Shaping conservative spinal services with the Spine Tango Registry.

Area of Science:

• Osteopathic Medicine
• Spinal Health
• Clinical Registry Studies

Background:

• Secondary care spinal services often manage complex chronic pain.
• Osteopathy is increasingly utilized for conservative spinal management.
• Registry data collection is crucial for evaluating healthcare services.

Purpose of the Study:

• To report on a registry data collection project within a secondary care spinal osteopathy service.
• To evaluate clinical outcomes and patient satisfaction in this setting.
• To assess the utility of registry data for clinical governance.

Main Methods:

• Utilized the Spine Tango Conservative registry tool for data collection.
• Assessed outcomes using validated Patient-Reported Measures (PROMs) including NPRS, ODI, NDI, COMI, and EQ5D.
• Analyzed Global Treatment Outcome (GTO) and PROM changes using Spearman's rank correlation.

Main Results:

• 262 patients with chronic spinal pain were included; 98.8% had prior interventions.
• Significant improvements observed across all PROMs, including pain and disability indices.
• High patient satisfaction (96.2%) and positive self-reported treatment outcomes (83.2%) were reported with no serious complications.

Conclusions:

• The secondary care spinal osteopathy service demonstrated positive outcomes, high patient satisfaction, and minimal complications.
• Registry participation enhanced clinical governance and supports osteopaths in conservative spinal care.
• Efficient registry data collection is vital, requiring structured approaches to minimize patient and resource burden.