Evidence map›Paper›PMID 26757988›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2016

A Prospective Study of Back Pain and Risk of Falls Among Older Community-dwelling Women.

Lynn M Marshall, Stephanie Litwack-Harrison, Peggy M Cawthon, Deborah M Kado, Richard A Deyo, Una E Makris, Hans L Carlson, Michael C Nevitt, Study of Osteoporotic Fractures (SOF) Research Group

Abstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. 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 · 2024
    Article
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  8. Review
  9. Article
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  13. Multi-Dimensional Impact of Chronic Low Back Pain among Underserved African American and Latino Older Adults.International journal of environmental research and public health · 2021
    Article
  14. Article
  15. Article
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  17. Review
  18. Article
  19. Article
  20. Peripheral Nerve Impairment and Recurrent Falls Among Women: Results From the Study of Women's Health Across the Nation.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Lynn M MarshallDepartment of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland. marshaly@ohsu.edu.
Stephanie Litwack-HarrisonCalifornia Pacific Medical Center Research Institute, San Francisco.
Peggy M CawthonCalifornia Pacific Medical Center Research Institute, San Francisco.
Deborah M KadoDepartment of Family and Preventive Medicine and Department of Internal Medicine, University of California, San Diego.
Richard A DeyoDepartment of Family Medicine, Oregon Health and Science University, Portland.
Una E MakrisDepartment of Internal Medicine and Department of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas.
Hans L CarlsonDepartment of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland.
Michael C NevittDepartment of Epidemiology and Biostatistics, University of California, San Francisco.
Study of Osteoporotic Fractures (SOF) Research Group

Funding

Study of Osteoporotic FracturesR01AG005407 · NIA · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI CUMMINGS, STEVEN RON, YAFFE, KRISTINE · 1986 to 2016
$23.2M
Study of Osteoporotic FracturesR01AG005394 · NIA · UNIVERSITY OF MINNESOTA TWIN CITIES · PI ENSRUD, KRISTINE · 1986 to 2015
$6.1M
Study of Osteoporotic Fractures (SOF)R01AG027574 · NIA · KAISER FOUNDATION RESEARCH INSTITUTE · PI HILLIER, TERESA A · 2006 to 2015
$2.6M
Study of Osteoporotic Fractures (SOF)-Pittsburgh ClinicR01AG027576 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CAULEY, JANE ANN · 2006 to 2015
$2.4M
NIA NIH HHS R01 AG005394NIA NIH HHS R01 AG005407NIA NIH HHS R01 AG027574NIA NIH HHS R01 AG027576
6 · The paper itself

Abstract

backgroundBack pain and falls are common health conditions among older U.S. women. The extent to which back pain is an independent risk factor for falls has not been established.

methodsWe conducted a prospective study among 6,841 community-dwelling U.S. women at least 65 years of age from the Study of Osteoporotic Fractures (SOF). Baseline questionnaires inquired about any back pain, pain severity, and frequency in the past year. During 1 year of follow-up, falls were summed from self-reports obtained every 4 months. Two outcomes were studied: recurrent falls (≥2 falls) and any fall (≥1 fall). Associations of back pain and each fall outcome were estimated with risk ratios (RRs) and 95% confidence intervals (CIs) from multivariable log-binomial regression. Adjustments were made for age, education, smoking status, fainting history, hip pain, stroke history, vertebral fracture, and Geriatric Depression Scale.

resultsMost (61%) women reported any back pain. During follow-up, 10% had recurrent falls and 26% fell at least once. Any back pain relative to no back pain was associated with a 50% increased risk of recurrent falls (multivariable RR = 1.5, 95% CI: 1.3, 1.8). Multivariable RRs for recurrent falls were significantly elevated for all back pain symptoms, ranging from 1.4 (95% CI: 1.1, 1.8) for mild back pain to 1.8 (95% CI: 1.4, 2.3) for activity-limiting back pain. RRs of any fall were also significantly increased albeit smaller than those for recurrent falls.

conclusionsOlder community-dwelling women with a recent history of back pain are at increased risk for falls.

Indexed as

AgingAccidental FallsAgedBack PainFemaleFollow-Up StudiesGeriatric AssessmentHumansIndependent LivingOsteoporotic FracturesProspective StudiesRisk FactorsSeverity of Illness IndexSurveys and QuestionnairesUnited StatesEpidemiologyFallsPain

Identifiers

PMID26757988
PMCPMC4978357

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.