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

Roland Rössler, Evert Verhagen, Nikki Rommers, Jiri Dvorak, Astrid Junge, Eric Lichtenstein, Lars Donath, Oliver Faude

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objective: 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. Methods: 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). Results: 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. Conclusion: 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.

Original languageEnglish
JournalBritish journal of sports medicine
DOIs
Publication statusAccepted/In press - 1 Jan 2018

Cite this

Rössler, Roland ; Verhagen, Evert ; Rommers, Nikki ; Dvorak, Jiri ; Junge, Astrid ; Lichtenstein, Eric ; Donath, Lars ; Faude, Oliver. / Comparison of the 11+ Kids' injury prevention programme and a regular warmup in children's football (soccer) : A cost effectiveness analysis. In: British journal of sports medicine. 2018.
@article{12e575561ba94e769c90e798dd52bf8b,
title = "Comparison of the 11+ Kids' injury prevention programme and a regular warmup in children's football (soccer): A cost effectiveness analysis",
abstract = "Objective: 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. Methods: 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). Results: 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. Conclusion: 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.",
keywords = "children, FIFA 11+ Kids, football, injury prevention, soccer",
author = "Roland R{\"o}ssler and Evert Verhagen and Nikki Rommers and Jiri Dvorak and Astrid Junge and Eric Lichtenstein and Lars Donath and Oliver Faude",
year = "2018",
month = "1",
day = "1",
doi = "10.1136/bjsports-2018-099395",
language = "English",
journal = "BJSM Online",
issn = "1473-0480",

}

Comparison of the 11+ Kids' injury prevention programme and a regular warmup in children's football (soccer) : A cost effectiveness analysis. / Rössler, Roland; Verhagen, Evert; Rommers, Nikki; Dvorak, Jiri; Junge, Astrid; Lichtenstein, Eric; Donath, Lars; Faude, Oliver.

In: British journal of sports medicine, 01.01.2018.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Comparison of the 11+ Kids' injury prevention programme and a regular warmup in children's football (soccer)

T2 - A cost effectiveness analysis

AU - Rössler, Roland

AU - Verhagen, Evert

AU - Rommers, Nikki

AU - Dvorak, Jiri

AU - Junge, Astrid

AU - Lichtenstein, Eric

AU - Donath, Lars

AU - Faude, Oliver

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Objective: 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. Methods: 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). Results: 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. Conclusion: 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.

AB - Objective: 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. Methods: 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). Results: 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. Conclusion: 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.

KW - children

KW - FIFA 11+ Kids

KW - football

KW - injury prevention

KW - soccer

UR - http://www.scopus.com/inward/record.url?scp=85052631170&partnerID=8YFLogxK

U2 - 10.1136/bjsports-2018-099395

DO - 10.1136/bjsports-2018-099395

M3 - Article

JO - BJSM Online

JF - BJSM Online

SN - 1473-0480

ER -