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Zafonte, the study’s lead author, was on the committee that wrote the report.

‘‘It’s back to the drawing board,’’ he said. ‘‘We all had such hope this would make some difference.’’

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Online:

JAMA: http://www.jama.com

Traumatic brain injury: http://1.usa.gov/yDji9T

CDC: http://www.cdc.gov/TraumaticBrainInjury

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AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner