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. 2022 May 11;19(10):5869. doi: 10.3390/ijerph19105869
Item Item No Recommendation from the STROBE Statement STROBE-SIIS Extension Soo Hoo et al. (2018) Shimizu et al. (2017) Wessels et al. (2012) Mutsuzaki et al. (2014) Huzmeli et al. (2017) Rocco and Saito (2006) Curtis and Black (1999) Hollander et al. (2020)
Title and abstract 1 (a) Indicate the study’s design with a commonly used term in the title or the abstract Yes Yes Yes No Yes No Yes Yes
(b) Provide in the abstract an informative and balanced summary of what was carried out and what was found SIIS-1.1. Include information on the sport, athlete population (sex, age, geographic region) and level of competition.
SIIS-1.2. Include the duration of observation (e.g., one season, one year, multiple years).
Yes Yes Yes Yes Yes Yes Yes Yes
Introduction
Background/rationale 2 Explain the scientific background and rationale for the investigation being reported Yes Yes Yes Yes Yes Yes Yes Yes
Objectives 3 State specific objectives, including any pre-specified hypotheses SIIS-3.1. State whether study was registered. Identify the registration number and database used.
SIIS-3.2. State the specific purpose of your study (e.g., to describe the injury burden associated with Olympic-level rowing)
Yes Yes Yes Yes Yes Yes Yes Yes
Methods
Study design 4 Present key elements of study design early in the paper SIIS-4.1. Clearly specify which health problems are being observed.
SIIS-4.2. State explicitly which approach was used to record the health problem data, including all outcome measures or tools
SIIS-4.3. State explicitly which coding system was used to classify the health problems (e.g., OSIICS, SMDCS, ICD, etc.)
SIIS-4.4. Where relevant, clearly describe how athletes were categorized. Variables to consider could include the type of athlete and/or sport, the environment in which the sport occurs (e.g., type of course or playing area), the typical duration of the sport, the degree of physical contact permitted in the sport and the equipment permitted.
Yes Yes Yes Yes Yes Yes Yes Yes
Setting 5 Describe the setting, locations and relevant dates, including periods of recruitment, exposure, follow-up and data collection SIIS-5.1. Describe the location, level of play, dates of observation and data collection methods (i.e., who, what, where).
SIIS-5.2. Specify the dates of the surveillance period and how the data were handled when the study covered more than one season/calendar year.
SIIS-5.3. Define whether the health problem data were collected prospectively or retrospectively.
Yes Yes Yes Yes Yes Yes Yes Yes
Participants 6 (a) Cohort study—give the eligibility criteria and the sources and methods of selection of participants. Describe methods of follow-up
Case-control study—give the eligibility criteria and the sources and methods of case ascertainment and control selection. Give the rationale for the choice of cases and controls
Cross-sectional study—give the eligibility criteria and the sources and methods of selection of participants
SIIS-6.1. Define the population of athletes and how they were selected and recruited. Yes Yes Yes Yes Yes Yes Yes Yes
(b) Cohort study—for matched studies, give matching criteria and number of exposed and unexposed
Case-control study—for matched studies, give matching criteria and the number of controls per case
Yes Yes Yes Yes Yes Yes Yes Yes
Variables 7 Clearly define all outcomes, exposures, predictors, potential confounders and effect modifiers. Give diagnostic criteria, if applicable SIIS-7.1. Justify why you measured your primary and secondary outcomes of interest in the specific way chosen.
SIIS-7.2. Describe the method for identifying your health predictor
Yes Yes Yes Yes Yes Yes Yes Yes
Data sources/measurement 8 For each variable of interest, give sources of data and details of methods of assessment (measurement). Describe comparability of assessment methods if there is more than one group SIIS-8.1. Specify who collected/reported the data for the study and their qualifications (e.g., qualified doctor, data analyst, etc.).
SIIS-8.2. Specify who coded the data for the study and their qualifications (e.g., qualified doctor, data analyst, etc.). In many instances, this will not be the same as SIIS-8.1.
SIIS-8.3. Specify the direct methods used to collect the data and the use of physical documents or any electronic tools. If extracting information from existing sources, specify the data source.
SIIS-8.4. Specify the timing of and window for data collection (e.g., day health problem occurred or following day). Specify the frequency of data collection (e.g., daily, weekly, monthly).
SIIS-8.5. Report the duration of surveillance (e.g., tournament, season, whole year, playing career).
Yes Yes Yes Yes Yes Yes Yes Yes
Bias 9 Describe any efforts to address potential sources of bias SIIS-9.1. Clearly report any validation or reliability assessment of the data collection of tools. SIIS-9.2. Formally acknowledge any potential biases in associated with the data collection method (e.g., self- report, recall bias, reporting by nonmedically trained staff, etc.) No No No No No No No No
Study size 10 Explain how the study size was arrived at No Yes Yes Yes Yes No Yes Yes
Quantitative variables 11 Explain how quantitative variables were handled in the analyses. If applicable, describe which groupings were chosen and why SIIS-11.1 Explain in detail how multiple injuries/illness episodes are handled both in individual athletes and across athletes/surveillance periods.
SIIS-11.2. Specify how injury severity was calculated.
Yes Yes Yes Yes Yes Yes Yes Yes
Statistical methods 12 (a) Describe all statistical methods, including those used to control for confounding SIIS-12.1. Specify how exposure to risk has been adjusted for and specify the units (e.g., per participant, per athlete exposure, etc.).
