ArticleBMJ open sport & exercise medicine2020
Estimation of injury costs: financial damage of English Premier League teams' underachievement due to injuries.
Article in BMJ open sport & exercise medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 55 papers, 4 of them syntheses that pooled it.
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Who cites it
55 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- The influence of the menstrual cycle on muscle injuries - a systematic review and meta-analysis.Scientific reports · 2026Pooled it
- Effectiveness of Conservative Interventions After Acute Hamstrings Injuries in Athletes: A Living Systematic Review.Sports medicine (Auckland, N.Z.) · 2023Pooled it
- Time-loss and recurrence of lateral ligament ankle sprains in male elite football: A systematic review and meta-analysis.Scandinavian journal of medicine & science in sports · 2022Pooled it
- Exercise-Based Training Strategies to Reduce the Incidence or Mitigate the Risk Factors of Anterior Cruciate Ligament Injury in Adult Football (Soccer) Players: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Comparison of Two Posterior Chain Strength Training Protocols on Performance and Injury Incidence in Elite Youth Football Players.Medicina (Kaunas, Lithuania) · 2026Trial
- Long-Term Injury Patterns and Trends in Elite Professional Football: A Nine-Season Retrospective Analysis of Prospectively Recorded Data.Life (Basel, Switzerland) · 2026Article
- Imaging and Clinical Factors Associated With Return to Play and Recurrence After Quadriceps Muscle Strain Injury.Sports health · 2026Article
- A Position-Specific, Time-Efficient Warm-Up Injury Prevention Program in Male Football Players: A Season-Long Intervention Study.Sports (Basel, Switzerland) · 2026Article
- Towards High-Accuracy Athletic Injury Predictions Using a First-Principles Modelling Approach: Theory to (Future) Practice.Sports medicine (Auckland, N.Z.) · 2026Review
- Cognitive-Motor Dual-Task Training (CMDT) Approaches for Performance, Recovery, Injury Prevention, Rehabilitation, and Return to Sport in Soccer: A Narrative Review with Practical Recommendations for Soccer Clubs.Journal of functional morphology and kinesiology · 2026Review
- The role of patient and surgeon characteristics on the treatment decision for displaced midshaft clavicle fractures in athletes: a global survey.JSES reviews, reports, and techniques · 2026Article
- Sports injury surveillance practices and data collection methods in university student athletes: A systematic review.Journal of sport and health science · 2026Review
- Sprint running mechanics are associated with hamstring strain injury: a 6-month prospective cohort study of 126 elite male footballers.British journal of sports medicine · 2026Article
- Development and validation of a machine learning model for non-contact injury prediction based on lower limb strength asymmetry in professional football.Scientific reports · 2026Article
- Developing Clinically Relevant Cut-Off Values for Trunk Muscle Size in Relation to Lower Limb Injuries in AFL Players.Translational sports medicine · 2026Article
- Performance and injury-related effects of low-load blood flow restriction training in amateur soccer players: a randomized controlled trial.BMC sports science, medicine & rehabilitation · 2025Article
- Hamstring Strain Injury Risk in Soccer: An Exploratory, Hypothesis-Generating Prediction Model.Muscles (Basel, Switzerland) · 2025Article
- Secondary prevention of musculoskeletal sports injuries: a scoping review of early detection and early intervention strategies.The Journal of the Canadian Chiropractic Association · 2025Article
- Effects of Soccer Cleat Stud Patterns Worn Versus Lower Extremity Injuries in the English Premier League.Orthopaedic journal of sports medicine · 2025Article
- Hamstring Strain Injury Patterns in Spanish Professional Male Football (Soccer): A Systematic Video Analysis of 78 Match Injuries.Journal of functional morphology and kinesiology · 2025Article
Corrections and comments
- Erratum issuedCorrection:2020
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn individual sports, the effect that injuries have on an athlete's performance, success and financial profit is implicit. In contrast, the effect of a single player's injury or one player's absence in team sports is much more difficult to quantify, both from the performance perspective and the financial perspective.
objectivesIn this study, we attempted to estimate the effect of injuries on the performance of football teams from the English Premier League (EPL), and the financial implications derived from this effect.
methodsOur analysis is based on data regarding game results, injuries and estimations of the players' financial value for the 2012-2013 through the 2016-2017 seasons.
resultsWe found a statistically significant relationship (r=-0.46, 95% CI -0.6 to -0.28, p=0.001) between the number of days out due to injuries suffered by team members during a season and the place difference between their actual and expected finish in the EPL table (according to overall player value). Moreover, we can interpolate that approximately 136 days out due to injury causes a team the loss of one league point, and that approximately 271 days out due to injury costs a team one place in the table. This interpolation formula is used as a heuristic model, and given the relationship specified above accounts for a significant portion of the variance in league placement (21%), the remaining variance is related to other factors. Calculating the costs of wage bills and prize money, we estimate that an EPL team loses an average of £45 million sterling due to injury-related decrement in performance per season.
conclusionProfessional football clubs have a strong economic incentive to invest in injury prevention and rehabilitation programmes.
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