Evidence map›Paper›PMID 42740854›Full record

ArticleClinical and public health guidelines2025

Sports Pre-Participation Evaluation in Healthy Adults-A Survey-Based Assessment of Guideline Acceptability and Feasibility Among Sports Physicians and Participants.

Käthe Goossen, Alina Weise, Anja Hirschmüller, Christine Joisten, Sandra Jaax, Charlotte Kreutz, Nadja Koensgen, Jessica Breuing

Abstract read
In one paragraph

Article in Clinical and public health guidelines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Guideline
  2. Review
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.

Käthe GoossenInstitute for Research in Operative Medicine (IFOM) Witten/Herdecke University Cologne Germany.ORCID https://orcid.org/0000-0002-1436-1144
Alina WeiseInstitute for Research in Operative Medicine (IFOM) Witten/Herdecke University Cologne Germany.ORCID https://orcid.org/0000-0003-4563-5782
Anja HirschmüllerDepartement of Orthopedic Surgery and Traumatology, Medical Center Albert-Ludwigs-University of Freiburg Freiburg Germany.ORCID https://orcid.org/0000-0003-0864-8015
Christine JoistenDepartment for Physical Activity in Public Health, Institute of Movement and Neurosciences German Sport University Cologne Cologne Germany.ORCID https://orcid.org/0000-0002-2455-8901
Sandra JaaxInstitute for Research in Operative Medicine (IFOM) Witten/Herdecke University Cologne Germany.ORCID https://orcid.org/0009-0009-4537-1757
Charlotte KreutzGerman Federation of Sports Medicine and Prevention Frankfurt am Main Germany.
Nadja KoensgenInstitute for Research in Operative Medicine (IFOM) Witten/Herdecke University Cologne Germany.ORCID https://orcid.org/0000-0002-5387-7119
Jessica BreuingInstitute for Research in Operative Medicine (IFOM) Witten/Herdecke University Cologne Germany.ORCID https://orcid.org/0000-0002-3433-6464

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Sports pre-participation evaluations (PPEs) aim to identify people at increased risk of acute adverse events during physical activity. Little is known about their acceptability and feasibility among physicians and participants ('interest holders'). During the development of a consensus-based PPE guideline in Germany targeted at healthy adults who plan to take up or resume intense physical activity, we used surveys to assess interest holder perceptions of the acceptability and feasibility of the PPE, and to obtain their feedback on draft guideline recommendations. Methods: Cross-sectional online surveys were conducted separately in two interest holder groups. Acceptability was evaluated among adults (≥ 18 years) in Germany ('consumers'), the target population of the PPE guideline. Feasibility was investigated among potential guideline users, which included sports medicine specialists and general practitioners practising in Germany ('sports physicians'). Agreement with nine acceptability and feasibility statements was analysed descriptively. Comments on draft recommendations were collected and grouped thematically. Results: A total of 144 consumers and 204 physicians (186 with certification in sports medicine) completed the survey. Among the consumers, 82% would consider making use of a PPE, 8% were neutral, and 10% would not. Only 1% had 'concerns or reservations'. The main barrier was a potential non-reimbursement of the PPE by their health insurance (61%). Of the 186 certified sports physicians, 83% would offer or already offer a PPE, 12% were neutral, and 5% would not offer a PPE. Potential barriers were non-reimbursement by health insurers (20%), the required time and effort (13%), and qualification issues (14%). About half of the draft recommendations (11/23, 48%) were modified based on interest holder feedback. Discussion: Conducting consumer and end-user surveys as part of the guideline development process increased awareness of the main acceptability and feasibility issues, provided relevant suggestions to the draft recommendations, and identified considerations for guideline implementation.

Indexed as

acceptabilityfeasibilityguidelinepatient involvementsports pre‐participation evaluationsurvey

Identifiers

PMID42740854
PMCPMC13563407

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.