{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T08:38:31Z","timestamp":1783759111525,"version":"3.55.0"},"reference-count":46,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,11,11]],"date-time":"2021-11-11T00:00:00Z","timestamp":1636588800000},"content-version":"am","delay-in-days":314,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","sportsmed.theclinics.com","theclinics.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinics in Sports Medicine"],"published-print":{"date-parts":[[2021,1]]},"DOI":"10.1016\/j.csm.2020.08.008","type":"journal-article","created":{"date-parts":[[2020,11,10]],"date-time":"2020-11-10T22:08:35Z","timestamp":1605046115000},"page":"187-197","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Considerations for Athlete Retirement After Sport-Related Concussion"],"prefix":"10.1016","volume":"40","author":[{"given":"Julie C.","family":"Wilson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiana","family":"Patsimas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Cohen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margot","family":"Putukian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.csm.2020.08.008_bib1","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2015-4635","article-title":"Sports- and Recreation-Related Concussions in US Youth","volume":"138","author":"Bryan","year":"2016","journal-title":"Pediatrics"},{"issue":"4","key":"10.1016\/j.csm.2020.08.008_bib2","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1136\/bjsports-2018-100338","article-title":"American Medical Society for Sports Medicine position statement on concussion in sport","volume":"53","author":"Harmon","year":"2019","journal-title":"Br J Sports Med"},{"issue":"11","key":"10.1016\/j.csm.2020.08.008_bib3","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1136\/bjsports-2017-097699","article-title":"Consensus statement on concussion in sport-the 5(th) international conference on concussion in sport held in Berlin, October 2016","volume":"51","author":"McCrory","year":"2017","journal-title":"Br J Sports Med"},{"issue":"3","key":"10.1016\/j.csm.2020.08.008_bib4","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/S1474-4422(19)30020-1","article-title":"Primum non nocere: a call for balance when reporting on CTE","volume":"18","author":"Stewart","year":"2019","journal-title":"Lancet Neurol"},{"issue":"12","key":"10.1016\/j.csm.2020.08.008_bib5","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1136\/bjsports-2017-097791","article-title":"A\u00a0systematic review of potential long-term effects of sport-related concussion","volume":"51","author":"Manley","year":"2017","journal-title":"Br J Sports Med"},{"issue":"Pt A","key":"10.1016\/j.csm.2020.08.008_bib6","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.ijpsycho.2018.04.003","article-title":"The long-term outcomes of sport-related concussion in pediatric populations","volume":"132","author":"Moore","year":"2018","journal-title":"Int J Psychophysiol"},{"issue":"11","key":"10.1016\/j.csm.2020.08.008_bib7","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1016\/j.pmrj.2016.05.005","article-title":"Do Multiple Concussions Lead to Cumulative Cognitive Deficits? A Literature Review","volume":"8","author":"Yumul","year":"2016","journal-title":"PM R"},{"issue":"15","key":"10.1016\/j.csm.2020.08.008_bib8","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1056\/NEJM195210092471504","article-title":"Serious recurrent injuries of athletes; contraindications to further competitive participation","volume":"247","author":"Thorndike","year":"1952","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.csm.2020.08.008_bib9","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.spen.2019.03.002","article-title":"History of Concussion Including Contributions of 1940s Boston City Hospital Researchers","volume":"30","author":"Cantu","year":"2019","journal-title":"Semin Pediatr Neurol"},{"key":"10.1016\/j.csm.2020.08.008_bib10","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1093\/neurosurgery\/12.CN_suppl_1.386","article-title":"Congress of Neurological Surgeons Committee on head injury nomenclature: glossary of head injury","volume":"12","author":"Gurdjian","year":"1966","journal-title":"Clin Neurosurg"},{"issue":"3","key":"10.1016\/j.csm.2020.08.008_bib11","first-page":"244","article-title":"Posttraumatic Retrograde and Anterograde Amnesia: Pathophysiology and Implications in Grading and Safe Return to Play","volume":"36","author":"Cantu","year":"2001","journal-title":"J\u00a0Athl Train"},{"issue":"1","key":"10.1016\/j.csm.2020.08.008_bib12","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/S0278-5919(05)70060-0","article-title":"Return to play guidelines after a head injury","volume":"17","author":"Cantu","year":"1998","journal-title":"Clin Sports Med"},{"issue":"1","key":"10.1016\/j.csm.2020.08.008_bib13","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1136\/bjsm.36.1.6","article-title":"Summary and agreement statement of the First International Conference on Concussion in Sport, Vienna 2001. Recommendations for the improvement of safety and health of athletes who may suffer concussive injuries","volume":"36","author":"Aubry","year":"2002","journal-title":"Br J Sports Med"},{"issue":"6","key":"10.1016\/j.csm.2020.08.008_bib14","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1136\/bjsm.35.6.380","article-title":"When