Evidence map›Paper›PMID 32859186›Full record

SynthesisBMC health services research2020

Falls prevention interventions for community-dwelling older people living in mainland China: a narrative systematic review.

Pengpeng Ye, Yishu Liu, Jing Zhang, Ke Peng, Xuru Pan, Yang Shen, Shaoming Xiao, Elizabeth Armstrong, Yuliang Er, Leilei Duan and 3 more

Open access · goldAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 4% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 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

13 authors at 4 institutions in 2 countries.

Pengpeng Ye *The George Institute for Global Health, University of New South Wales, PO Box M201, Missenden Road, Sydney, NSW, 2050, Australia. pye@georgeinstitute.org.au.ORCID http://orcid.org/0000-0002-2924-1436
Yishu Liu *The George Institute for Global Health, University of New South Wales, PO Box M201, Missenden Road, Sydney, NSW, 2050, Australia.
Jing ZhangSchool of Population Health, University of New South Wales, Sydney, Australia.
Ke PengThe George Institute for Global Health, University of New South Wales, PO Box M201, Missenden Road, Sydney, NSW, 2050, Australia.
Xuru PanSchool of Public Health, Peking University Health Science Centre, Beijing, China.
Yang ShenThe George Institute for Global Health at Peking University Health Science Centre, Beijing, China.
Shaoming XiaoSchool of Public Health, Peking University Health Science Centre, Beijing, China.
Elizabeth ArmstrongSchool of Population Health, University of New South Wales, Sydney, Australia.
Yuliang ErNational Centre for Non-Communicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention, Beijing, China.
Leilei DuanNational Centre for Non-Communicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention, Beijing, China.
Rebecca IversThe George Institute for Global Health, University of New South Wales, PO Box M201, Missenden Road, Sydney, NSW, 2050, Australia.
Lisa KeayThe George Institute for Global Health, University of New South Wales, PO Box M201, Missenden Road, Sydney, NSW, 2050, Australia.
Maoyi TianThe George Institute for Global Health, University of New South Wales, PO Box M201, Missenden Road, Sydney, NSW, 2050, Australia.
Peking University · CNUNSW Sydney · AUChinese Center For Disease Control and Prevention · CNThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFalls in community-dwelling older people have been recognised as a significant public health issue in China given the rapidly growing aged population. Although there are several reviews documenting falls prevention programs for community-dwelling older adults, no systematic reviews of the scope and quality of falls prevention interventions in Mainland China exist. Therefore, the aim of this study was to systematically review falls prevention interventions for community-dwelling older people living in Mainland China.

methodsWe systematically reviewed literature from Chinese and English databases. All types of randomised controlled trials (RCTs) and quasi-experimental studies published from 1st January 1990 to 30th September 2019 were included. Observational studies and studies in care facilities and hospitals were excluded. Narrative synthesis was performed to summarise the key features of all included studies. Quality assessment was conducted using the Cochrane Risk of Bias Tool and ROBINS-I tool for randomised and non-randomised studies respectively.

resultsA total of 1020 studies were found, and 101 studies were included in the analysis. Overall, very few high quality studies were identified, and there was insufficient rigor to generate reliable evidence on the effectiveness of interventions or their scalability. Most interventions were multiple component interventions, and most studies focused on outcomes such as self-reported falls incidence or awareness of falls prevention.

conclusionThere is an opportunity to undertake an evaluation of a rigorously-designed, large-scale falls prevention program for community-dwelling older people in Mainland China. To help mitigate the rising burden of falls in Mainland China, recommendations for future falls prevention interventions have been made. These include: (1) target disadvantaged populations; (2) incorporate personalised interventions; and (3) investigate the effectiveness of those under-explored interventions, such as psychological, social environment, management of urinary incontinence, fluid or nutrition therapy and surgery. The study results will also potentially provide a useful evidence base for other low-and-middle income countries in a similar situation.

Indexed as

Accidental FallsAgedAged, 80 and overChinaHumansIncidenceIndependent LivingNutrition TherapyPrecision MedicineUrinary IncontinenceChinaCommunityFalls preventionInterventionsOlder people

Identifiers

PMID32859186
PMCPMC7456050
OpenAlexW3081533757

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.