The economics of a national anterior cruciate ligament injury prevention program for amateur football players: a Markov model analysis.

Autor: Ross A; The University of Sydney, Sydney, NSW.; Victoria University, Melbourne, VIC., Kim J; Southern Clinical School, Monash University, Melbourne, VIC., McKay M; Sydney School of Health Sciences, University of Sydney, Sydney, NSW., Pappas E; Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW., Hardaker N; Sports Performance Research Institute New Zealand (SPRINZ), Auckland University of Technology, Auckland, New Zealand.; Accident Compensation Corporation, Wellington, New Zealand., Whalan M; Centre of Medical and Exercise Physiology, University of Wollongong, Wollongong, NSW.; Football Australia, Sydney, NSW., Peek K; Sydney School of Health Sciences, University of Sydney, Sydney, NSW.
Jazyk: angličtina
Zdroj: The Medical journal of Australia [Med J Aust] 2024 Aug 05; Vol. 221 (3), pp. 149-155. Date of Electronic Publication: 2024 Jul 11.
DOI: 10.5694/mja2.52385
Abstrakt: Objectives: To estimate the long term cost savings, return on investment, and gain in quality-adjusted life years (QALYs) that could be achieved by a national anterior cruciate ligament (ACL) injury prevention program for amateur football (soccer) players in Australia.
Study Design: Markov model decision analysis.
Setting, Participants: Two hypothetical scenarios including all amateur football players in Australia (340 253 players): no intervention, and a national ACL injury prevention program. Transitions between health states, including ACL rupture, meniscal injury, knee osteoarthritis, and total knee replacement were made in one-year cycles over 35 years from a societal perspective.
Main Outcome Measures: Cost savings, return on investment, and QALY gain achieved in the prevention program scenario relative to control scenario, by age group (10-17, 18-34, 35 years or older) and gender.
Secondary Outcomes: incidence of ACL rupture, knee osteoarthritis, total knee replacement, and total knee replacement revision.
Results: The total mean cost of an ACL injury was estimated to be $30 665. The national injury prevention program was projected to save $52 539 751 in medical and societal costs caused by ACL ruptures in amateur footballers over 35 years; the estimated return on each dollar invested in the program was $3.51. Over this period, the number of players with ruptured ACLs could be reduced by 4385 (9%), the number of knee osteoarthritis cases by 780 (8.1%), and the number of total knee replacements by 121 (8.1%); 445 QALYs were gained.
Conclusion: Our findings support investing in a national, evidence-based program for the primary prevention of ACL injuries in amateur football players.
(© 2024 The Author(s). Medical Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of AMPCo Pty Ltd.)
Databáze: MEDLINE
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