TY  - JOUR
PY  - 2014//
TI  - Do family physicians, emergency department physicians, and pediatricians give consistent sport-related concussion management advice?
JO  - Canadian family physician
A1  - Stoller, Jacqueline
A1  - Carson, James D.
A1  - Garel, Alisha
A1  - Libfeld, Paula
A1  - Snow, Catherine L.
A1  - Law, Marcus
A1  - Frémont, Pierre
SP  - 548
EP  - 552
VL  - 60
IS  - 6
N2  - OBJECTIVE: To identify differences and gaps in recommendations to patients for the management of sport-related concussion among FPs, emergency department physicians (EDPs), and pediatricians. <br><br>DESIGN: A self-administered, multiple-choice survey was e-mailed to FPs, EDPs, and pediatricians. The survey had been assessed for content validity. SETTING: Two community teaching hospitals in the greater Toronto area in Ontario. PARTICIPANTS: Two hundred seventy physicians, including FPs, EDPs, and pediatricians, were invited to participate. MAIN OUTCOME MEASURES: Identification of sources of concussion management information, usefulness of concussion diagnosis strategies, and whether physicians use common terminology when explaining cognitive rest strategies to patients after sport-related concussions. <br><br>RESULTS: The response rate was 43.7%. Surveys were completed by 70 FPs, 23 EDPs, and 11 pediatricians. In total, 49% of FP, 52% of EDP, and 27% of pediatrician respondents reported no knowledge of any consensus statements on concussion in sport, and 54% of FPs, 86% of EDPs, and 78% of pediatricians never used the Sport Concussion Assessment Tool, version 2. Only 49% of FPs, 57% of EDPs, and 36% of pediatricians always advised cognitive rest. <br><br>CONCLUSION: This study identified large gaps in the knowledge of concussion guidelines and implementation of recommendations for treating patients with sport-related concussions. Although some physicians recommended physical and cognitive rest, a large proportion failed to consistently advise this strategy. Better knowledge transfer efforts should target all 3 groups of physicians.<p />  <p>Language: en</p>
LA  - en
SN  - 0008-350X
UR  - http://dx.doi.org/
ID  - ref1
ER  -