Germscheid Niccole, Cheung Jason P Y, Neva Marko H, Öner F Cumhur, Kwon Brian K, Valacco Marcelo, Awwad Waleed, Sciubba Daniel M, Lewis Stephen J, Rhines Laurence D, Yoon S Tim, Alini Mauro, Grad Sibylle, Fisher Charles G, Samartzis Dino
Research Department, AO Spine, AO Foundation, Davos, Switzerland.
Department of Orthopaedics & Traumatology, The University of Hong Kong, Hong Kong.
Global Spine J. 2023 Sep;13(7):1894-1908. doi: 10.1177/21925682211058158. Epub 2021 Dec 6.
Resource allocation to research activities is challenging and there is limited evidence to justify decisions. Members of AO Spine were surveyed to understand the research practices and needs of spine surgeons worldwide.
An 84-item survey was distributed to the AO Spine community in September of 2020. Respondent demographics and insights regarding research registries, training and education, mentorship, grants and financial support, and future directions were collected. Responses were anonymous and compared among regions.
A total of 333 spine surgeons representing all geographic regions responded; 52.3% were affiliated with an academic/university hospital, 91.0% conducted clinical research, and 60.9% had 5+ years of research experience. There was heterogeneity among research practices and needs across regions. North American respondents had more research experience ( = .023), began conducting research early on ( < .001), had an undergraduate science degree ( < .001), and were more likely to have access to a research coordinator or support staff ( = .042) compared to other regions. While all regions expressed having the same challenges in conducting research, Latin America, and Middle East/Northern Africa respondents were less encouraged to do research ( < .001). Despite regional differences, there was global support for research registries and research training and education.
To advance spine care worldwide, spine societies should establish guidelines, conduct studies on pain management, and support predictive analytic modeling. Tailoring local/regional programs according to regional needs is advised. These results can assist spine societies in developing long-term research strategies and provide justified rationale to governments and funding agencies.
将资源分配到研究活动具有挑战性，且用于证明决策合理性的证据有限。对AO脊柱学会的成员进行了调查，以了解全球脊柱外科医生的研究实践和需求。
2020年9月向AO脊柱学会社区发放了一份包含84个条目的调查问卷。收集了受访者的人口统计学信息以及有关研究注册、培训与教育、指导、资助与资金支持以及未来方向的见解。回答是匿名的，并在各地区之间进行了比较。
共有来自所有地理区域的333名脊柱外科医生做出了回应；52.3%隶属于学术/大学医院，91.0%开展临床研究，60.9%有5年以上的研究经验。各地区在研究实践和需求方面存在异质性。与其他地区相比，北美受访者有更多的研究经验（P = .023），更早开始开展研究（P < .001），拥有本科学位（P < .001），并且更有可能获得研究协调员或支持人员（P = .042）。虽然所有地区都表示在开展研究方面面临相同的挑战，但拉丁美洲以及中东/北非的受访者开展研究的积极性较低（P < .001）。尽管存在地区差异，但全球都支持研究注册以及研究培训与教育。
为了在全球范围内推进脊柱护理，脊柱学会应制定指南，开展疼痛管理研究，并支持预测分析模型。建议根据地区需求调整地方/区域项目。这些结果可协助脊柱学会制定长期研究策略，并为政府和资助机构提供合理依据。
