Evidence map›Paper›PMID 38779878›Full record

ArticleJournal of athletic training2024

More Than Skin Deep: Patient-Provider Racial and Ethnic Concordance and Discordance in Collegiate Athletics and Concussion Management.

Erica Beidler, Thomas G Bowman, Samuel R Walton, Monica R Lininger, Meredith N Decker, Jessica Wallace, Luzita Vela, Tamaria Hibbler, Katherine Morigaki Breedlove, Michael J Larson and 8 more

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Article in Journal of athletic training, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

18 authors.

Erica BeidlerDepartment of Athletic Training, Duquesne University, Pittsburgh, PA.
Thomas G BowmanDepartment of Athletic Training, College of Health Sciences, University of Lynchburg, VA.
Samuel R WaltonDepartment of Physical Medicine and Rehabilitation, School of Medicine, Virginia Commonwealth University, Richmond.
Monica R LiningerDepartment of Physical Therapy and Athletic Training, Northern Arizona University, Flagstaff.
Meredith N DeckerDepartment of Kinesiology, University of Texas at Arlington.
Jessica WallaceDepartment of Health Science, Athletic Training Program, University of Alabama, Tuscaloosa.
Luzita VelaDepartment of Health, Human Performance and Recreation, University of Arkansas, Fayetteville.
Tamaria HibblerDepartment of Health, Athletics, University of Arkansas, Fayetteville.
Katherine Morigaki BreedloveDepartment of Radiology, Harvard Medical School, Boston, MA.
Michael J LarsonDepartment of Psychology and Neuroscience Center, Brigham Young University, Provo, UT.
Thayne A MunceEnvironmental Influences on Health and Disease Group, Sanford Research, Sioux Falls, SD.
Monique R PappadisDepartment of Population Health and Health Disparities, School of Public and Population Health, University of Texas Medical Branch at Galveston.
John SunchildRocky Boy Health Center, Box Elder, MT.
Sean AhonenIntercollegiate Athletics and Community Wellness, Virginia Union University, Richmond.
Nyaz DidehbaniDepartments of Psychiatry and Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas.
David X CifuDepartment of Physical Medicine and Rehabilitation, School of Medicine, Virginia Commonwealth University, Richmond.
Jacob E ReschDepartment of Kinesiology, University of Virginia, Charlottesville.
Patricia M KelshawDepartment of Kinesiology, Brain Research and Assessment Initiative of New Hampshire (BRAIN) Laboratory, University of New Hampshire, Durham.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextThere is strong evidence that racial and ethnic disparities exist in multiple arenas of health and wellness. The causes of racial and ethnic differences in health care are multidimensional; one factor that may affect injury/illness communication, interactions, and outcomes is patient-provider racial and ethnic concordance. At present, it is unclear what role patient-provider racial and ethnic concordance and discordance plays in facilitating concussion care for collegiate athletes.

objectiveTo investigate the presence of athlete-athletic trainer (AT) racial and ethnic concordance and discordance among diagnosed concussion cases and examine if racial and ethnic concordance and discordance influences time (in days) until diagnosis, symptom resolution, or return-to-sport clinical milestones in collegiate athletes.

designRetrospective cohort study.

settingCollegiate athletics. PATIENTS OR OTHER

participantsA total of 694 concussion cases (38.6% [n = 268] sustained by women, 61.4% [n = 426] sustained by men) that occurred within the 2015-2016 through 2019-2020 sport seasons at 9 institutions. MAIN OUTCOME MEASURE(S): The number of days from the date of injury to diagnosis, symptom resolution, and return to sport and from the date of diagnosis to symptom resolution and return to sport.

resultsOverall, 68.4% (n = 475) of concussion cases had patient-provider racial and ethnic concordance, and 31.6% (n = 219) were discordant. All concordant pairs included a White athlete and White AT. Time to diagnosis differed between the concordant and discordant groups (median [interquartile range] = 1 [0-2] versus 0 [0-1], respectively) only in the model adjusted for sex, sport type, and availability of an AT (odds ratio [95% CI] = 1.46 [1.07-1.85]). There were no other group differences.

conclusionsOne-third of concussion cases had athlete-AT racial and ethnic discordance. Although this group was diagnosed with a concussion 1 day sooner than the concordant group, no differences were observed for any concussion recovery milestones. These findings suggest that patient-provider racial and ethnic concordance may play a minor role in concussion recognition or reporting but not necessarily in the management and recovery thereafter.

Indexed as

Athletic InjuriesBrain ConcussionReturn to SportAthletesEthnicityFemaleHealthcare DisparitiesHumansMaleRacial GroupsRetrospective StudiesUniversitiesYoung Adultdiversityhealth equitysocial determinants of health

Identifiers

PMID38779878
PMCPMC11277274

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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.