Evidence map›Paper›PMID 33872087›Full record

Observational studySports health

Epidemiology of Concussion in the National Football League, 2015-2019.

Christina D Mack, Gary Solomon, Tracey Covassin, Nicholas Theodore, Javier Cárdenas, Allen Sills

Abstract readObservational Study
In one paragraph

Observational study in Sports health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

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

  1. Pooled it
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  17. The National Football League Concussion Protocol: A Review.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2023
    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

6 authors.

Christina D MackIQVIA, Research Triangle Park, North Carolina.
Gary SolomonDepartment of Neurological Surgery and Vanderbilt Sports Concussion Center, Vanderbilt University School of Medicine, Nashville, Tennessee.
Tracey CovassinDepartment of Kinesiology, Michigan State University, East Lansing, Michigan.
Nicholas TheodoreDepartment of Neurological Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Javier CárdenasDepartment of Neurology, Barrow Neurological Institute, Phoenix, Arizona.
Allen SillsDepartment of Neurological Surgery and Vanderbilt Sports Concussion Center, Vanderbilt University School of Medicine, Nashville, Tennessee.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConcussion in American football, and specifically the National Football League (NFL) is a major area of interest and key focus for injury prevention. Complete and accurate characterization of when, how, and to whom these injuries occur can facilitate injury reduction efforts. Existing studies of concussion in the NFL use publicly available data, potentially limiting data quality and the inferences that can be made. HYPOTHESIS: Concussion incidence in the NFL decreased across the 2015-2019 seasons. STUDY

designDescriptive epidemiology study. LEVEL OF EVIDENCE: Level 4.

methodsConcussion incidence, including counts, one-season risk, and rates per game and player-plays, among active NFL players from 2015 to 2019 is described by year, season, play type, and roster position.

resultsA total 1302 concussions were identified from 2015 to 2019 among 1004 players. Of these, 80% occurred in NFL games. The average annual incidence of in-season game concussions changed over the study period, from 230.7 per season (2015-2017) to 177.0 per season (2018-2019); this represented a 23% decrease in game settings ( CONCLUSION AND RELEVANCE: Concussions in the NFL are a key focus for player safety. Concussion reduction strategies were implemented before 2018, after which there was a sustained 2-year decrease in concussion incidence, providing a new benchmark from which to work toward further injury reduction.

Indexed as

Brain ConcussionFootballHumansIncidenceMaleRetrospective StudiesUnited StatesAmerican footballconcussionepidemiologyNational Football League

Identifiers

PMID33872087
PMCPMC8404771

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.