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UPDATE: 2017 Surgery and Follow-up Forms Now Available

The 2017 Surgery and 2017 Follow-up forms are valid from 1 January 2018 and should be used for all surgeries occuring on or after that date. The forms are availalbe in PDF below and will be available for data entry in the Spine Tango modules from 1 January 2018.

  • The 2017 versions of Spine Tango Surgery and Follow-up forms are valid from 1 January 2018. Version 2011 of the Spine Tango Conservative is still valid. Surgery, Follow-up, and patient self-assessment forms can be downloaded here as PDF. Please note that print-outs of pdfs on this website cannot be used for OMR scanning but only for data capture and later online data entry.
  • Copies of retired form versions from 2011 and earlier are available (in English) below. Please contact the support team if you require information on retired forms in other languages.
  • The Spine Tango patient self-assessment forms contain the Core Outcome Measures Index (COMI), whose items were originally suggested by Deyo et al. 1998 and which was subsequently validated as an outcome instrument in itself by Mannion et al. 2005 and Ferrer et al. 2006, to then become the official outcome instrument of Spine Tango. Please refer to previous publications if you need assistance with the scoring of the COMI (e.g. Mannion et al. 2015, Spine 40(10):710-718 or Pochon et al. 2015, Eur Spine J DOI 10.1007/s00586-015-4062-3). For users of the registry, scoring is done automatically when you submit your data.
  • Anyone wishing to cross-culturally adapt the COMI in another language should contact the Spine Tango Support (spine.tango@ispm.unibe.ch) to ensure that a version is not already under development and/or to have the proposed methodology approved.

Following language packages and additional forms are available:

English

Surgery (Version 2017)
Follow up physician based (Version 2017)
Adult deformity add-on
Adolescent scoliosis add-on
Spine Tango Conservative (Version 2011)
COMI back
COMI neck
COMI back conservative
COMI neck conservative
Oswestry Disability Index (ODI)
Neck Disability Index (NDI)

French

Surgery (Version 2017)
Follow up physician based (Version 2017)
COMI back
COMI neck
COMI back conservative
COMI neck conservative
Oswestry Disability Index (ODI)
Neck Disability Index (NDI)

Italian

Surgery (Version 2017)
Follow up physician based (Version 2017)
COMI back
COMI neck
COMI back conservative
COMI neck conservative
Neck Disability Index (NDI)

Polish

COMI back
COMI neck
Oswestry Disability Index (ODI)
Neck Disability Index (NDI)

Portuguese

COMI back
COMI neck
COMI back conservative
COMI neck conservative

German

Surgery (Version 2017)
Follow up physician based (Version 2017)
Adult deformity add-on
Adolescent scoliosis add-on
Spine Tango Conservative (Version 2011)
COMI back
COMI neck
COMI back conservative
COMI neck conservative
Oswestry Disability Index (ODI)
Neck Disability Index (NDI)

Spanish

Surgery (Version 2017)
Follow up physician based (Version 2017)
COMI back
COMI neck
COMI back conservative
COMI neck conservative
Oswestry Disability Index (ODI)
Neck Disability Index (NDI)

Additional Forms/ Documents

Spine Tango Dictionary of Terms - Surgery (Version 2012)
Spine Tango Dictionary of Terms - Conservative Therapy (Version 2011)
Definitions of diagnosis subgroups in degenerative disease
EuroQol 5D
SRS 30
Implant Documentation
Informed patient consent
Einwilligungserklärung Deutsch
Spine Tango mini study protocol template
Spine Tango Code of Conduct
Spine Tango information security

Retired Forms

Surgery (Version 2011)
Follow up physician based (Version 2011)
Surgery (Version 2006)
Follow up physician based (Version 2006)
Surgery (Version 2005)
Follow up physician based (Version 2005)

  

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