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Does prevention pay off? Economic aspects of sports injury prevention: a systematic review
British Journal of Sports Medicine ( IF 18.4 ) Pub Date : 2022-04-01 , DOI: 10.1136/bjsports-2021-104241
Christoph Lutter 1 , Christophe Jacquet 2, 3 , Evert Verhagen 4 , Romain Seil 2, 3 , Thomas Tischer 5
Affiliation  

Objective To identify, summarise and critically assess economic evaluation studies on sports injury prevention strategies. Design Systematic review. Data sources PubMed, SportDiscuss. Eligibility criteria for selecting studies The current literature was searched following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Economic analyses published since 2010 were checked for inclusion. The methodological quality of the studies was assessed using the Oxford Level of Evidence for economic and decision analysis; underlying randomised controlled trials (RCTs) were rated according to the Physiotherapy Evidence Database (PEDro) Scale, and risk of bias was assessed using the Revised Cochrane risk-of-bias tool. Results Ten studies fulfilled the inclusion criteria. The quality assessment revealed limited data quality. For trial-based analysis, underlying RCTs were of good quality and had a low risk of bias. Prevention concepts for general injury reduction showed effectiveness and cost savings. Regarding specific injury types, the analysis of the studies showed that the best data are available for ankle, hamstring and anterior cruciate ligament injuries. Measures using specific training interventions were the predominant form of prevention concepts; studies investigating these concepts showed cost-effectiveness with total cost savings between €24.82 and €462 per athlete. Conclusion Injury prevention strategies that were studied are cost-effective. However, estimates and outcomes vary throughout the included studies, and precluded pooling of existing data. Knowledge about the cost-effectiveness of evaluated prevention measures will help improve the acceptance and application of prevention initiatives.

中文翻译:

预防有效果吗?运动损伤预防的经济方面:系统评价

目的识别、总结和批判性评价运动损伤预防策略的经济评价研究。设计系统审查。数据来源 PubMed、SportDiscuss。选择研究的资格标准 按照系统评价和元分析指南的首选报告项目搜索当前文献。对自 2010 年以来发表的经济分析进行了检查。使用牛津经济和决策分析证据水平评估研究的方法学质量;根据物理治疗证据数据库 (PEDro) 量表对基础随机对照试验 (RCT) 进行评级,并使用修订的 Cochrane 偏倚风险工具评估偏倚风险。结果 十项研究符合纳入标准。质量评估显示数据质量有限。对于基于试验的分析,基础随机对照试验质量良好,偏倚风险低。减少一般伤害的预防概念显示了有效性和成本节约。关于具体的损伤类型,研究分析表明,最好的数据可用于脚踝、腿筋和前交叉韧带损伤。使用特定培训干预措施的措施是预防概念的主要形式;调查这些概念的研究表明,每位运动员的总成本节省在 24.82 至 462 欧元之间,具有成本效益。结论 所研究的伤害预防策略具有成本效益。然而,整个纳入研究的估计和结果各不相同,并且排除了现有数据的汇集。
更新日期:2022-03-31
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