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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

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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.

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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.