Evidence map›Paper›PMID 39555322›Full record

ArticleOrthopaedic journal of sports medicine2024

Association of the Universal Designated Hitter Rule With Changes to Injuries in Major League Baseball Pitchers.

Eric Kholodovsky, Dylan Luxenburg, Blake Hodgens, Kevin Liebmann, Michael Baraga

Abstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Eric KholodovskyDepartment of Orthopaedics, Miller School of Medicine, University of Miami, Miami, Florida, USA.ORCID https://orcid.org/0009-0005-5542-6564
Dylan LuxenburgDepartment of Orthopaedics, Miller School of Medicine, University of Miami, Miami, Florida, USA.
Blake HodgensDepartment of Orthopaedics, Atrium Health-Carolinas Medical Center, Charlotte, North Carolina, USA.
Kevin LiebmannDepartment of Orthopaedics, Miller School of Medicine, University of Miami, Miami, Florida, USA.
Michael BaragaDepartment of Orthopaedics, Miller School of Medicine, University of Miami, Miami, Florida, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In 2022, Major League Baseball (MLB) implemented the universal designated hitter (DH) rule, thus allowing the pitcher to focus solely on defense while the DH, who bats for the pitcher, focuses solely on offense. Purpose/Hypothesis: The purpose of our study was to determine if implementation of the universal DH rule affected the incidence of injuries in MLB pitchers when compared with before implementation. It was hypothesized that the shift to the universal DH rule would be associated with a decrease in the rate of offense-related pitcher injuries. Study Design: Descriptive epidemiology study. Methods: Using publicly available data, we identified injuries sustained by MLB pitchers during the 2021 (before the DH rule change) and 2022 (after the rule change) regular seasons. Pitchers placed on the injured list for non-gameplay related reasons were excluded. Statistical analysis was performed with the chi-square and independent Results: The injury incidence rate decreased significantly from before to after the rule change for MLB pitchers overall (from 6.58 to 5.60 injuries/1000 athlete game-exposures [AGE]; Conclusion: Implementation of the universal DH rule was associated with a decrease in pitcher injuries overall and within the National League. Injuries to the thigh and hand/finger/wrist also decreased overall and within the National League. Furthermore, total days lost decreased from before to after the rule change. These findings may be due to the elimination of offensive gameplay requirements for pitchers, which highlights a positive consequence of the universal DH rule, but further studies are needed.

Indexed as

baseballinjuryorthopaedicspitcherssports

Identifiers

PMID39555322
PMCPMC11565684

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.