The economics of a national anterior cruciate ligament injury prevention program for amateur football players: a Markov model analysis.
Med J Aust
; 221(3): 149-155, 2024 Aug 05.
Article
em En
| MEDLINE
| ID: mdl-38992929
ABSTRACT
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. STUDYDESIGN:
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 OUTCOMEMEASURES:
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. SECONDARYOUTCOMES:
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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Futebol
/
Cadeias de Markov
/
Anos de Vida Ajustados por Qualidade de Vida
/
Lesões do Ligamento Cruzado Anterior
Limite:
Adolescent
/
Adult
/
Child
/
Female
/
Humans
/
Male
País/Região como assunto:
Oceania
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article