to retire after concussion?","volume":"35","author":"McCrory","year":"2001","journal-title":"Br J Sports Med"},{"issue":"4","key":"10.1016\/j.csm.2020.08.008_bib15","doi-asserted-by":"crossref","first-page":"E8","DOI":"10.3171\/2016.1.FOCUS15600","article-title":"Retirement-from-sport considerations following pediatric sports-related concussion: case illustrations and institutional approach","volume":"40","author":"Ellis","year":"2016","journal-title":"Neurosurg Focus"},{"issue":"10 Suppl 2","key":"10.1016\/j.csm.2020.08.008_bib16","first-page":"S440","article-title":"Considerations for return-to-play and retirement decisions after concussion","volume":"3","author":"Cantu","year":"2011","journal-title":"PM R"},{"issue":"1","key":"10.1016\/j.csm.2020.08.008_bib17","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/j.csm.2010.08.005","article-title":"When to consider retiring an athlete after sports-related concussion","volume":"30","author":"Sedney","year":"2011","journal-title":"Clin Sports Med"},{"issue":"1","key":"10.1016\/j.csm.2020.08.008_bib18","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1212\/CPJ.0000000000000424","article-title":"Medical retirement from sport after concussions: A practical guide for a difficult discussion","volume":"8","author":"Davis-Hayes","year":"2018","journal-title":"Neurol Clin Pract"},{"issue":"2","key":"10.1016\/j.csm.2020.08.008_bib19","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1016\/j.pmr.2016.01.001","article-title":"Retirement and Activity Restrictions Following Concussion","volume":"27","author":"Laker","year":"2016","journal-title":"Phys Med Rehabil Clin N Am"},{"issue":"6","key":"10.1016\/j.csm.2020.08.008_bib20","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1249\/JSR.0000000000000098","article-title":"The million dollar question: When should an athlete retire after concussion?","volume":"13","author":"Concannon","year":"2014","journal-title":"Curr Sports Med Rep"},{"issue":"19","key":"10.1016\/j.csm.2020.08.008_bib21","doi-asserted-by":"crossref","first-page":"2549","DOI":"10.1001\/jama.290.19.2549","article-title":"Cumulative effects associated with recurrent concussion in collegiate football players: the NCAA Concussion Study","volume":"290","author":"Guskiewicz","year":"2003","journal-title":"JAMA"},{"issue":"2","key":"10.1016\/j.csm.2020.08.008_bib22","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1136\/bjsports-2019-100579","article-title":"Return to play and risk of repeat concussion in collegiate football players: comparative analysis from the NCAA Concussion Study (1999-2001) and CARE Consortium (2014-2017)","volume":"54","author":"McCrea","year":"2020","journal-title":"Br J Sports Med"},{"issue":"8","key":"10.1016\/j.csm.2020.08.008_bib23","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1016\/j.acn.2007.09.004","article-title":"Neuropsychological evaluation in the diagnosis and management of sports-related concussion","volume":"22","author":"Moser","year":"2007","journal-title":"Arch Clin Neuropsychol"},{"issue":"1","key":"10.1016\/j.csm.2020.08.008_bib24","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1542\/peds.2013-0432","article-title":"Time interval between concussions and symptom duration","volume":"132","author":"Eisenberg","year":"2013","journal-title":"Pediatrics"},{"issue":"14","key":"10.1016\/j.csm.2020.08.008_bib25","doi-asserted-by":"crossref","first-page":"1607","DOI":"10.1177\/0883073816667194","article-title":"Repeat Concussion and Recovery Time in a Primary Care Pediatric Office","volume":"31","author":"Taubman","year":"2016","journal-title":"J\u00a0Child Neurol"},{"issue":"4","key":"10.1016\/j.csm.2020.08.008_bib26","doi-asserted-by":"crossref","first-page":"401","DOI":"10.3171\/2017.9.PEDS17392","article-title":"Effect of concussion history on symptom burden and recovery following pediatric sports-related concussion","volume":"21","author":"Ellis","year":"2018","journal-title":"J\u00a0Neurosurg Pediatr"},{"key":"10.1016\/j.csm.2020.08.008_bib27","doi-asserted-by":"crossref","DOI":"10.1089\/neu.2019.6813","article-title":"If Not Now, When? An Absence of Neurocognitive and Postural Stability Deficits in Collegiate Athletes with One or More Concussions","author":"Rosenblum","year":"2020","journal-title":"J\u00a0Neurotrauma"},{"issue":"1","key":"10.1016\/j.csm.2020.08.008_bib28","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1136\/bjsm.2005.020651","article-title":"No cumulative effects for one or two previous concussions","volume":"40","author":"Iverson","year":"2006","journal-title":"Br J Sports Med"},{"issue":"4","key":"10.1016\/j.csm.2020.08.008_bib29","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1177\/1941738117713974","article-title":"Cumulative Effects of Concussion History on Baseline Computerized Neurocognitive Test Scores: Systematic Review and Meta-analysis","volume":"9","author":"Alsalaheen","year":"2017","journal-title":"Sports Health"},{"issue":"5","key":"10.1016\/j.csm.2020.08.008_bib30","first-page":"1206","article-title":"Postconcussion syndrome: demographics and predictors in 221 patients","volume":"125","author":"Tator","year":"2016","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.csm.2020.08.008_bib31","series-title":"Diagnostic and statistical manual of mental