Observational studyJournal of the American Geriatrics Society2018
Underreporting of Fall Injuries of Older Adults: Implications for Wellness Visit Fall Risk Screening.
Observational study in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 2 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
72 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
- Reliability and Diagnostic Accuracy of Commonly Used Performance Tests Relative to Fall History in Older Persons: A Systematic Review.Clinical interventions in aging · 2021Pooled it
- On-site physiotherapy in older emergency department patients following a fall: a randomized controlled trial.European geriatric medicine · 2025Trial
- GAPcare: The Geriatric Acute and Post-Acute Fall Prevention Intervention in the Emergency Department: Preliminary Data.Journal of the American Geriatrics Society · 2020Trial
- Evaluating the Association of a Self-Guided, Asynchronous, Balance Exercise Application on Fall-Related Injuries.Journal of the American Geriatrics Society · 2026Article
- A Body Shape Index Shows Stronger Associations with Falls than BMI among Older Adults: Evidence from the NHATS Cohort.Gerontology · 2026Article
- Predicting Falls With the Morse Fall Scale: A Retrospective Assessment at the Veterans Health Administration.Clinical nursing research · 2026Article
- Performance of retrospectively and prospectively-reported falls data in predicting future falls: results from the Falls in Glaucoma Study.BMC geriatrics · 2026Article
- Falls predict faster progression to Alzheimer's dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Article
- Predicting first falls among older adults with chronic conditions and polypharmacy using routinely collected health records.Frontiers in artificial intelligence · 2026Article
- Multidimensional determinants of active and healthy aging trajectories: a position paper from the Age-It Research Program.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025Article
- Age-Related Changes in the Clinical Picture of Long COVID.Journal of the American Geriatrics Society · 2025Article
- Article
- Development of a Modifiable Fall Risk Score for evaluating changes in fall risk over time.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025Article
- Refusal of Emergency Medical Transport After a Fall: Patient Characteristics and Outcomes of Repeat Callers.The western journal of emergency medicine · 2025Observational
- Reimagining falls prevention with insights from systems mapping on the use of millimetre-wave radar for remote health monitoring.Scientific reports · 2025Article
- Home delivered meals combined with clinical services may reduce fall risk among older adults: early findings from a pilot randomized controlled trial.Innovation in aging · 2025Article
- Older adult fall injuries and the usage of fall screener tools.Journal of safety research · 2025Article
- Advancing Rheumatologic Care in Older Adults: Highlights From the 2024 American Geriatrics Society Annual Scientific Meeting.Arthritis care & research · 2025Article
- Assessing and managing bone health and fracture risk in Parkinson's disease: the BONE PARK 2 protocol.Age and ageing · 2025Article
12 more citing papers are in PubMed but not listed here.
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.
Funding
Abstract
objectivesTo compare the accuracy of and factors affecting the accuracy of self-reported fall-related injuries (SFRIs) with those of administratively obtained FRIs (AFRIs).
designRetrospective observational study
settingUnited States
participantsFee-for-service Medicare beneficiaries aged 65 and older (N=47,215). MEASUREMENTS: We used 24-month self-report recall data from 2000-2012 Health and Retirement Study data to identify SFRIs and linked inpatient, outpatient, and ambulatory Medicare data to identify AFRIs. Sensitivity and specificity were assessed, with AFRIs defined using the University of California at Los Angeles/RAND algorithm as the criterion standard. Logistic regression models were used to identify sociodemographic and health predictors of sensitivity.
resultsOverall sensitivity and specificity were 28% and 92%. Sensitivity was greater for the oldest adults (38%), women (34%), those with more functional limitations (47%), and those with a prior fall (38%). In adjusted results, several participant factors (being female, being white, poor functional status, depression, prior falls) were modestly associated with better sensitivity and specificity. Injury severity (requiring hospital care) most substantively improved SFRI sensitivity (73%).
conclusionAn overwhelming 72% of individuals who received Medicare-reimbursed health care for FRIs failed to report a fall injury when asked. Future efforts to address underreporting in primary care of nonwhite and healthier older adults are critical to improve preventive efforts. Redesigned questions-for example, that address stigma of attributing injury to falling-may improve sensitivity.
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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.