Evidence map›Paper›PMID 41783945›Full record

ArticleScandinavian journal of medicine & science in sports2026

Differences in Total Healthcare Costs Among Injured and Non-Injured Danish Adolescent Handball Players: Data From the Health and Performance Promotion in Youth Sport (HAPPY) Cohort.

Sarah Winther Jakobsen, Kim Rose Olsen, Ewa M Roos, Marie Kruse, Merete Møller

Abstract read
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Article in Scandinavian journal of medicine & science in sports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Sarah Winther JakobsenDanish Center for Health Economics, Department of Public Health, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0009-0003-1724-9654
Kim Rose OlsenDanish Center for Health Economics, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Ewa M RoosCenter for Muscle and Joint Health, Department of Sports Science and Clinical Biomechanics, the Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.
Marie KruseDanish Center for Health Economics, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Merete MøllerCenter for Muscle and Joint Health, Department of Sports Science and Clinical Biomechanics, the Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0001-7514-0399

Funding

University of Southern Denmark, the Danish Handball Federation, Team Denmark, Danish Gymnastics and Sports Associations, Ministry of Culture in Denmark research, FPK.2018-0067. Østifterne, 2020-0277. The Foundation for Advancement of Chiropractic Research and Postgraduate Education, A3488.
6 · The paper itself

Abstract

Sports injuries often occur early in life with lasting consequences, but information on healthcare costs related to injuries remains limited. This retrospective cohort study compared total healthcare costs for adolescent handball players (aged 11-17) participating in the one-season HAPPY study with sport-related injuries to those without. Healthcare costs were sourced from Danish health registers over 3 years, covering expenses from general practitioners, other primary care, and hospital services. We employed a two-part model, with logistic regression to estimate the likelihood of incurring healthcare costs and a GLM (gamma family, log link) to calculate the expected mean cost among individuals with costs. Part 1: injury-exposed players had 1.4 (95% CI 1.0-1.8) higher odds of utilizing other primary care providers and 1.6 (95% CI 1.2-2.3) higher odds of using hospital services, compared to unexposed players. Injured girls had 2.0 (95% CI 1.3-3.1) higher odds of using hospital services, while injured boys had 1.5 (95% CI 0.9-2.3) higher odds of utilizing other primary care providers, compared to uninjured players. Players with sudden-onset injuries had 2.6 (95% CI 1.6-4.0) higher odds of using hospital services, and those with gradual-onset injuries had 1.5 (95% CI 1.1-2.1) higher odds of utilizing other primary care providers, compared to uninjured players. Part 2: all GLM estimates were statistically non-significant, indicating that mean costs among players using health care did not differ between injured and uninjured players. Handball injuries during adolescence were associated with increased healthcare use, with gender and injury-type differences, informing youth sport injury prevention in Denmark.

Indexed as

Athletic InjuriesHealth Care CostsYouth SportsAdolescentChildDenmarkFemaleHumansMalePrimary Health CareRetrospective Studiesathletic injuriesepidemiologyhandballhealthcare costshealth economicstwo‐part modelyouth sport

Identifiers

PMID41783945
PMCPMC12961573

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LicenceCC BY-NC-ND
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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.