Race, ethnicity, and clinical outcome following sport-related concussion: a systematic review
IntroductionThis systematic review examined whether race or ethnicity are associated with clinical outcomes (e.g., time to return to school/sports, symptom duration, vestibular deficits, and neurocognitive functioning) following sport-related concussion among child, adolescent, or college-aged stude...
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1110539/full |
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| author | Nathan E. Cook Nathan E. Cook Nathan E. Cook Charles E. Gaudet Charles E. Gaudet Charles E. Gaudet Alicia Kissinger-Knox Alicia Kissinger-Knox Alicia Kissinger-Knox Brian C. Liu Brian C. Liu Amy A. Hunter Amy A. Hunter Marc A. Norman Altaf Saadi Altaf Saadi Grant L. Iverson Grant L. Iverson Grant L. Iverson Grant L. Iverson |
| author_facet | Nathan E. Cook Nathan E. Cook Nathan E. Cook Charles E. Gaudet Charles E. Gaudet Charles E. Gaudet Alicia Kissinger-Knox Alicia Kissinger-Knox Alicia Kissinger-Knox Brian C. Liu Brian C. Liu Amy A. Hunter Amy A. Hunter Marc A. Norman Altaf Saadi Altaf Saadi Grant L. Iverson Grant L. Iverson Grant L. Iverson Grant L. Iverson |
| author_sort | Nathan E. Cook |
| collection | DOAJ |
| description | IntroductionThis systematic review examined whether race or ethnicity are associated with clinical outcomes (e.g., time to return to school/sports, symptom duration, vestibular deficits, and neurocognitive functioning) following sport-related concussion among child, adolescent, or college-aged student athletes. Additionally, this review assessed whether the existing literature on this topic incorporated or included broader coverage of social determinants of health.MethodsThe online databases PubMed, MEDLINE®, PsycINFO®, CINAHL, Cochrane Library, EMBASE, SPORTDiscus, Scopus, and Web of Science were searched.ResultsA total of 5,118 abstracts were screened and 12 studies met inclusion criteria, including 2,887 youth and young adults. Among the included articles, only 3 studies (25%) examined whether race and ethnicity were associated with outcomes following concussion as a primary objective. None of the studies assessed the association between social determinants of health and outcomes following concussion as a primary objective, although 5 studies (41.7%) addressed a social determinant of health or closely related topic as a secondary objective.DiscussionOverall, the literature to date is extremely limited and insufficient for drawing conclusions about whether race or ethnicity are categorically associated with outcomes from sport-related concussion, or more specifically, whether there are socioeconomic, structural, or cultural differences or disparities that might be associated with clinical outcome.Systematic review registrationidentifier: PROSPERO, CRD42016041479, CRD42019128300. |
| first_indexed | 2024-03-13T05:33:55Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-03-13T05:33:55Z |
| publishDate | 2023-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-d90c740c35a042969431a678af7228c22023-06-14T13:54:55ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-06-011410.3389/fneur.2023.11105391110539Race, ethnicity, and clinical outcome following sport-related concussion: a systematic reviewNathan E. Cook0Nathan E. Cook1Nathan E. Cook2Charles E. Gaudet3Charles E. Gaudet4Charles E. Gaudet5Alicia Kissinger-Knox6Alicia Kissinger-Knox7Alicia Kissinger-Knox8Brian C. Liu9Brian C. Liu10Amy A. Hunter11Amy A. Hunter12Marc A. Norman13Altaf Saadi14Altaf Saadi15Grant L. Iverson16Grant L. Iverson17Grant L. Iverson18Grant L. Iverson19Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, United StatesSports Concussion Program, MassGeneral Hospital for Children, Boston, MA, United StatesDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA, United StatesDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, United StatesSports Concussion Program, MassGeneral Hospital for Children, Boston, MA, United StatesDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA, United StatesDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, United StatesSports Concussion Program, MassGeneral Hospital for Children, Boston, MA, United StatesDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA, United StatesSports Concussion Program, MassGeneral Hospital for Children, Boston, MA, United StatesDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA, United StatesDepartment of Public Health Sciences and Department of Pediatrics, University of Connecticut School of Medicine, Farmington, CT, United StatesInjury Prevention Center, Connecticut Children's Medical Center and Hartford Hospital, Hartford, CT, United StatesDepartment of Psychiatry, University of California, San Diego, San Diego, CA, United StatesDepartment of Neurology, Harvard Medical School, Boston, MA, United StatesDepartment of Neurology, Massachusetts General Hospital, Boston, MA, United StatesDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, United StatesSports Concussion Program, MassGeneral Hospital for Children, Boston, MA, United StatesDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA, United StatesDepartment of Physical Medicine and Rehabilitation, Schoen Adams Research Institute at Spaulding Rehabilitation, Charlestown, MA, United StatesIntroductionThis systematic review examined whether race or ethnicity are associated with clinical outcomes (e.g., time to return to school/sports, symptom duration, vestibular deficits, and neurocognitive functioning) following sport-related concussion among child, adolescent, or college-aged student athletes. Additionally, this review assessed whether the existing literature on this topic incorporated or included broader coverage of social determinants of health.MethodsThe online databases PubMed, MEDLINE®, PsycINFO®, CINAHL, Cochrane Library, EMBASE, SPORTDiscus, Scopus, and Web of Science were searched.ResultsA total of 5,118 abstracts were screened and 12 studies met inclusion criteria, including 2,887 youth and young adults. Among the included articles, only 3 studies (25%) examined whether race and ethnicity were associated with outcomes following concussion as a primary objective. None of the studies assessed the association between social determinants of health and outcomes following concussion as a primary objective, although 5 studies (41.7%) addressed a social determinant of health or closely related topic as a secondary objective.DiscussionOverall, the literature to date is extremely limited and insufficient for drawing conclusions about whether race or ethnicity are categorically associated with outcomes from sport-related concussion, or more specifically, whether there are socioeconomic, structural, or cultural differences or disparities that might be associated with clinical outcome.Systematic review registrationidentifier: PROSPERO, CRD42016041479, CRD42019128300.https://www.frontiersin.org/articles/10.3389/fneur.2023.1110539/fullconcussionclinical recoveryraceethnicitymild traumatic brain injurysocial determinants of health (SDOH) |
| spellingShingle | Nathan E. Cook Nathan E. Cook Nathan E. Cook Charles E. Gaudet Charles E. Gaudet Charles E. Gaudet Alicia Kissinger-Knox Alicia Kissinger-Knox Alicia Kissinger-Knox Brian C. Liu Brian C. Liu Amy A. Hunter Amy A. Hunter Marc A. Norman Altaf Saadi Altaf Saadi Grant L. Iverson Grant L. Iverson Grant L. Iverson Grant L. Iverson Race, ethnicity, and clinical outcome following sport-related concussion: a systematic review Frontiers in Neurology concussion clinical recovery race ethnicity mild traumatic brain injury social determinants of health (SDOH) |
| title | Race, ethnicity, and clinical outcome following sport-related concussion: a systematic review |
| title_full | Race, ethnicity, and clinical outcome following sport-related concussion: a systematic review |
| title_fullStr | Race, ethnicity, and clinical outcome following sport-related concussion: a systematic review |
| title_full_unstemmed | Race, ethnicity, and clinical outcome following sport-related concussion: a systematic review |
| title_short | Race, ethnicity, and clinical outcome following sport-related concussion: a systematic review |
| title_sort | race ethnicity and clinical outcome following sport related concussion a systematic review |
| topic | concussion clinical recovery race ethnicity mild traumatic brain injury social determinants of health (SDOH) |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1110539/full |
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