RESEARCH METHODOLOGYApproaching Spine Research in an Outreach Setting What Type of Infrastructure is Conducive for Conducting Research?Slattery, Casey BS*; Verma, Kushagra MD, MS*; Rios, Fernando MD†; Mundis, Gregory M. Jr MD‡; Boachie-Adjei, Oheneba MD§; Rinella, Anthony MD∥Author Information *Department of Orthopaedic Surgery, University of Washington, Seattle, WA †Autonomous University of Chihuahua, Avenida Universidad y Pascual Orozco s/n, Universidad, Chihuahua, Chih., Mexico ‡Scripps Green Hospital, La Jolla, CA §Department of Orthopaedic Surgery, Hospital of Special Surgery, New York, NY ∥Illinois Spine and Scoliosis Center, Homer Glen, IL The authors declare no conflict of interest. Reprints: Casey Slattery, BS, 1959 NE Pacific St, Seattle, WA 98195 (e-mail: firstname.lastname@example.org). Received December 12, 2017 Accepted May 22, 2018 Clinical Spine Surgery: August 2018 - Volume 31 - Issue 7 - p 306-307 doi: 10.1097/BSD.0000000000000688 Buy Metrics Abstract Organizing medical research in an outreach setting can be a challenging task, especially when it involves complex spine procedures in patients whom it is difficult to follow-up for long term. Disease severity at presentation is often advanced in outreach settings due to limited local resources, surgeon expertise, and hospital infrastructure. Case complexity can present a challenge to local and outreach surgeons alike. This article will describe what encompasses an ideal outreach program as it relates to spine, how to manage cost in an outreach setting, collection of outcome data, and maintaining long-term follow-up. As one of the criticisms of medical outreach is the relative paucity of outcome data, this article discusses methods to collect and report outcomes abroad. We also discuss the value of translating outcome questionnaires to different languages and cross-cultural comparisons. In addition, relatively rare pathologies are often seen with greater frequency abroad. These patients are ideally suited for a focused case series than can guide treatment decisions. © 2018 by Lippincott Williams & Wilkins, Inc.