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Comparison of the '11+ Kids' injury prevention programme and a regular warmup in children's football (soccer): a cost effectiveness analysis.

Authors
  • Rössler, Roland1, 2
  • Verhagen, Evert2
  • Rommers, Nikki3, 4
  • Dvorak, Jiri5
  • Junge, Astrid5, 6
  • Lichtenstein, Eric1
  • Donath, Lars1, 7
  • Faude, Oliver1
  • 1 Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland. , (Switzerland)
  • 2 Amsterdam Collaboration on Health and Safety in Sports, Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam, the Netherlands. , (Netherlands)
  • 3 Department of Movement and Sports Sciences, Vrije Universiteit Brussel, Brussels, Belgium. , (Belgium)
  • 4 Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium. , (Belgium)
  • 5 Schulthess Klinik and Swiss Concussion Centre, Zurich, Switzerland. , (Switzerland)
  • 6 Medical School Hamburg, Hamburg, Germany. , (Germany)
  • 7 Departement of Intervention Research in Exercise Training, German Sport University, Cologne, Germany. , (Germany)
Type
Published Article
Journal
British Journal of Sports Medicine
Publisher
BMJ
Publication Date
Mar 01, 2019
Volume
53
Issue
5
Pages
309–314
Identifiers
DOI: 10.1136/bjsports-2018-099395
PMID: 30131330
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To evaluate a potential reduction in injury related healthcare costs when using the '11+ Kids' injury prevention programme compared with a usual warmup in children's football. This cost effectiveness analysis was based on data collected in a cluster randomised controlled trial over one season from football teams (under-9 to under-13 age groups) in Switzerland. The intervention group (INT) replaced their usual warmup with '11+ Kids', while the control group (CON) warmed up as usual. Injuries, healthcare resource use and football exposure (in hours) were collected prospectively. We calculated the mean injury related costs in Swiss Francs (CHF) per 1000 hours of football. We calculated the cost effectiveness (the direct net healthcare costs divided by the net health effects of the '11+ Kids' intervention) based on the actual data in our study (trial based) and for a countrywide implementation scenario (model based). Costs per 1000 hours of exposure were CHF228.34 (95% CI 137.45, 335.77) in the INT group and CHF469.00 (95% CI 273.30, 691.11) in the CON group. The cost difference per 1000 hours of exposure was CHF-240.66 (95%CI -406.89, -74.32). A countrywide implementation would reduce healthcare costs in Switzerland by CHF1.48 million per year. 1002 players with a mean age of 10.9 (SD 1.2) years participated. During 76 373 hours of football, 99 injuries occurred. The '11+ Kids' programme reduced the healthcare costs by 51% and was dominant (ie, the INT group had lower costs and a lower injury risk) compared with a usual warmup. This provides a compelling case for widespread implementation. © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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