Hacking of the World Anti-Doping Agency’s (WADA’s) Anti-Doping Administrative & Management System (ADAMS) by an alleged Russian cyber espionage group ‘Fancy Bear’ disclosed incomplete information about Therapeutic Use Exemptions (TUEs) granted to more than 100 Olympic athletes from over 20 countries1 including some high-profile athletes. These unethical and illegal leaks of personal medical information provoked some criticism of the TUE system, much of it is ill-informed.2 3 In this discussion, I briefly review the concept of TUEs and advise how the TUE system can and should be strengthened. The TUE concept is both sound and essential, and the four criteria that must be met to approve a TUE have changed only marginally in 25 years4 (online appendix 1a). ### Supplementary data [bjsports-2018-100113supp001.pdf] After WADA approved the TUE guidelines in 2004 (that the IOC had adopted in 1991), WADA developed TUE Physician Guidelines —a valuable resource that currently outlines 19 of the different medical conditions that may necessitate an application for a TUE.5 These are updated regularly. TUEs are required to be uploaded …

中文翻译：

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治疗使用豁免 (TUE) 在体育运动中必不可少：但仍有改进的空间

被指控的俄罗​​斯网络间谍组织“Fancy Bear”对世界反兴奋剂机构 (WADA) 的反兴奋剂行政和管理系统 (ADAMS) 的黑客攻击披露了有关授予 100 多名奥运会运动员的治疗性使用豁免 (TUE) 的不完整信息。包括一些知名运动员在内的 20 多个国家/地区1。这些不道德和非法的个人医疗信息泄露引发了对 TUE 系统的一些批评，其中大部分是不明智的。2 3 在本次讨论中，我简要回顾了 TUE 的概念，并建议如何加强 TUE 系统。TUE 概念既合理又必不可少，批准 TUE 必须满足的四个标准在 25 年内仅发生了微小的变化4（在线附录 1a）。###补充数据[bjsports-2018-100113supp001. pdf] 在 WADA 于 2004 年批准 TUE 指南（国际奥委会于 1991 年通过）之后，WADA 制定了 TUE 医师指南——目前概述了可能需要申请 TUE 的 19 种不同医疗状况的宝贵资源。5这些是定期更新。需要上传 TUE…