Evidence map›Paper›PMID 28615399›Full record

ArticleCanadian family physician Medecin de famille canadien2017

Concussion diagnosis and management: Knowledge and attitudes of family medicine residents.

Aneetinder Mann, Charles H Tator, James D Carson

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Expanding concussion care in Canada: the role of chiropractors and policy implications.The Journal of the Canadian Chiropractic Association · 2024
    Article
  6. Article
  7. The role of the physiotherapist in concussion.The South African journal of physiotherapy · 2024
    Article
  8. Article
  9. Observational
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  11. Article
  12. Article
  13. Article
  14. Construct validity and reliability of the Concussion Knowledge Assessment Tool (CKAT).The Journal of the Canadian Chiropractic Association · 2020
    Article
  15. Psychologists' Role in Concussion Assessments for Children and Adolescents in Pediatric Practice.International journal of environmental research and public health · 2020
    Review
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  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Aneetinder MannMedical student in the Faculty of Medicine at the University of Toronto in Ontario. aneet.mann@mail.utoronto.ca.
Charles H TatorProfessor in the Division of Neurosurgery at the University of Toronto, Director of the Canadian Concussion Centre at Toronto Western Hospital, Principal Investigator at the Krembil Research Institute, and a board member of Parachute Canada.
James D CarsonAssociate Professor in the Department of Family and Community Medicine at the University of Toronto and a sports medicine physician at Markham Stouffville Hospital and the Scarborough and Rouge Hospital.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the knowledge of, attitudes toward, and learning needs for concussion diagnosis and management among family medicine residents.

designE-mail survey.

settingUniversity of Toronto in Ontario.

participantsFamily medicine residents (N = 348).

main outcome measuresTo describe relationships between awareness of concussion management and lifestyle, education background, and residency placement,

resultsThe residents who responded (n = 73, response rate 21%) correctly answered an average of 5.2 questions out of 9 (58%) regarding the diagnosis and management of concussion. Postgraduate year, sex, personal history of concussion, and clinical exposure to concussion were not significant factors in predicting the number of correct answers. Several misconceptions and knowledge gaps were revealed. Of residents who responded, 71% did not recognize chronic traumatic encephalopathy and only 63% recognized second-impact syndrome as consequences of repetitive concussions. Moreover, 32% of residents did not think that every individual with a concussion should see a physician as part of management. Knowledge scores did not predict self-reported concussion knowledge. Thematic analysis revealed 4 themes related to the challenges of concussion diagnosis and management: the nonspecificity and vagueness of symptoms, lack of formal diagnostic criteria, patient compliance with management, and counseling patients with respect to return to play, work, or learning.

conclusionWe found substantial gaps in knowledge surrounding concussion diagnosis and management among family medicine residents. This lack of knowledge should be addressed at both the undergraduate medical education level and the residency training level to improve concussion-related care and patient outcomes.

Indexed as

Clinical CompetenceHealth Knowledge, Attitudes, PracticeBrain ConcussionFamily PracticeFemaleHumansInternship and ResidencyMaleSelf Report

Identifiers

PMID28615399
PMCPMC5471087

What OpenQuestion holds

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Registered trials

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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.