SIIS-12.2 Specify how relevant risk measures (incidence, prevalence, etc.) were calculated.
SIIS-12.3. When relevant to the study aim, specify how injury occurred.
Yes Yes Yes Yes Yes Yes Yes Yes
(b) Describe any methods used to examine subgroups and interactions Yes Yes Yes Yes Yes Yes Yes Yes
(c) Explain how missing data were addressed SIIS-12.4. For studies reporting multiple health problems, state clearly how these were handled (e.g., time to the first injury only, ignoring subsequent return to play and reinjuries, or modeling of all injuries).
SIIS-12.5. Explain how/if athletes not included at outset (e.g., those already injured) were handled in the analyses.
Yes Yes Yes Yes Yes Yes Yes Yes
(d) Cohort study—if applicable, explain how loss to follow-up was addressed
Case-control study—if applicable, explain how matching of cases and controls was addressed
Cross-sectional study—if applicable, describe analytical methods taking account of sampling strategy
SIIS-12.6. In longitudinal studies, it is particularly important to explain how athlete follow-up has been managed. For example, what happened if a player was transferred to another team or has been censored (for those no longer part of the study due to removal during the observation period). Censoring can occur when athletes are removed due to transfer out of the team/study, injury/illness or due to study design. Yes Yes Yes Yes Yes Yes Yes Yes
(e) Describe any sensitivity analyses Yes Yes Yes Yes Yes Yes Yes Yes
Results
Participants 13 (a) Report numbers of individuals at each stage of study—e.g., numbers potentially eligible, examined for eligibility, confirmed eligible, included in the study, completing follow-up and analyzed SIIS-13.1. Clearly state the number of athletes followed-up, the number (and %) of those with the health problem and the number of problems reported among them (a median number of problems per affected athlete could be useful).
SIIS-13.2. For studies over multiple seasons/years, report the total numbers of health problems for each year and numbers common to each period.
Yes Yes Yes Yes Yes Yes Yes Yes
(b) Give reasons for non-participation at each stage SIIS-13.3. Report how athletes removed (e.g., due to transfer of teams or time-out due to injury or illness) impact upon data at key data collection/reporting points, ideally with a flow diagram Yes Yes Yes Yes Yes Yes Yes Yes
Descriptive data 14 (a) Give characteristics of study participants (e.g., demographic, clinical, social) and information on exposures and potential confounders SIIS-14.1. Include detail on the level of competition being observed (e.g., by age levels, skill level, sex, etc.). Yes Yes Yes Yes Yes Yes Yes Yes
(b) Indicate number of participants with missing data for each variable of interest Yes Yes Yes Yes Yes Yes Yes Yes
(c) Cohort study—summarize follow-up time (e.g., average and total amount) NA NA NA NA NA NA NA NA
Outcome data 15 Cohort study—report numbers of outcome events or summary measures over time SIIS-15.1. In many observational studies, individuals will sustain more than one health problem over the surveillance period. Take care to ensure descriptive data representing both the number of health problems and the number of athletes affected. It is important to represent effectively both the analysis and reporting of correct units for frequency data, i.e., the % of affected athletes or the % of injuries, body regions, etc. NA NA NA NA NA NA NA NA
Case-control study—report numbers in each exposure category, or summary measures of exposure NA NA NA NA NA NA NA NA
Cross-sectional study—report numbers of outcome events or summary measures Yes Yes Yes Yes Yes Yes Yes Yes
Main results 16 (a) Give unadjusted estimates and, if applicable, confounder-adjusted estimates and their precision (e.g., 95% confidence interval). Make clear which confounders were adjusted for and why they were included SIIS-16.1. Report exposure-adjusted incidence or prevalence measures with appropriate confidence intervals when presenting risk measures.
SIIS-16.2. Report details of interest, such as mode of onset
Yes Yes Yes Yes Yes Yes Yes Yes
(b) Report category boundaries when continuous variables were categorized Yes Yes Yes Yes Yes Yes Yes Yes
(c) If relevant, consider translating estimates of relative risk into absolute risk for a meaningful time period No No No No No No No No
Other analyses 17 Report other analyses conducted—e.g., analyses of subgroups and interactions, and sensitivity analyses SIIS-17.1 Report injury diagnosis information, including region and tissue type in tabular form. No No No No No No No No
Discussion
Key results 18 Summarize key results with reference to study objectives Yes Yes Yes Yes Yes Yes Yes Yes
Limitations 19 Discuss limitations of the study, taking into account sources of potential bias or imprecision. Discuss both direction and magnitude of any potential bias SIIS-19.1. Discuss limitations in the data collection and coding procedures adopted, including in relation to any risk measures calculated. Yes Yes Yes Yes No No Yes Yes
Interpretation 20 Give a cautious overall interpretation of results considering objectives, limitations, multiplicity of analyses, results from similar studies and other relevant evidence Yes Yes Yes Yes Yes Yes Yes Yes
Generalizability 21 Discuss the generalizability (external validity) of the study results SIIS-21.1. Discuss the generalizability of the athlete study population, and health problem subgroups of interest, to broader athlete groups. Yes Yes Yes Yes Yes Yes Yes Yes
Other information
Funding 22 Give the source of funding and the role of the funders for the present study and, if applicable, for the original study on which the present article is based Yes Yes Yes Yes Yes Yes Yes Yes
Ethics 23 SIIS-23.1. Outline how individual athlete data privacy and confidentiality considerations were addressed, in line with the Declaration of Helsinki. No Yes Yes Yes No No No Yes