Sport-related injuries are the leading cause of injury in youth and are costly to the healthcare system. When body checking is disallowed in non-elite levels of Bantam (ages 13–14 years) ice hockey, the injury rate is reduced, but the impact on costs is unknown. This study compared rates of game injuries and costs among non-elite Bantam ice hockey leagues that disallow body checking to those that did not. Methods: An economic evaluation was conducted alongside a prospective cohort study comparing 608 players from leagues where body checking was allowed in games (Calgary/Edmonton 2014–2015, Edmonton 2015–2016) with 396 players from leagues where it was not allowed in games (Vancouver, Kelowna 2014–2015, Calgary in 2015–2016). The effectiveness measure was rate of game injuries per 1000 player-hours. Costs were estimated based on associated healthcare use within the publicly funded healthcare system as well as privately paid healthcare costs. Probabilistic sensitivity analysis was conducted using bootstrapping. Results: Disallowing body checking reduced the rate of injuries by 4.32 per 1000 player-hours (95% CI −6.92, −1.56) and reduced public and total healthcare system costs by $1556 (95% CI −$2478, −$559) and $1577 (95% CI −$2629, −$500) per 1000 player-hours, respectively. These finding were robust in over 99% of iterations in sensitivity analyses in the public healthcare and the total healthcare system perspectives. There was no statistically significant difference in privately paid healthcare costs (−$65 per 1000 player-hours (95% CI −$220, $99)). Interpretation: Disallowing body checking in non-elite 13–14-year-old ice hockey nationally would prevent injuries and reduce public healthcare costs.

中文翻译：

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现实检验 2：禁止 13 至 14 岁非精英冰球运动员身体检查的政策的成本效益

与运动有关的伤害是青少年受伤的主要原因，并且对医疗保健系统来说是昂贵的。当非精英级别的 Bantam（13-14 岁）冰球不允许进行身体检查时，受伤率会降低，但对成本的影响尚不清楚。这项研究比较了禁止身体检查的非精英 Bantam 冰球联赛与那些不允许进行身体检查的比赛受伤率和成本。方法：一项经济评估与一项前瞻性队列研究一起进行，比较了来自允许在比赛中进行身体检查的联赛（卡尔加里/埃德蒙顿 2014-2015，埃德蒙顿 2015-2016）的 608 名球员与来自不允许在比赛中进行身体检查的联赛（温哥华）的 396 名球员，基洛纳 2014-2015 年，卡尔加里 2015-2016 年）。有效性衡量标准是每 1000 名球员小时的比赛受伤率。成本是根据公共资助的医疗保健系统内的相关医疗保健使用以及私人支付的医疗保健费用估算的。使用自举法进行概率敏感性分析。结果：禁止身体检查使每 1000 个玩家小时的受伤率降低了 4.32（95% CI -6.92，-1.56），并降低了 1556 美元（95% CI -2478，-559 美元）和 1577 美元（95%）的公共和总医疗保健系统成本CI -$2629, -$500) 每 1000 个玩家小时。这些发现在公共医疗保健和整个医疗保健系统的敏感性分析中超过 99% 的迭代中都是稳健的。私人支付的医疗保健费用没有统计学上的显着差异（每 1000 玩家小时 - 65 美元（95% CI - 220 美元，99 美元））。解释：在全国范围内禁止对 13-14 岁的非精英冰球运动员进行身体检查可以防止受伤并降低公共医疗保健成本。