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February 2018; 8 (1) ReviewOpen Access

Medical retirement from sport after concussions

A practical guide for a difficult discussion

Cecilia Davis-Hayes, David R. Baker, Thomas S. Bottiglieri, William N. Levine, Natasha Desai, James D. Gossett, James M. Noble
First published January 23, 2018, DOI: https://doi.org/10.1212/CPJ.0000000000000424
Cecilia Davis-Hayes
College of Physicians & Surgeons (CD-H); Department of Pediatrics (DRB), Montefiore Medical Center; Department of Orthopedics (TSB, WNL, ND), Columbia University Medical Center; and Athletics Department (JDG), Department of Neurology, Taub Institute for Research on Alzheimer Disease and the Aging Brain (JMN), and G.H. Sergievsky Center (JMN), Columbia University, New York, NY.
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David R. Baker
College of Physicians & Surgeons (CD-H); Department of Pediatrics (DRB), Montefiore Medical Center; Department of Orthopedics (TSB, WNL, ND), Columbia University Medical Center; and Athletics Department (JDG), Department of Neurology, Taub Institute for Research on Alzheimer Disease and the Aging Brain (JMN), and G.H. Sergievsky Center (JMN), Columbia University, New York, NY.
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Thomas S. Bottiglieri
College of Physicians & Surgeons (CD-H); Department of Pediatrics (DRB), Montefiore Medical Center; Department of Orthopedics (TSB, WNL, ND), Columbia University Medical Center; and Athletics Department (JDG), Department of Neurology, Taub Institute for Research on Alzheimer Disease and the Aging Brain (JMN), and G.H. Sergievsky Center (JMN), Columbia University, New York, NY.
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William N. Levine
College of Physicians & Surgeons (CD-H); Department of Pediatrics (DRB), Montefiore Medical Center; Department of Orthopedics (TSB, WNL, ND), Columbia University Medical Center; and Athletics Department (JDG), Department of Neurology, Taub Institute for Research on Alzheimer Disease and the Aging Brain (JMN), and G.H. Sergievsky Center (JMN), Columbia University, New York, NY.
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Natasha Desai
College of Physicians & Surgeons (CD-H); Department of Pediatrics (DRB), Montefiore Medical Center; Department of Orthopedics (TSB, WNL, ND), Columbia University Medical Center; and Athletics Department (JDG), Department of Neurology, Taub Institute for Research on Alzheimer Disease and the Aging Brain (JMN), and G.H. Sergievsky Center (JMN), Columbia University, New York, NY.
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James D. Gossett
College of Physicians & Surgeons (CD-H); Department of Pediatrics (DRB), Montefiore Medical Center; Department of Orthopedics (TSB, WNL, ND), Columbia University Medical Center; and Athletics Department (JDG), Department of Neurology, Taub Institute for Research on Alzheimer Disease and the Aging Brain (JMN), and G.H. Sergievsky Center (JMN), Columbia University, New York, NY.
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James M. Noble
College of Physicians & Surgeons (CD-H); Department of Pediatrics (DRB), Montefiore Medical Center; Department of Orthopedics (TSB, WNL, ND), Columbia University Medical Center; and Athletics Department (JDG), Department of Neurology, Taub Institute for Research on Alzheimer Disease and the Aging Brain (JMN), and G.H. Sergievsky Center (JMN), Columbia University, New York, NY.
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Full PDF
Citation
Medical retirement from sport after concussions
A practical guide for a difficult discussion
Cecilia Davis-Hayes, David R. Baker, Thomas S. Bottiglieri, William N. Levine, Natasha Desai, James D. Gossett, James M. Noble
Neurol Clin Pract Feb 2018, 8 (1) 40-47; DOI: 10.1212/CPJ.0000000000000424

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Article Information

vol. 8 no. 1 40-47
DOI: 
https://doi.org/10.1212/CPJ.0000000000000424

Published By: 
Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology
Print ISSN: 
2163-0402
Online ISSN: 
2163-0933
History: 
  • Received July 20, 2017
  • Accepted October 6, 2017
  • First Published January 23, 2018.

Article Versions

  • Previous version (January 23, 2018 - 12:45).
  • You are viewing the most recent version of this article.
Copyright & Usage: 
© 2018 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND), which permits downloading and sharing the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

Author Disclosures

    1. Cecilia Davis-Hayes, BA*,
    2. David R. Baker, MD*,
    3. Thomas S. Bottiglieri, DO,
    4. William N. Levine, MD,
    5. Natasha Desai, MD,
    6. James D. Gossett, ATC, and
    7. James M. Noble, MD, MS, CPH
  1. Cecilia Davis-Hayes, BA*,
  2. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  3. David R. Baker, MD*,
  4. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  5. Thomas S. Bottiglieri, DO,
  6. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for travel or speaker honoraria:
    1. Non-profit, travel expenses for the Big 10/Ivy league concussion summit - scientific collaboration annual meeting

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  7. William N. Levine, MD,
  8. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. Journal of the American Academy of Orthopaedic Surgeons, Editor-in-Chief, 2015

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. Zimmer Biomet - unpaid Consultant

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. Smith and Nephews- Fellowship Grant 2016

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  9. Natasha Desai, MD,
  10. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  11. James D. Gossett, ATC, and
  12. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  13. James M. Noble, MD, MS, CPH
  14. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for travel or speaker honoraria:
    1. Non-profit, travel expenses for the Big 10/Ivy league concussion summit - scientific collaboration annual meeting

    Editorial Boards:
    1. NONE

    Patents:
    1. I am involved with development a real-time concussion diagnostic tool. I am unable to disclose the intellectual property but do not appreciate a conflict of interest with this manuscript.

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. I provide consultative work as a secondary reviewer with Prophase, LLC for an Alzheimer disease related trial. I do not appreciate a conflict of interest with this manuscript.

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NIH: U54 NS081765 (Co-I), R01 NS067443 (Co-I), R01AG054536 (PI), T35 AG044303 (Co-PI). None of these directly supported this work, nor are they relevant.

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. Stock options: Bats Toi wrestling headgear (not a concussion tool/diagnostic). I do not appreciate a conflict of interest with this manuscript.

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  1. College of Physicians & Surgeons (CD-H); Department of Pediatrics (DRB), Montefiore Medical Center; Department of Orthopedics (TSB, WNL, ND), Columbia University Medical Center; and Athletics Department (JDG), Department of Neurology, Taub Institute for Research on Alzheimer Disease and the Aging Brain (JMN), and G.H. Sergievsky Center (JMN), Columbia University, New York, NY.
  1. Correspondence
    Dr. Noble jn2054{at}columbia.edu
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Cited By...

  • 17 Citations
  • Google Scholar

The Nerve!: Rapid online correspondence

  • Author Response: Medical retirement from sport after concussions: A practical guide for a difficult discussion
    • James M. Noble, Assistant Professor of Neurology, Columbia University Medical Center
    Submitted April 04, 2018
  • LETTER RE: Medical retirement from sport after concussions: A practical guide for a difficult discussion
    • Nitin K. Sethi, Associate Professor of Neurology, New York-Presbyterian Hospital, Weill Cornell Medical Center, New York, NY U.S.A.
    Submitted March 15, 2018
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