Trial reportOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2011
Multifactorial evaluation and treatment of persons with a high risk of recurrent falling was not cost-effective.
Trial report in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Systematic review of unintentional injury prevention economic evaluations 2010-2019 and comparison to 1998-2009.Accident; analysis and prevention · 2020Pooled it
- Multifactorial and multiple component interventions for preventing falls in older people living in the community.The Cochrane database of systematic reviews · 2018Pooled it
- Interventions for preventing falls in older people living in the community.The Cochrane database of systematic reviews · 2012Pooled it
- Trial
- Comparison of a group-delivered and individually delivered lifestyle-integrated functional exercise (LiFE) program in older persons: a randomized noninferiority trial.BMC geriatrics · 2018Trial
- Cost-utility of medication withdrawal in older fallers: results from the improving medication prescribing to reduce risk of FALLs (IMPROveFALL) trial.BMC geriatrics · 2016Trial
- Cost-effectiveness of vitamin D supplementation and exercise in preventing injurious falls among older home-dwelling women: findings from an RCT.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016Trial
- Factors associated with recognition and prioritization for falling, and the effect on fall incidence in community dwelling older adults.BMC geriatrics · 2015Trial
- Cost-Effectiveness of Multifactorial Interventions in Preventing Falls among Elderly Population: A Systematic Review.Bulletin of emergency and trauma · 2021Review
- Cost-effectiveness analysis of a multifactorial fall prevention intervention in older home care clients at risk for falling.BMC geriatrics · 2017Article
- Predicting Falls and When to Intervene in Older People: A Multilevel Logistical Regression Model and Cost Analysis.PloS one · 2016Article
- A population-based intervention for the prevention of falls and fractures in home dwelling people 65 years and older in South Germany: protocol.JMIR research protocols · 2014Article
- Cost-effectiveness of a multifactorial fall prevention program in nursing homes.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2013Article
- The interplay between gait, falls and cognition: can cognitive therapy reduce fall risk?Expert review of neurotherapeutics · 2011Review
- A predictive model of isolated and recurrent falls in functionally independent community-dwelling older adults.Brazilian journal of physical therapyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
summaryThis study evaluated the cost-effectiveness of multifactorial evaluation and treatment of fall risk factors in community-dwelling older persons at high risk of falling. The intervention and usual care groups did not differ in fall risk or costs. The multifactorial approach was not cost-effective compared to usual care in this group.
introductionInternational guidelines recommend multifactorial evaluation and tailored treatment of risk factors to reduce falling in older persons. The cost-effectiveness may be enhanced in high-risk persons. Our study evaluates the cost-effectiveness of multifactorial evaluation and treatment of fall risk factors in community-dwelling older persons at high risk of recurrent falling.
methodsAn economic evaluation was conducted alongside a randomised controlled trial. Participants (≥65 years) with a high risk of recurrent falling were randomised into an intervention (n = 106) and usual care group (n = 111). The intervention consisted of multifactorial assessment and treatment of fall risk factors. Clinical outcomes were proportions of fallers and utility during 1 year. Costs were measured using questionnaires at 3, 6 and 12 months after baseline and valued using cost prices, if available, and guideline prices. Differences in costs and cost-effectiveness were analysed using bootstrapping. Cost-effectiveness planes and acceptability curves were presented.
resultsDuring 1 year, 52% and 56% of intervention and usual care participants reported at least one fall, respectively. The clinical outcome measures did not differ between the two groups. The mean costs were Euro 7,740 (SD 9,129) in the intervention group and Euro 6,838 (SD 8,623) in the usual care group (mean difference Euro 902, bootstrapped 95% CI: -1,534 to 3,357). Cost-effectiveness planes and acceptability curves indicated that multifactorial evaluation and treatment of fall risk factors was not cost-effective compared with usual care.
conclusionsMultifactorial evaluation and treatment of persons with a high risk of recurrent falling was not cost-effective compared to usual care.
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