AUTHORS RESPOND: Sports-related concussion: Truth be told
BrianHainline, National Collegiate Athletic Association, bhainline@ncaa.org
William W. Dexter, MD, FACSM, American College of Sports Medicine; and John DiFiori, MD, American Medical Society for Sports Medicine
Submitted June 21, 2014
We agree with Dr. Sethi that athletes must receive medical
care that is transparent and without a conflict of interest.
We stated such in our editorial.1 There is a
palpable shift in this direction because of a combination of
a heightened awareness regarding conflict of interest
problems in sport and because medical organizations are
working together to address this issue. Equally important,
and also addressed by Dr. Sethi, is the search for objective
biomarkers of concussion that correlate with diagnosis and
prognosis. So long as concussion diagnosis is driven by
clinical symptoms, there will exist a "relativity scale"
among athletes, sports medicine clinicians, parents, and
coaches regarding the perceived importance of each symptom.
Disclosures: B. Hainline reports no disclosures. W.W. Dexter
serves as Web Alert Editor for Current Sports Medicine
Reports and on the editorial board of the Clinical
Journal of Sports Medicine, receives publishing
royalties from UpToDate, is the Director of Sports Medicine
at Maine Medical Center, and serves on the advisory board
for Cambria Health. J.P. DiFiori serves as an Associate
Editor of the Clinical Journal of Sports Medicine and
as a Section Editor for Current Sports Medicine
Reports.
Reference
1. Hainline B, Dexter WW, DiFiori J. Sports-related
concussion: truth be told. Neurol Clin Pract 2013;3:277-278.
Disclosures: B. Hainline reports no disclosures. W.W. Dexter serves as Web Alert Editor for Current Sports Medicine Reports and on the editorial board of the Clinical Journal of Sports Medicine, receives publishing royalties from UpToDate, is the Director of Sports Medicine at Maine Medical Center, and serves on the advisory board for Cambria Health. J.P. DiFiori serves as an Associate Editor of the Clinical Journal of Sports Medicine and as a Section Editor for Current Sports Medicine Reports.
Reference
1. Hainline B, Dexter WW, DiFiori J. Sports-related concussion: truth be told. Neurol Clin Pract 2013;3:277-278.