Meidinger, P.; Kéchichian, A.; Pinsault, N. A Model of Triage of Serious Spinal Pathologies and Therapeutic Options Based on a Delphi Study. Medicina2023, 59, 1283.
Meidinger, P.; Kéchichian, A.; Pinsault, N. A Model of Triage of Serious Spinal Pathologies and Therapeutic Options Based on a Delphi Study. Medicina 2023, 59, 1283.
Meidinger, P.; Kéchichian, A.; Pinsault, N. A Model of Triage of Serious Spinal Pathologies and Therapeutic Options Based on a Delphi Study. Medicina2023, 59, 1283.
Meidinger, P.; Kéchichian, A.; Pinsault, N. A Model of Triage of Serious Spinal Pathologies and Therapeutic Options Based on a Delphi Study. Medicina 2023, 59, 1283.
Abstract
Background and Objectives: The relevance of red flags in serious spinal pathology (SSP) evolved throughout the last years. Recently, new considerations have been proposed to expand the consideration of red flags. The purpose of this study was to determine, approve and test a model for the triage and manage-ment process of SSP based on the latest data available in the literature. Materials and Methods: The SSP model was initially built on the basis of a literature re-view. The model was further determined and approved by an expert panel us-ing a Delphi process. Finally, clinical scenario were used to test the applicabil-ity of the model. Results: After three rounds of Delphi process, panellists reached a consensus on a final version of the model. The use of clinical scenari-os by experts bring about reflexive elements both on the determined model and on the evocative SSP of the clinical cases. Conclusions: The validation of the model and its implementation in the clinical field could help assess the skills of first-line practitioners managing spinal painful patients. To this end, the devel-opment of additional clinical scenarios fitting with the determined model should be further considered.
Keywords
red flags; clinical reasoning; back pain; cauda equina syndrome; spinal fracture; spinal infection; malignancy; serious pathology; Spinal pain; low back pain; diagnostic triage
Subject
Public Health and Healthcare, Physical Therapy, Sports Therapy and Rehabilitation
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
