international advocacy group, called to G20 leaders and published a recommendation for the G20 countries to adopt a strategy to promote daily physical activity and exercises among the elderly population to maintain an active and independent life with a healthy spine, particularly since COVID‑19 pandemic [ 25 ]. Our results indicated that regular exercise was decreased in 30% of the elderly population since the COVID-19 pandemic.…”

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

“…The main goal of SPINE20 is to develop evidence-based policy recommendations for the G20 governments to reduce the burden of spine disorders, disability, and injuries. [7,8] The recommendations are intended to benefit individuals with spine disorders, benefiting the community and, ultimately, the country. Countries have different abilities to implement recommendations depending on their geographical location and wealth.…”

The Impact of Multidisciplinary Approaches to Social Functioning on Surgical Outcomes Following Surgery for Cervical Myelopathy

“…[1][2][3] However, evidence for the effectiveness of MAs in the care of patients with spinal disabilities is not well established. 4 Degenerative cervical myelopathy (DCM) is the leading cause of spinal cord impairment worldwide; the prevalence is estimated at a minimum of 605 per million in North America. 5 Chronic cervical spinal cord compression leads to neurological symptoms, functional impairment, and deterioration of quality of life (QOL).…”

“…For example, in cancer treatment, considerable high-level evidence for the effectiveness of MAs has been accumulated, and the concept has been fully endorsed by cancer organizations 1–3 . However, evidence for the effectiveness of MAs in the care of patients with spinal disabilities is not well established 4 …”