ArticleJournal of athletic training2020
Staffing, Financial, and Administrative Oversight Models and Rates of Injury in Collegiate Athletes.
Article in Journal of athletic training, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Prevention strategies and modifiable risk factors for concussion: a systematic review and meta-analysis for the Female, woman and girl/or Athlete Injury pRevention (FAIR) consensus.British journal of sports medicine · 2025Pooled it
- Evaluating the Return on Investment of U.S. Army Holistic Health and Fitness Performance Teams: A Matched Difference-in-Differences Study of Readiness and Economic Outcomes.Sports medicine (Auckland, N.Z.) · 2026Article
- Female Collegiate Athletes' Concussion Characteristics and Recovery Patterns: A Report from the NCAA-DoD CARE Consortium.Annals of biomedical engineering · 2024Article
- Athlete Health and Human Performance Will Not Improve Without Transdisciplinary Collaboration and Data Sharing in Elite Sport.Journal of athletic training · 2024Article
- Prevalence of and Factors Associated with Sports Injuries in 11,000 Japanese Collegiate Athletes.Sports (Basel, Switzerland) · 2023Article
- Health Systems in High-Performance Sport: Key Functions to Protect Health and Optimize Performance in Elite Athletes.Sports medicine (Auckland, N.Z.) · 2023Article
- Concussion Assessment and Management Practices Among Irish and Canadian Athletic Therapists: An International Perspective.Journal of athletic training · 2023Article
- Socioeconomic status and injury history in adolescent athletes: Lower family affluence is associated with a history of concussion.Journal of clinical and translational research · 2022Article
- Epidemiology of Injuries in National Collegiate Athletic Association Men's Lacrosse: 2014-2015 Through 2018-2019.Journal of athletic training · 2021Article
- Epidemiology of Injuries in National Collegiate Athletic Association Women's Lacrosse: 2014-2015 Through 2018-2019.Journal of athletic training · 2021Article
- Epidemiology of Injuries in National Collegiate Athletic Association Women's Cross-Country: 2014-2015 Through 2018-2019.Journal of athletic training · 2021Article
- Epidemiology of Injuries in National Collegiate Athletic Association Women's Basketball: 2014-2015 Through 2018-2019.Journal of athletic training · 2021Article
- Accuracy of US College Football Players' Estimates of Their Risk of Concussion or Injury.JAMA network open · 2020Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 1 country.
Funding
Abstract
contextStructural features of health care environments are associated with patient health outcomes, but these relationships are not well understood in sports medicine.
objectiveTo evaluate the association between athlete injury outcomes and structural measures of health care at universities: (1) clinicians per athlete, (2) financial model of the sports medicine department, and (3) administrative reporting structure of the sports medicine department.
designDescriptive epidemiology study.
settingCollegiate sports medicine programs. PATIENTS OR OTHER
participantsColleges that contribute data to the National Collegiate Athletic Association (NCAA) Injury Surveillance Program. MAIN OUTCOME MEASURE(S): We combined injury data from the NCAA Injury Surveillance Program, sports medicine staffing data from NCAA Research, athletic department characteristics from the United States Department of Education, and financial and administrative oversight model data from a previous survey. Rates of injury, reinjury, concussion, and time loss (days) in NCAA athletes.
resultsCompared with schools that had an average number of clinicians per athlete, schools 1 standard deviation above average had a 9.5% lower injury incidence (103.6 versus 93.7 per 10000 athlete-exposures [AEs]; incidence rate ratio [IRR] = 0.905, P < .001), 2.7% lower incidence of reinjury (10.6 versus 10.3 per 10000 AEs; IRR = 0.973, P = .004), and 6.7% lower incidence of concussion (6.1 versus 5.7 per 10000 AEs; IRR = 0.933, P < .001). Compared with the average, schools that had 1 standard deviation more clinicians per athlete had 16% greater injury time loss (5.0 days versus 4.2 days; IRR = 1.16, P < .001). At schools with sports medicine departments financed by or reporting to the athletics department (or both), athletes had higher injury incidences (31% and 9%, respectively).
conclusionsThe financial and reporting structures of collegiate sports medicine departments as well as the number of clinicians per athlete were associated with injury risk. Increasing the number of sports medicine clinicians on staff and structuring sports medicine departments such that they are financed by and report to a medical institution may reduce athlete injury incidence.
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