Luiz C Hespanhol Junior1, Bionka M A Huisstede2, Dirk-Wouter Smits2, Bas Kluitenberg3, Henk van der Worp3, Marienke van Middelkoop4, Fred Hartgens5, Evert Verhagen6. 1. Amsterdam Collaboration on Health and Safety in Sports, Department of Public & Occupational Health and the EMGO+ Institute for Health and Care Research, VU University Medical Center, The Netherlands. 2. Department of Rehabilitation, Nursing Science & Sport, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, The Netherlands. 3. Center for Sports Medicine, University of Groningen, University Medical Center Groningen, The Netherlands. 4. Department of General Practice, Erasmus MC University Medical Center Rotterdam, The Netherlands. 5. Departments of Epidemiology and Surgery, Research School CAPHRI, Maastricht University Medical Centre+, The Netherlands; Sports Medicine Center Maastricht*Parkstad, The Netherlands. 6. Amsterdam Collaboration on Health and Safety in Sports, Department of Public & Occupational Health and the EMGO+ Institute for Health and Care Research, VU University Medical Center, The Netherlands; UCT/MRC Research Unit for Exercise Science and Sports Medicine (ESSM), Department of Human Biology, Faculty of Health Sciences, University of Cape Town, South Africa; Australian Centre for Research into Injury in Sport and its Prevention, Federation University Australia, Australia. Electronic address: e.verhagen@vumc.nl.
Abstract
OBJECTIVES: To investigate the economic burden of running-related injuries (RRI) occurred during the 6-week 'Start-to-Run' program of the Dutch Athletics Federation in 2013. DESIGN: Prospective cohort study. METHODS: This was a monetary cost analysis using the data prospectively gathered alongside the RRI registration in the NLstart2run study. RRI data were collected weekly. Cost diaries were applied two and six weeks after the RRI registration to collect data regarding healthcare utilisation (direct costs) and absenteeism from paid and unpaid work (indirect costs). RRI was defined as running-related pain that hampered running ability for three consecutive training sessions. RESULTS: From the 1696 participants included in the analysis, 185 reported a total of 272 RRIs. A total of 26.1% of the cost data (71 RRIs reported by 50 participants) were missing. Therefore, a multiple imputation procedure was performed. The economic burden (direct plus indirect costs) of RRIs was estimated at €83.22 (95% CI €50.42-€116.02) per RRI, and €13.35 (95% CI €7.07-€19.63) per participant. The direct cost per RRI was €56.93 (95% CI €42.05-€71.81) and the indirect cost per RRI was €26.29 (95% CI €0.00-€54.79). The indirect cost was higher for sudden onset RRIs than for gradual onset RRIs, with a mean difference of €33.92 (95% CI €17.96-€49.87). CONCLUSIONS: Direct costs of RRIs were 2-fold higher than the indirect costs, and sudden onset RRIs presented higher costs than gradual onset RRIs. The results of this study are important to provide information to public health agencies and policymakers about the economic burden of RRIs in novice runners.
OBJECTIVES: To investigate the economic burden of running-related injuries (RRI) occurred during the 6-week 'Start-to-Run' program of the Dutch Athletics Federation in 2013. DESIGN: Prospective cohort study. METHODS: This was a monetary cost analysis using the data prospectively gathered alongside the RRI registration in the NLstart2run study. RRI data were collected weekly. Cost diaries were applied two and six weeks after the RRI registration to collect data regarding healthcare utilisation (direct costs) and absenteeism from paid and unpaid work (indirect costs). RRI was defined as running-related pain that hampered running ability for three consecutive training sessions. RESULTS: From the 1696 participants included in the analysis, 185 reported a total of 272 RRIs. A total of 26.1% of the cost data (71 RRIs reported by 50 participants) were missing. Therefore, a multiple imputation procedure was performed. The economic burden (direct plus indirect costs) of RRIs was estimated at €83.22 (95% CI €50.42-€116.02) per RRI, and €13.35 (95% CI €7.07-€19.63) per participant. The direct cost per RRI was €56.93 (95% CI €42.05-€71.81) and the indirect cost per RRI was €26.29 (95% CI €0.00-€54.79). The indirect cost was higher for sudden onset RRIs than for gradual onset RRIs, with a mean difference of €33.92 (95% CI €17.96-€49.87). CONCLUSIONS: Direct costs of RRIs were 2-fold higher than the indirect costs, and sudden onset RRIs presented higher costs than gradual onset RRIs. The results of this study are important to provide information to public health agencies and policymakers about the economic burden of RRIs in novice runners.
Authors: Benjamin Maschke; Allison Palmsten; Evan O Nelson; Michael C Obermeier; Megan Reams; Bryan Heiderscheit; Hayley Russell; Terese L Chmielewski Journal: Phys Ther Sport Date: 2021-12-27 Impact factor: 2.365
Authors: Daniel Ramskov; Sten Rasmussen; Henrik Sørensen; Erik Thorlund Parner; Martin Lind; Rasmus Oestergaard Nielsen Journal: BMJ Open Sport Exerc Med Date: 2018-02-07