Evidence map›Paper›PMID 27741219›Full record

ArticleNeurosurgery2016

Statements of Agreement From the Targeted Evaluation and Active Management (TEAM) Approaches to Treating Concussion Meeting Held in Pittsburgh, October 15-16, 2015.

Michael W Collins, Anthony P Kontos, David O Okonkwo, Jon Almquist, Julian Bailes, Mark Barisa, Jeffrey Bazarian, O Josh Bloom, David L Brody, Robert Cantu and 28 more

2 registry-linked trialsAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Neurosurgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 65 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03555370 nacompletednot on this mapstarted 2018, after this paper: background citation

RCT of Vestibular Treatment in Adolescents Following Sport Related Concussion

TypeinterventionalSponsorUniversity of PittsburghRan2018 to 2020Enrolled50ConditionsVestibular DisorderArmsVestibular Exercise Intervention, Standard of Care
NCT04372797 nacompletednot on this mapstarted 2020, after this paper: background citation

Standardized Instruments to Provide Diagnostic and Prognostic Information in Mild Traumatic Brain Injury (mTBI)

TypeinterventionalSponsorCarey BalabanRan2020 to 2025Enrolled161ConditionsMild Traumatic Brain InjuryArmsDiagnostic test
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Injuries in Wheelchair Basketball Players: A Systematic Review.International journal of environmental research and public health · 2022
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  6. Guideline
  7. Trial
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  9. Symptom presentation and neurocognitive performance following sport-related concussion in adolescents with and without ADHD.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2025
    Article
  10. Review
  11. Article
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5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

38 authors.

Michael W Collins*Department of Orthopaedic Surgery, UPMC Sports Medicine Concussion Program, ‡Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania; §Fairfax Family Practice Comprehensive Concussion Center, Fairfax, Virginia; ¶Department of Neurosurgery, NorthShore University Health System, Chicago, Illinois; ‖Baylor Institute for Rehabilitation, Frisco, Texas; #Department of Emergency Medicine, University of Rochester, Rochester, New York; **Carolina Sports Concussion Clinic, Cary, North Carolina; ‡‡Department of Neurology, Washington University, St. Louis, Missouri; §§Dr. Robert C. Cantu Concussion Center, Emerson Hospital, Boston University, Concord, Massachusetts; ¶¶Department of Neurology, Barrow Neurological Institute, Phoenix, Arizona; ‖‖Community Health and Family Medicine, University of Florida, Gainesville, Florida; ##Athletics Department, University of Arizona, Tucson, Arizona; ***Psychological and Neurobehavioral Associates, State College, Pennsylvania; ‡‡‡Office for Sports Concussion Research, University of Arkansas, Fayetteville, Arkansas; §§§Department of Neurological Surgery University of Washington, Seattle, Washington; ¶¶¶Division of Neuropsychology, Children's National Health System, Washington, District of Columbia; ‖‖‖College of Arts and Sciences, University of North Carolina, Chapel Hill, North Carolina; ###Carolinas Medical Center, Charlotte, North Carolina; ****Neuroscience Center, University of Miami Miller School of Medicine, Miami, Florida; ‡‡‡‡Department of Physical Medicine & Rehabilitation, Spaulding Rehabilitation Hospital, Massachusetts General Hospital, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts; §§§§Neurorehabilitation, Burke Rehabilitation & Research, White Plains, New York; ¶¶¶¶Department of Neurological Surgery, University of California at San Francisco, San Francisco, California; ‖‖‖‖Department of Psychiatry, Indiana University, Bloomington, Indiana; ####Department of Neurology, Medical College of Wisconsin, Milwaukee, Wisconsin; *****University of Pittsburgh Medical Center Centers for Rehabilitation Services, Pittsburgh, Pennsylvania; ‡‡‡‡‡Neurological Institute, NorthShore University Health System, Chicago, Illinois; §§§§§Houston Methodist Concussion Center, Houston Methodist Hospital, Houston, Texas; ¶¶¶¶¶Department of Orthopedics, Emory University Healthcare, Atlanta, Georgia; ‖‖‖‖‖Department of Neurology, Hospital for Special Surgery, Weill Cornell Medical College, New York City, New York; #####Department of Neurosurgery, Vanderbilt University, Vanderbilt Sports Concussion Center, Nashville, Tennessee; ******Pediatric Emergency Medicine, Children's Hospital of Wisconsin, Wauwatosa, Wisconsin; ‡‡‡‡‡‡Department of Athletic Training, A.T. Still University, Kirksville, Missouri; §§§§§§Pittsburgh Steelers, Pittsburgh, Pennsylvania.
Anthony P Kontos
David O Okonkwo
Jon Almquist
Julian Bailes
Mark Barisa
Jeffrey Bazarian
O Josh Bloom
David L Brody
Robert Cantu
Javier Cardenas
Jay Clugston
Randall Cohen
Ruben Echemendia
R J Elbin
Richard Ellenbogen
Janna Fonseca
Gerard Gioia
Kevin Guskiewicz
Robert Heyer
Gillian Hotz
Grant L Iverson
Barry Jordan
Geoffrey Manley
Joseph Maroon
Thomas McAllister
Michael McCrea
Anne Mucha
Elizabeth Pieroth
Kenneth Podell
Matthew Pombo
Teena Shetty
Allen Sills
Gary Solomon
Danny G Thomas
Tamara C Valovich McLeod
Tony Yates
Ross Zafonte

