Dustin C Nabhan1, William J Moreau2, Chad Barylski3. 1. Associate Director, Clinical Research and Multidisciplinary Care United State Olympic Committee, Colorado Springs, Colorado. 2. Managing Director of Sports Medicine, United States Olympic Committee, Colorado Springs, Colorado. 3. Nurse Practitioner, Annadel Medical Group Family Medicine/UCSF Medical Center Department of Orthopedics/Neurosurgery, Santa Rosa, California.
Abstract
OBJECTIVE: The purpose of this study is to describe and discuss laboratory tests ordered on elite athletes in an interdisciplinary sports medicine clinic by a doctor of chiropractic over 1 calendar year. METHODS: A retrospective review of laboratory tests ordered during routine clinical practice as standard screening and diagnostic tests from November 1, 2009, to November 1, 2010 was performed. Data were collected during clinical encounters at one sports medicine clinic and entered into a database for analysis. Descriptive and frequency statistics were used to describe the tests ordered and the frequency of abnormal findings. RESULTS: Five hundred and thirty-nine studies were ordered for diagnostic and routine screenings on 137 athlete patients (86 males, 51 females), representing 49 types of tests. Sample sources included blood, urine, skin lesions, and fecal matter. The most commonly ordered tests were complete blood count, comprehensive metabolic panel, serum ferritin, creatine kinase, serum iron and total iron binding capacity, total cortisol, thyroid stimulating hormone, and lipid panels. There were 217 studies (40%) flagged as abnormal by the reporting laboratory. CONCLUSION: This report provides greater insight into the diverse array of laboratory studies ordered over a 1-year period for diagnosis and screening of elite athletes. A high percentage of the results were flagged as abnormal by the laboratory. These findings show that the unique physiology of the elite athlete must be considered when interpreting laboratory findings in this population.
OBJECTIVE: The purpose of this study is to describe and discuss laboratory tests ordered on elite athletes in an interdisciplinary sports medicine clinic by a doctor of chiropractic over 1 calendar year. METHODS: A retrospective review of laboratory tests ordered during routine clinical practice as standard screening and diagnostic tests from November 1, 2009, to November 1, 2010 was performed. Data were collected during clinical encounters at one sports medicine clinic and entered into a database for analysis. Descriptive and frequency statistics were used to describe the tests ordered and the frequency of abnormal findings. RESULTS: Five hundred and thirty-nine studies were ordered for diagnostic and routine screenings on 137 athlete patients (86 males, 51 females), representing 49 types of tests. Sample sources included blood, urine, skin lesions, and fecal matter. The most commonly ordered tests were complete blood count, comprehensive metabolic panel, serum ferritin, creatine kinase, serum iron and total iron binding capacity, total cortisol, thyroid stimulating hormone, and lipid panels. There were 217 studies (40%) flagged as abnormal by the reporting laboratory. CONCLUSION: This report provides greater insight into the diverse array of laboratory studies ordered over a 1-year period for diagnosis and screening of elite athletes. A high percentage of the results were flagged as abnormal by the laboratory. These findings show that the unique physiology of the elite athlete must be considered when interpreting laboratory findings in this population.
Entities:
Keywords:
Chiropractic; Clinical laboratory techniques; Diagnosis; Sports medicine
Authors: Arne Ljungqvist; Peter Jenoure; Lars Engebretsen; Juan Manuel Alonso; Roald Bahr; Anthony Clough; Guido De Bondt; Jiri Dvorak; Robert Maloley; Gordon Matheson; Willem Meeuwisse; Erik Meijboom; Margo Mountjoy; Antonio Pelliccia; Martin Schwellnus; Dominique Sprumont; Patrick Schamasch; Jean-Benoìt Gauthier; Christophe Dubi; Howard Stupp; Christian Thill Journal: Br J Sports Med Date: 2009-09 Impact factor: 13.800
Authors: Robert D Vining; Stacie A Salsbury; W Carl Cooley; Donna Gosselin; Lance Corber; Christine M Goertz Journal: J Multidiscip Healthc Date: 2018-05-03