eprintid: 10163205 rev_number: 9 eprint_status: archive userid: 699 dir: disk0/10/16/32/05 datestamp: 2023-01-17 15:03:33 lastmod: 2023-01-17 15:03:33 status_changed: 2023-01-17 15:03:33 type: article metadata_visibility: show sword_depositor: 699 creators_name: Riding, Nathan R creators_name: Dorobantu, Dan-Mihai creators_name: Williams, Craig A creators_name: Stuart, Graham creators_name: Fritsch, Peter creators_name: Wilson, Mathew G creators_name: Mossialos, Elias creators_name: Pieles, Guido title: Protecting the stars of tomorrow: do international cardiovascular preparticipation screening policies account for the paediatric athlete? A systematic review and quality appraisal ispublished: inpress divisions: UCL divisions: B02 divisions: C10 divisions: D16 divisions: G88 note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions. abstract: OBJECTIVE: (1) Identify and review current policies for the cardiovascular screening of athletes to assess their applicability to the paediatric population and (2) evaluate the quality of these policy documents using the Appraisal of Guidelines for Research & Evaluation II (AGREE II) tool. DESIGN: DATA SOURCE: A systematic search of PubMed, MEDLINE, Scopus, Web of Science, SportDiscus and CINAHL. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: An article was included if it was a policy/position statement/guideline/consensus or recommendation paper relating to athletes and cardiovascular preparticipation screening. RESULTS AND SUMMARY: Of the 1630 articles screened, 13 met the inclusion criteria. Relevance to paediatric athletes was found to be high in 3 (23%), moderate in 6 (46%) and low in 4 (31%), and only 2 provide tailored guidance for the athlete aged 12–18 years. A median 5 related citations per policy investigated solely paediatric athletes, with study designs most commonly being retrospective (72%). AGREEII overall quality scores ranged from 25% to 92%, with a median of 75%. The lowest scoring domains were rigour of development; (median 32%) stakeholder involvement (median 47%) and Applicability (median 52%). CONCLUSION: Cardiac screening policies for athletes predominantly focus on adults, with few providing specific recommendations for paediatric athletes. The overall quality of the policies was moderate, with more recent documents scoring higher. Future research is needed in paediatric athletes to inform and develop cardiac screening guidelines, to improve the cardiac care of youth athletes. date: 2022-11-04 date_type: published publisher: BMJ Publishing Group official_url: http://dx.doi.org/10.1136/bjsports-2022-105659 oa_status: green full_text_type: other language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 1988058 doi: 10.1136/bjsports-2022-105659 medium: Print-Electronic pii: bjsports-2022-105659 lyricists_name: Wilson, Mathew lyricists_name: Riding, Nathan lyricists_id: MWILS01 lyricists_id: NRIDI80 actors_name: Riding, Nathan actors_id: NRIDI80 actors_role: owner funding_acknowledgements: [Canon Medical Systems fellowship in sports cardiology]; [GW4 BIOMED DTP]; MR/N0137941/1 [Medical Research Council] full_text_status: public publication: British Journal of Sports Medicine pages: 11 event_location: England citation: Riding, Nathan R; Dorobantu, Dan-Mihai; Williams, Craig A; Stuart, Graham; Fritsch, Peter; Wilson, Mathew G; Mossialos, Elias; Riding, Nathan R; Dorobantu, Dan-Mihai; Williams, Craig A; Stuart, Graham; Fritsch, Peter; Wilson, Mathew G; Mossialos, Elias; Pieles, Guido; - view fewer <#> (2022) Protecting the stars of tomorrow: do international cardiovascular preparticipation screening policies account for the paediatric athlete? A systematic review and quality appraisal. British Journal of Sports Medicine 10.1136/bjsports-2022-105659 <https://doi.org/10.1136/bjsports-2022-105659>. (In press). Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10163205/2/Riding_Protecting%20the%20stars%20of%20tomorrow_AAM.pdf