Evidence map›Paper›PMID 30518579›Full record

ArticleBMJ open2018

Geriatrician-led evidence-based Falls Prevention Clinic: a prospective 12-month feasibility and acceptability cohort study among older adults.

Jennifer C Davis, Larry Dian, Naaz Parmar, Kenneth Madden, Karim M Khan, Wency Chan, Winnie Cheung, Jessica Rogers, Teresa Liu-Ambrose

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.0field-weighted citation impact, top 6% of its field
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

7 citing papers in PubMed, 22 citations in OpenAlex.

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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 at 1 institution in 1 country.

Jennifer C DavisFaculty of Management, University of British Columbia, Vancouver, British Columbia, Canada.
Larry DianCenter for Hip Health and Mobility, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Naaz ParmarDivision of Geriatrics, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Kenneth MaddenDivision of Geriatrics, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Karim M KhanCenter for Hip Health and Mobility, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Wency ChanCenter for Hip Health and Mobility, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Winnie CheungCenter for Hip Health and Mobility, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Jessica RogersCenter for Hip Health and Mobility, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Teresa Liu-AmbroseCenter for Hip Health and Mobility, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
University of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe assessed the feasibility and acceptability of delivering a geriatrician-led evidence-based Falls Prevention Clinic to older adults with a history of falls.

design12-month prospective cohort study.

settingVancouver Falls Prevention Clinic, Vancouver, British Columbia, Canada (www.fallsclinic.ca).

participants188 community-dwelling older adults aged ≥70 years who received a baseline assessment at the Vancouver Falls Prevention Clinic due to having had at least one fall resulting in medical attention in the previous 12 months. Fifty-six per cent of participants were also participating in a randomised controlled trial. MEASUREMENTS: Feasibility was ascertained by measuring demand (clinic attendance). Acceptability was measured by compliance with recommendations, completion of monthly fall calendars and patient experience.

resultsThe attendance was 65% of those eligible and invited. This indicates feasibility for demand. 155 received at least one of the following clinical management recommendations from four domains (compliance reported in %): (1) medication changes (78%); (2) exercise prescription (58%); (3) referrals to other healthcare professionals (78%); and/or (4) lifestyle modifications (35%) excluding exercise. Overall compliance to all recommendations was 69%. Patient experience was related to factors impacting patient perceived physical benefit and attributes influencing patient satisfaction.

conclusionThis study demonstrated the feasibility and acceptability of a multifactorial intervention approach based on best available evidence-based medicine.

Indexed as

Ambulatory Care FacilitiesAccidental FallsAgedAged, 80 and overBritish ColumbiaCohort StudiesExerciseFeasibility StudiesFemaleGeriatric AssessmentGeriatriciansHumansLife StyleMaleMedication ReconciliationPatient Complianceacceptabilityadherencefallsfalls clinicfeasibilityolder adults

Identifiers

PMID30518579
PMCPMC6286621
OpenAlexW2902961162

What OpenQuestion holds

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LicenceCC BY-NC
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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.