Funding

Balance-Attention Interference Following ConcussionK01DC012332 · NIDCD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KONTOS, ANTHONY P · 2013 to 2017
$741k
NIDCD NIH HHS K01 DC012332
6 · The paper itself

Abstract

backgroundConventional management for concussion involves prescribed rest and progressive return to activity. Recent evidence challenges this notion and suggests that active approaches may be effective for some patients. Previous concussion consensus statements provide limited guidance regarding active treatment.

objectiveTo describe the current landscape of treatment for concussion and to provide summary agreements related to treatment to assist clinicians in the treatment of concussion.

methodsOn October 14 to 16, 2015, the Targeted Evaluation and Active Management (TEAM) Approaches to Treating Concussion meeting was convened in Pittsburgh, Pennsylvania. Thirty-seven concussion experts from neuropsychology, neurology, neurosurgery, sports medicine, physical medicine and rehabilitation, physical therapy, athletic training, and research and 12 individuals representing sport, military, and public health organizations attended the meeting. The 37 experts indicated their agreement on a series of statements using an audience response system clicker device.

resultsA total of 16 statements of agreement were supported covering (1) Summary of the Current Approach to Treating Concussion, (2) Heterogeneity and Evolving Clinical Profiles of Concussion, (3) TEAM Approach to Concussion Treatment: Specific Strategies, and (4) Future Directions: A Call to Research. Support (ie, response of agree or somewhat agree) for the statements ranged from to 97% to 100%.

conclusionConcussions are characterized by diverse symptoms and impairments and evolving clinical profiles; recovery varies on the basis of modifying factors, injury severity, and treatments. Active and targeted treatments may enhance recovery after concussion. Research is needed on concussion clinical profiles, biomarkers, and the effectiveness and timing of treatments. ABBREVIATIONS: ARS, audience response systemCDC, Centers for Disease Control and PreventionDoD, Department of DefensemTBI, mild traumatic brain injuryNCAA, National Collegiate Athletic AssociationNFL, National Football LeagueNIH, National Institutes of HealthRCT, randomized controlled trialRTP, return to playSRC, sport- and recreation-related concussionTBI, traumatic brain injuryTEAM, Targeted Evaluation and Active Management.

Indexed as

Athletic InjuriesAttitude of Health PersonnelBrain ConcussionClinical ProtocolsHumansNeuropsychological TestsPhysical Therapy ModalitiesRestSports Medicine

Identifiers

PMID27741219
PMCPMC5119544

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.