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Exercise-induced bronchoconstriction in athletes-should we screen?
James H K Hull1, Les Ansley, Rachel Garrod
1Faculty of Health and Social Care Sciences, St. George's, University of London, UK. jiminio@doctors.org.uk
Medicine and Science in Sports and Exercise
|November 30, 2007
Summary
Widespread screening for exercise-induced bronchoconstriction (EIB) in athletes is debated due to potential over- and underdiagnosis. This analysis evaluates screening strategies, identifying concerns and offering recommendations for improvement.
Area of Science:
- Sports Medicine
- Pulmonology
- Diagnostic Screening
Background:
- Exercise-induced bronchoconstriction (EIB) is frequently diagnosed or missed in athletes.
- This diagnostic uncertainty has prompted calls for universal screening protocols in athletic populations.
Purpose of the Study:
- To critically evaluate the implementation of widespread screening for EIB in athletes.
- To apply a standard policy evaluation framework to assess the viability of such screening.
Main Methods:
- Utilized a standard framework for evaluating health screening policies.
- Analyzed potential issues related to overdiagnosis and underdiagnosis within screening strategies.
Main Results:
- The assessment identified significant concerns regarding a universal EIB screening approach.
- The current diagnostic landscape presents challenges for accurate and effective screening.
Conclusions:
- Widespread screening for EIB requires careful consideration of potential pitfalls.
- Recommendations are proposed to enhance the effectiveness of EIB screening if implemented.
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