ArticleMedical care2016
Claims-based Identification Methods and the Cost of Fall-related Injuries Among US Older Adults.
Article in Medical care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis 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
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of chiropractic care for fall prevention: rationale, state of the evidence, and recommendations for future research.BMC musculoskeletal disorders · 2022Pooled it
- Can an Emergency Department-Initiated Intervention Prevent Subsequent Falls and Health Care Use in Older Adults? A Randomized Controlled Trial.Annals of emergency medicine · 2020Trial
- The association of oxaliplatin-induced peripheral neuropathy and falls with intercycle delays and early discontinuation of chemotherapy in older colorectal cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Performance of Natural Language Processing versus International Classification of Diseases Codes in Building Registries for Patients With Fall Injury: Retrospective Analysis.JMIR medical informatics · 2025Article
- Evaluation of falls detected by natural language processing algorithm and not coded external cause of morbidity.JAMIA open · 2025Article
- Fall Risk and Medication Use Near End of Life Among Adults With Chronic Obstructive Pulmonary Disease.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2024Article
- Adverse events in men with advanced prostate cancer treated with androgen biosynthesis inhibitors and androgen receptor inhibitors.Journal of the National Cancer Institute · 2024Article
- The associations of oxaliplatin-induced peripheral neuropathy, sociodemographic characteristics, and clinical characteristics with time to fall in older adults with colorectal cancer.American journal of epidemiology · 2024Article
- Association between Opioid-Benzodiazepine Trajectories and Injurious Fall Risk among US Medicare Beneficiaries.Journal of clinical medicine · 2024Article
- Cost of U.S emergency department and inpatient visits for fall injuries in older adults.Injury · 2024Article
- Medicare Fee-For-Service Spending for Fall Injury and Nonfall Events: The Health, Aging, and Body Composition Study.Innovation in aging · 2024Article
- Identification of Fall-Related Injuries in Nursing Home Residents Using Administrative Claims Data.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022Article
- Claims-Based Frailty and Outcomes: Applying an Aging Measure to Older Adults with Parkinson's Disease.Movement disorders : official journal of the Movement Disorder Society · 2021Observational
- Outcomes After Shortened Skilled Nursing Facility Stays Suggest Potential For Improving Postacute Care Efficiency.Health affairs (Project Hope) · 2021Article
- Preoperative Medical Testing and Falls in Medicare Beneficiaries Awaiting Cataract Surgery.Ophthalmology · 2021Article
- Serious Falls in Middle-Aged Veterans: Development and Validation of a Predictive Risk Model.Journal of the American Geriatrics Society · 2020Article
- RESEARCHComparing Strategies for Identifying Falls in Older Adult Emergency Department Visits Using EHR Data.Journal of the American Geriatrics Society · 2020Observational
- Imputation and characterization of uncoded self-harm in major mental illness using machine learning.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Measurement of Fall Injury With Health Care System Data and Assessment of Inclusiveness and Validity of Measurement Models.JAMA network open · 2019Article
- Posthospital Fall Injuries and 30-Day Readmissions in Adults 65 Years and Older.JAMA network open · 2019Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectivesCompare expenditures of fall-related injuries (FRIs) using several methods to identify FRIs in administrative claims data. RESEARCH
designUsing 2007-2009 Medicare claims and 2008 Health and Retirement Survey data, FRIs were identified using external-cause-of-injury (e-codes 880/881/882/884/885/888) only, e-codes plus a broad set of primary diagnosis codes, and a newer approach using e-codes and diagnostic and procedural codes. Linear regression models adjusted for sociodemographic, health, and geographic characteristics were used to estimate per-FRI, service component, patient cost share, expenditures by type of initial FRI treatment (inpatient, emergency department only, outpatient), and total annual FRI-related Medicare expenditures. SUBJECTS: The analysis included 5497 community-dwelling adults ≥65 (228 FRI, 5269 non-FRI individuals) with continuous Medicare coverage and alive during the 24-month study.
resultsThe 3 FRI identification methods produced differing distributions of index FRI type and varying estimated expenditures: $12,171 [95% confidence interval (CI), $4662-$19,680], $5648 (95% CI, $3819-$7476), and $9388 (95% CI, $5969-$12,808). In all models, most spending occurred in hospital, outpatient, and skilled nursing facility (SNF) settings, but greater proportions of SNF and outpatient spending were observed with commonly used FRI identification methods. Patient cost-sharing was estimated at $691-$1900 across the 3 methods. Inpatient-treated index FRIs were more expensive than emergency department and outpatient-treated FRIs across all methods, but were substantially higher when identifying FRI using only e-codes. Estimated total FRI-related Medicare expenditures were highly variable across methods.
conclusionsFRIs are costly, with implications for Medicare and its beneficiaries. However, expenditure estimates vary considerably based on the method used to identify FRIs.
Indexed as
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Registered trials
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