ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2016
Assessment of the quality of fall detection and management in primary care in the Netherlands based on the ACOVE quality indicators.
Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Emergency department-initiated interventions to reduce risk of recurrent falls in older adults: a systematic review and meta-analysis.Age and ageing · 2026Pooled it
- Pooled it
- Reducing Central Nervous System-Active Medications to Prevent Falls and Injuries Among Older Adults: A Cluster Randomized Clinical Trial.JAMA network open · 2024Trial
- A Randomized Trial of a Multifactorial Strategy to Prevent Serious Fall Injuries.The New England journal of medicine · 2020Trial
- Monitoring and evaluating an implementation strategy aimed at improving interprofessional collaboration in community-based fall prevention: a mixed-methods study.Implementation science communications · 2025Article
- Falls prevention and management for older adults in home care services in Norway: a retrospective patient record review.European geriatric medicine · 2025Article
- Fall Trajectories in Older Men: Trajectories of Change by Age and Predictors for Future Fall Risk.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Article
- Intention to use Medical Apps Among Older Adults in the Netherlands: Cross-Sectional Study.Journal of medical Internet research · 2020Article
- Evaluation of Implementing a Home-Based Fall Prevention Program among Community-Dwelling Older Adults.International journal of environmental research and public health · 2019Observational
- Minimal Important Change and Minimal Detectable Change in Activities of Daily Living in Community-Living Older People.The journal of nutrition, health & aging · 2017Article
- Adoption of Evidence-Based Fall Prevention Practices in Primary Care for Older Adults with a History of Falls.Frontiers in public health · 2016Article
Corrections and comments
- Erratum issued
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelledWe determined adherence to nine fall-related ACOVE quality indicators to investigate the quality of management of falls in the elderly population by general practitioners in the Netherlands. Our findings demonstrate overall low adherence to these indicators, possibly indicating insufficiency in the quality of fall management. Most indicators showed a positive association between increased risk for functional decline and adherence, four of which with statistical significance.
introductionThis study aims to investigate the quality of detection and management of falls in the elderly population by general practitioners in the Netherlands, using the Assessing Care of Vulnerable Elders (ACOVE) quality indicators.
methodsCommunity-dwelling persons aged 70 years or above, registered in participating general practices, were asked to fill in a questionnaire designed to determine general practitioner (GP) adherence to fall-related indicators. We used logistic regression to estimate the association between increased risk for functional decline-quantified by the Identification of Seniors At Risk for Primary Care score-and adherence. We then cross-validated the self-reported falls with medical records.
resultsOf the 950 elders responding to our questionnaire, only 10.6 % reported that their GP proactively asked them about falls. Of the 160 patients who reported two or more falls, or one fall for which they visited the GP, only 23.1 % had fall documentation in their records. Adherence ranged between 13.6 and 48.6 %. There was a significant positive association between the ISAR-PC scores and adherence in four QIs. Documentation of falls was highest (36.7 %) in patients whom the GP had proactively asked about falls.
conclusionBased on patient self-reports, adherence to the ACOVE fall-related indicators was poor, suggesting that the quality of evaluation and management of falls in community-dwelling older persons in the Netherlands is poor. The documentation of falls and fall-related risk factors was also poor. However, for most QIs, adherence to them increased with the increase in the risk of functional decline.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.