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Article

Reality Check 2: The Cost-Effectiveness of Policy Disallowing Body Checking in Non-Elite 13- to 14-Year-Old Ice Hockey Players

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Department of Paediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB T3B 6A8, Canada
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Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4Z6, Canada
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Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB T2N 1N4, Canada
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Department of Pediatrics, University of British Columbia, Vancouver, BC V6H 3V4, Canada
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BCIRPU, BC Children’s Hospital, Vancouver, BC V6H 3V4, Canada
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Department of Educational Psychology, University of Alberta, Edmonton, AB T6G 2G5, Canada
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McCaig Bone and Joint Health Institute, Calgary, AB T2N 4Z6, Canada
*
Author to whom correspondence should be addressed.
Academic Editor: Britton W. Brewer
Int. J. Environ. Res. Public Health 2021, 18(12), 6322; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126322
Received: 2 April 2021 / Revised: 21 May 2021 / Accepted: 8 June 2021 / Published: 11 June 2021
(This article belongs to the Special Issue Injury Prevention in Sport)
Sport-related injuries are the leading cause of injury in youth and are costly to the healthcare system. When body checking is disallowed in non-elite levels of Bantam (ages 13–14 years) ice hockey, the injury rate is reduced, but the impact on costs is unknown. This study compared rates of game injuries and costs among non-elite Bantam ice hockey leagues that disallow body checking to those that did not. Methods: An economic evaluation was conducted alongside a prospective cohort study comparing 608 players from leagues where body checking was allowed in games (Calgary/Edmonton 2014–2015, Edmonton 2015–2016) with 396 players from leagues where it was not allowed in games (Vancouver, Kelowna 2014–2015, Calgary in 2015–2016). The effectiveness measure was rate of game injuries per 1000 player-hours. Costs were estimated based on associated healthcare use within the publicly funded healthcare system as well as privately paid healthcare costs. Probabilistic sensitivity analysis was conducted using bootstrapping. Results: Disallowing body checking reduced the rate of injuries by 4.32 per 1000 player-hours (95% CI −6.92, −1.56) and reduced public and total healthcare system costs by $1556 (95% CI −$2478, −$559) and $1577 (95% CI −$2629, −$500) per 1000 player-hours, respectively. These finding were robust in over 99% of iterations in sensitivity analyses in the public healthcare and the total healthcare system perspectives. There was no statistically significant difference in privately paid healthcare costs (−$65 per 1000 player-hours (95% CI −$220, $99)). Interpretation: Disallowing body checking in non-elite 13–14-year-old ice hockey nationally would prevent injuries and reduce public healthcare costs. View Full-Text
Keywords: economic evaluation; injury prevention; body checking policy; hockey; youth economic evaluation; injury prevention; body checking policy; hockey; youth
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MDPI and ACS Style

Currie, G.R.; Lee, R.; Palacios-Derflingher, L.; Hagel, B.; Black, A.M.; Babul, S.; Mrazik, M.; Marshall, D.A.; Emery, C.A. Reality Check 2: The Cost-Effectiveness of Policy Disallowing Body Checking in Non-Elite 13- to 14-Year-Old Ice Hockey Players. Int. J. Environ. Res. Public Health 2021, 18, 6322. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126322

AMA Style

Currie GR, Lee R, Palacios-Derflingher L, Hagel B, Black AM, Babul S, Mrazik M, Marshall DA, Emery CA. Reality Check 2: The Cost-Effectiveness of Policy Disallowing Body Checking in Non-Elite 13- to 14-Year-Old Ice Hockey Players. International Journal of Environmental Research and Public Health. 2021; 18(12):6322. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126322

Chicago/Turabian Style

Currie, Gillian R., Raymond Lee, Luz Palacios-Derflingher, Brent Hagel, Amanda M. Black, Shelina Babul, Martin Mrazik, Deborah A. Marshall, and Carolyn A. Emery 2021. "Reality Check 2: The Cost-Effectiveness of Policy Disallowing Body Checking in Non-Elite 13- to 14-Year-Old Ice Hockey Players" International Journal of Environmental Research and Public Health 18, no. 12: 6322. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126322

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