UNASSIGNED: To develop a consensus on the use of biologics among NFL team physicians.
UNASSIGNED: Consensus statement.
UNASSIGNED: A working group of 6 experts convened a consensus process involving NFL team physicians using validated Delphi methodology. Physicians from 32 NFL teams as well as NFL London were invited to take part. This iterative process was used to define statements on the use of biologics in NFL athletes. A recent scoping review exploring biologics in professional athletes was used to inform the first of 3 rounds of surveys, with statements considered under 7 headings: biologics in general, challenges of treating NFL athletes, terminology/nomenclature, autologous blood products, cell-based therapies, guidance for NFL team physicians, and biologic research in the NFL. In addition to rating agreement, experts were encouraged to propose further items or modifications. Predefined criteria were used to refine item lists after each survey. For a consensus within the final round, defined a priori, items were included in the final information set if a minimum of 75% of respondents agreed and fewer than 10% disagreed.
UNASSIGNED: Physicians from 26 NFL teams and NFL London responded to the initial invitation to participate in the Delphi process; 88.9% of participating team physicians completed the round 1 survey, with response rates of 87.5% in round 2 and 95.2% in round 3. After 3 rounds, 47 statements reached a consensus. A consensus was achieved that platelet-rich plasma has a positive impact on patellar tendinopathy and on symptoms in early osteoarthritis but not for other indications. NFL team physicians agreed that while cell therapies have the potential to improve symptoms, the misrepresentation of uncharacterized preparations as \"stem cells\" has contributed to the widespread use of unproven therapies.
UNASSIGNED: This study established an expert consensus on 47 statements relating to the use of biologics in NFL athletes. In addition to providing clinical guidance for the use of biologics in NFL athletes, this study identified key areas for future focus including the development of athlete education materials.
UASSIGNED:在NFL团队医师之间就生物制剂的使用达成共识。
UNASSIGNED:共识声明。
UASSIGNED:由6名专家组成的工作组使用经过验证的Delphi方法召集了一个涉及NFL团队医生的共识过程。
UNASSIGNED:来自26支NFL球队和NFL伦敦的医师回应了最初的邀请,参加了Delphi过程;88.9%的参与团队医师完成了第一轮调查,
UNASSIGNED:这项研究就NFL运动员使用生物制剂的47项声明建立了专家共识。