Evidence map›Paper›PMID 29469658›Full record

ArticleSports health

Evolving Treatment Patterns of NFL Players by Orthopaedic Team Physicians Over the Past Decade, 2008-2016.

John B Schrock, Trevor J Carver, Matthew J Kraeutler, Eric C McCarty

Abstract read
In one paragraph

Article in Sports health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 8% of its field
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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Anterior Cruciate Ligament Tears among Football Players.Current reviews in musculoskeletal medicine · 2025
    Review
  6. Article
  7. What to Cover When You're Covering: Preparing the Sideline Physician for the Season.Journal of the Pediatric Orthopaedic Society of North America · 2024
    Review
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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

4 authors at 2 institutions in 1 country.

John B SchrockDepartment of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado.
Trevor J CarverDepartment of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado.
Matthew J KraeutlerDepartment of Orthopaedics, Seton-Hall Hackensack Meridian School of Medicine, South Orange, New Jersey.
Eric C McCartyDepartment of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado.
University of Colorado Denver · USSeton Hall University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies have analyzed the treatment patterns used to manage injuries in National Football League (NFL) players. HYPOTHESIS: Treatment patterns for injuries in NFL players will have changed over the study period. STUDY

designDescriptive epidemiology study. LEVEL OF EVIDENCE: Level 5.

methodsThe head orthopaedic team physicians for all 32 NFL teams were asked to complete a survey containing questions regarding experience as team physician, medical coverage of the team, and treatment preferences for some of the most common injuries occurring in football players. Responses from the current survey were compared with responses from the same survey sent to NFL team physicians in 2008.

resultsResponses were received from 31 (31/32, 97%) NFL team physicians in 2008 and 29 (29/32, 91%) NFL team physicians between April 2016 and May 2017. The proportion of physicians preferring patellar tendon autograft in anterior cruciate ligament (ACL) reconstruction increased from 87% in 2008 to 97% in 2016 ( P = 0.054). In 2008, 49% of physicians allowed return to contact after ACL reconstruction at 6 months or less as compared with only 14% of physicians in 2016 ( P = 0.033). In 2008, 93% of physicians used Toradol injections prior to a game to help with nagging injuries. Toradol injection utilization decreased to 48% of physicians in 2016 ( P < 0.001). Seventy-nine percent of physicians would administer 5 or more Toradol injections prior to a game in 2008, as compared with 28% of physicians in 2016 ( P < 0.0001).

conclusionOrthopaedic physicians have changed their injury treatment preferences for professional football players. In particular, physicians have become more cautious with allowing players to return to play after ACL reconstruction and with the use of pregame Toradol injections. CLINICAL RELEVANCE: Expert opinions can help guide treatment decisions and lead to better care of all athletes.

Indexed as

Acromioclavicular JointAnterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionAnti-Inflammatory Agents, Non-SteroidalCollateral Ligament, UlnarFootballFracture DislocationFractures, BoneHumansKetorolac TromethamineMedial Collateral Ligament, KneeMetatarsal BonesOrthopedic ProceduresPosterior Cruciate LigamentShoulder InjuriesTibial FracturesAnti-Inflammatory Agents, Non-SteroidalKetorolac Tromethamineanterior cruciate ligament reconstructionfootballNFLToradoltreatment patterns

Identifiers

PMID29469658
PMCPMC6116103
OpenAlexW2792183447

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.