ArticleBMC geriatrics2017
Cost-effectiveness analysis of a multifactorial fall prevention intervention in older home care clients at risk for falling.
Article in BMC geriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00463658 (The Comparative Effects and Expenses of a Proactive Nurse-Led, Multifactorial and Interdisciplinary Team Approach to Falls Prevention for Older At-Risk Home Care Clients), which is not on this map. Cited by 14 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.
The Comparative Effects and Expenses of a Proactive Nurse-Led, Multifactorial and Interdisciplinary Team Approach to Falls Prevention for Older At-Risk Home Care Clients
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review of unintentional injury prevention economic evaluations 2010-2019 and comparison to 1998-2009.Accident; analysis and prevention · 2020Pooled it
- Trial
- Economic Evidence in Occupational Therapy: A Rapid Review.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2025Review
- Effect of Difference of Sensory Modality in Cognitive Task on Postural Control During Quiet Stance.Sensors (Basel, Switzerland) · 2025Article
- Mandating Emergency Management in Nursing Homes in the V4 Countries With the Support of the Public Administration-A Mapping Study.Nursing research and practice · 2025Review
- Effectiveness and cost-effectiveness of a single home-based fall prevention program: a prospective observational study based on questionnaires and claims data.BMC geriatrics · 2024Observational
- The Effect of Individualized Fall Prevention Programs on Community-Dwelling Older Adults: A Scoping Review.Cureus · 2022Article
- The predictive power of geographic health care utilization for unintentional fatal fall rates.BMC public health · 2022Article
- Cost-Effectiveness of Multifactorial Interventions in Preventing Falls among Elderly Population: A Systematic Review.Bulletin of emergency and trauma · 2021Review
- Cost-Effectiveness of an Exercise Programme That Provided Group or Individual Training to Reduce the Fall Risk in Healthy Community-Dwelling People Aged 65-80: A Secondary Data Analysis.Healthcare (Basel, Switzerland) · 2021Article
- Systematic causality mapping of factors leading to accidental falls of older adults.Public health in practice (Oxford, England) · 2020Article
- Associations with rates of falls among home care clients in Ontario, Canada: a population-based, cross-sectional study.BMC geriatrics · 2020Article
- Incidence-Based versus Prevalence-Based Approaches on Measuring Disability-Adjusted Life Years for Injury.Journal of Korean medical science · 2019Article
- Economic evaluation of health promotion interventions for older people: do applied economic studies meet the methodological challenges?Cost effectiveness and resource allocation : C/E · 2018Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFalls among older adults can cause serious morbidity and pose economic burdens on society. Older age is a known risk factor for falls and age has been shown to influence the effectiveness of fall prevention programs. To our knowledge, no studies have explicitly investigated whether cost-effectiveness of a multifactorial fall prevention intervention (the intervention) is influenced by age. This economic evaluation explores: 1) the cost-effectiveness of a multifactorial fall prevention intervention compared to usual care for community-dwelling adults ≥ 75 years at risk of falling in Canada; and 2) the influence of age on the cost-effectiveness of the intervention.
methodsNet benefit regression was used to examine the cost-effectiveness of the intervention with willingness-to-pay values ranging from $0-$50,000. Effects were measured as change in the number of falls, from baseline to 6-month follow-up. Costs were measured using a societal perspective. The cost-effectiveness analysis was conducted for both the total sample and by age subgroups (75-84 and 85+ years).
resultsFor the total sample, the intervention was not economically attractive. However, the intervention was cost-effective at higher willingness-to-pay (WTP) (≥ $25,000) for adults 75-84 years and at lower WTP (< $5,000) for adults 85+ years.
conclusionsThe cost-effectiveness of the intervention depends on age and decision makers' WTP to prevent falls. Understanding the influence of age on the cost-effectiveness of an intervention may help to target resources to those who benefit most.
trial registrationRetrospectively registered. Clinicaltrials.gov identifier: NCT00463658 (18 April 2007).
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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.