The quality of recent cost-effectiveness studies and whether there is sufficient evidence to achieve valuebased health care in sports medicine are unknown. The purpose of this study was to perform a systematic review of recent cost-effective analyses (CEA) in sports medicine to determine the quality of publications from the last 6 years. A literature search was conducted for CEA studies on diagnostic tests, treatment options, and surgical procedures for sports medicine-related conditions between 2014 and 2020 in the United States. Two reviewers scored each study using the Quality of Health Economic Studies (QHES) instrument to assess methodological quality. Eighteen CEA studies met the inclusion criteria. The quality of the studies ranged from moderate to excellent using the QHES instrument (mean: 83.3, range: 52-100). The quantity and mean quality of CEA studies in sports medicine have increased since 2014. More high-quality randomized control trials are needed to reduce bias and to further improve value-based health care in sports medicine

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