Why the study?
Traditional approaches to surveillance-based injury rates rely on a frequentist perspective, prompting the need for a practical framework to apply Bayesian analysis to estimate injury rates.
The Bayesian framework, specifically a negative binomial model, effectively characterizes sports injury rates and handles sparse data better than traditional frequentist approaches.
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May refine school injury surveillance estimates; leaves open validation against frequentist models in larger cohorts.
BACKGROUND: The injury rate is a common measure of injury occurrence in epidemiological surveillance and is used to express the incidence of injuries as a function of both the population at risk as well as at-risk exposure time. Traditional approaches to surveillance-based injury rates use a frequentist perspective; here, we discuss the Bayesian perspective and present a practical framework on how to apply a Bayesian analysis to estimate injury rates. We estimated finescale injury rates across a broad range of categories for men's and women's soccer, applying a Bayesian methodology and using injury surveillance data captured within the National Collegiate Athletic Association Injury Surveillance Program from 2014/15-2018/19. RESULTS: Through an iterative process of assessing model fidelity, we found that a negative binomial model was an effective choice for modeling surveillance-based injury rates. We also found differences between schools to be a key driver of variation in injury rates. CONCLUSIONS: Our findings indicate that the Bayesian framework naturally characterizes injury rates by modeling injury counts as outcomes of an underlying data-generation process that explicitly incorporates inherent uncertainty, complementing traditional frequentist approaches. Key benefits of the Bayesian approach in this context are the ability to test model suitability in a variety of methods, and to be able to generate plausible estimates with sparse data.
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Chandran et al. (2025) studied this question.
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