disorders","year":"1994"},{"issue":"12","key":"10.1016\/j.csm.2020.08.008_bib32","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1136\/bjsports-2016-097470","article-title":"Approach to investigation and treatment of persistent symptoms following sport-related concussion: a systematic review","volume":"51","author":"Makdissi","year":"2017","journal-title":"Br J Sports Med"},{"key":"10.1016\/j.csm.2020.08.008_bib33","series-title":"Mild traumatic brain injury in children and adolescents: from basic science to clinical management","first-page":"341","article-title":"Sport-Related Concussion","author":"Kirkwood","year":"2012"},{"issue":"4","key":"10.1016\/j.csm.2020.08.008_bib34","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1097\/HTR.0b013e31826da964","article-title":"Exercise treatment for postconcussion syndrome: a pilot study of changes in functional magnetic resonance imaging activation, physiology, and symptoms","volume":"28","author":"Leddy","year":"2013","journal-title":"J\u00a0Head Trauma Rehabil"},{"issue":"1","key":"10.1016\/j.csm.2020.08.008_bib35","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1097\/JSM.0b013e3181c6c22c","article-title":"A\u00a0preliminary study of subsymptom threshold exercise training for refractory post-concussion syndrome","volume":"20","author":"Leddy","year":"2010","journal-title":"Clin J Sport Med"},{"issue":"9696","key":"10.1016\/j.csm.2020.08.008_bib36","doi-asserted-by":"crossref","first-page":"1160","DOI":"10.1016\/S0140-6736(09)61558-0","article-title":"Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study","volume":"374","author":"Kuppermann","year":"2009","journal-title":"Lancet"},{"key":"10.1016\/j.csm.2020.08.008_bib37","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.socscimed.2018.07.050","article-title":"Personal subjectivity in clinician discussion about retirement from sport post-concussion","volume":"218","author":"Kroshus","year":"2018","journal-title":"Soc Sci Med"},{"key":"10.1016\/j.csm.2020.08.008_bib38","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1080\/1612197X.2009.9671916","article-title":"ISSP position stand: career development and transitions of athletes","volume":"7","author":"Stambulova","year":"2009","journal-title":"Int J Sport Exerc Psychol"},{"key":"10.1016\/j.csm.2020.08.008_bib39","series-title":"US Department of Health and Human Services. Physical activity guidelines for Americans","year":"2018"},{"issue":"8","key":"10.1016\/j.csm.2020.08.008_bib40","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1038\/nrneurol.2016.99","article-title":"Sports-related concussions - media, science and policy","volume":"12","author":"Mannix","year":"2016","journal-title":"Nat Rev Neurol"},{"issue":"1","key":"10.1016\/j.csm.2020.08.008_bib42","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1177\/0363546517728264","article-title":"Concussion Nondisclosure During Professional Career Among a Cohort of Former National Football League Athletes","volume":"46","author":"Kerr","year":"2018","journal-title":"Am J Sports Med"},{"issue":"3","key":"10.1016\/j.csm.2020.08.008_bib43","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1249\/JSR.0000000000000575","article-title":"Shared Decision Making for Athletes with Cardiovascular Disease: Practical Considerations","volume":"18","author":"Baggish","year":"2019","journal-title":"Curr Sports Med Rep"},{"issue":"4","key":"10.1016\/j.csm.2020.08.008_bib44","doi-asserted-by":"crossref","DOI":"10.1177\/2325967116644241","article-title":"AOSSM Early Sport Specialization Consensus Statement","volume":"4","author":"LaPrade","year":"2016","journal-title":"Orthop J Sports Med"},{"key":"10.1016\/j.csm.2020.08.008_bib45","article-title":"Consensus Statement on Sports-Related Concussions in Youth Sports Using a Modified Delphi Approach","author":"Rivara","year":"2019","journal-title":"JAMA Pediatr"},{"issue":"6","key":"10.1016\/j.csm.2020.08.008_bib46","doi-asserted-by":"crossref","first-page":"709","DOI":"10.3171\/2015.5.PEDS15220","article-title":"Psychiatric outcomes after pediatric sports-related concussion","volume":"16","author":"Ellis","year":"2015","journal-title":"J\u00a0Neurosurg Pediatr"},{"issue":"2","key":"10.1016\/j.csm.2020.08.008_bib47","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1007\/s40279-017-0810-3","article-title":"Sport-Related Concussion and Mental Health Outcomes in Elite Athletes: A Systematic Review","volume":"48","author":"Rice","year":"2018","journal-title":"Sports Med"}],"container-title":["Clinics in Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0278591920300636?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0278591920300636?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T20:08:00Z","timestamp":1759522080000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0278591920300636"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":46,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["S0278591920300636"],"URL":"https:\/\/doi.org\/10.1016\/j.csm.2020.08.008","relation":{},"ISSN":["0278-5919"],"issn-type":[{"value":"0278-5919","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Considerations for Athlete Retirement After Sport-Related Concussion","name":"articletitle","label":"Article Title"},{"value":"Clinics in Sports Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.csm.2020.08.008","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}