Evidence map›Paper›PMID 40918990›Full record

ArticleNeurotrauma reports2025

Reliability of Concussion Signs and Symptoms Reporting Among Former Professional American-Style Football Players.

Niki A Konstantinides, Rachel Grashow, Heather DiGregorio, Elizabeth Nolan, Frank E Speizer, Aaron L Baggish, Ross D Zafonte, Marc G Weisskopf

Abstract read
In one paragraph

Article in Neurotrauma reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Niki A KonstantinidesHarvard Medical School, Football Players Health Study at Harvard University, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-5286-8229
Rachel GrashowHarvard Medical School, Football Players Health Study at Harvard University, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0001-6961-0243
Heather DiGregorioHarvard Medical School, Football Players Health Study at Harvard University, Boston, Massachusetts, USA.
Elizabeth NolanHarvard Medical School, Football Players Health Study at Harvard University, Boston, Massachusetts, USA.
Frank E Speizer
Aaron L BaggishHarvard Medical School, Football Players Health Study at Harvard University, Boston, Massachusetts, USA.
Ross D ZafonteHarvard Medical School, Football Players Health Study at Harvard University, Boston, Massachusetts, USA.
Marc G WeisskopfHarvard Medical School, Football Players Health Study at Harvard University, Boston, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Retrospective evaluations of repeated head injury are needed to better understand associations between head injury exposure and later-life deleterious outcomes. However, there is limited assessment of whether head injury recall assessments produce consistent measures over time, and no assessment of whether the reporting is related to current health status. The concussion signs and symptoms scale (CSS; developed for the Football Players Health Study at Harvard University) was designed to measure cumulative head injury exposure history by asking about the frequency of 10 CSS during active football play. Responses are summed with a total CSS range of 0-130. Former professional American-style football players completed the CSS at two timepoints. A subset of participants also reported on current health (subjective cognitive symptoms [Quality of Life in Neurological Disorders], depression [Patient Health Questionnaire], anxiety [Generalized Anxiety Disorder], pain [Patient-Reported Outcome Measurement Information System (PROMIS) Global], and overall health [PROMIS Global]) at each timepoint. To examine reporting consistency and recall bias, we calculated the Spearman correlation between measures assessed an average of 74.5 (standard deviation [SD] = 41.2) months apart and estimated associations between change in demographic, football-related, and current health factors and change in CSS (ΔCSS) over time using multivariable linear regression. Across the 335 participants, the mean (SD) CSS score at times 1 and 2 were 30.2 (25.5) and 29.1 (25.2), respectively, with an average change in CSS (ΔCSS) of -1.1 (SD = 19.8). There was no significant association between ΔCSS and years since play, months between timepoints, or age at time 1 (0.49 <

Indexed as

concussionfootballtraumatic brain injury

Identifiers

PMID40918990
PMCPMC12413250

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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.