Evidence map›Paper›PMID 36178003›Full record

ArticleAge and ageing2022

World guidelines for falls prevention and management for older adults: a global initiative.

Manuel Montero-Odasso, Nathalie van der Velde, Finbarr C Martin, Mirko Petrovic, Maw Pin Tan, Jesper Ryg, Sara Aguilar-Navarro, Neil B Alexander, Clemens Becker, Hubert Blain and 48 more

Erratum issued 3 registry-linked trialsOpen access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Age and ageing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 3 registered trials, which are not on this map. Cited by 952 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
952citing papers in PubMed, 15 pooled it
548.3field-weighted citation impact, top 1% 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.

NCT06345118 narecruitingnot on this mapstarted 2024, after this paper: background citation

Evaluate the Results of Fall Prevention in Older Adults With Type 2 Diabetes Mellitus

TypeinterventionalSponsorNational Geriatric HospitalRan2024 to 2025Enrolled80ConditionsDiabetes Mellitus, Type 2, Fall, Elderly PatientArmsOtago exercise program
NCT06961812 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Validation of the Self-Assessment for Falls in the Elderly (SAFE) Questionnaire to Assess the Risk of Falls in People Aged 60 or Over.

TypeinterventionalSponsorUniversity Hospital, MontpellierRan2025 to 2026Enrolled300ConditionsFall Prevention, Falls (Accidents) in Old AgeArmsQuestionnaire and Physical Exam, Safe Self-Administered Questionnaire
NCT07738354 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Construction, Validation, and Demonstration of a Comprehensive Prevention, Treatment, and Rehabilitation System for Toileting-Related Falls in Older Adults and People With Disabilities

TypeinterventionalSponsorQing YuanRan2026 to 2028Enrolled300ConditionsToileting-Related Falls, Fall RiskArmsIndividualized Multidimensional Management Program for Toileting-Related Fall Prevention
3 · Its place in the literature

Who cites it

952 citing papers in PubMed, 15 syntheses or guidelines pooled it, 1,387 citations in OpenAlex.

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892 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

58 authors at 20 institutions in 17 countries.

Manuel Montero-OdassoGait and Brain Lab, Parkwood Institute, Lawson Health Research Institute, London, ON, Canada.ORCID 0000-0002-5796-2361
Nathalie van der VeldeAmsterdam UMC location University of Amsterdam, Internal Medicine, Section of Geriatric Medicine, Amsterdam, The Netherlands.
Finbarr C MartinPopulation Health Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.ORCID 0000-0002-6911-3498
Mirko PetrovicDepartment of Internal Medicine and Paediatrics, Section of Geriatrics, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Maw Pin TanCentre for Innovation in Medical Engineering (CIME), Faculty of Engineering, University of Malaya, Kuala Lumpur 50603, Malaysia.
Jesper RygDepartment of Geriatric Medicine, Odense University Hospital, Odense, Denmark.ORCID 0000-0002-8641-3062
Sara Aguilar-NavarroDepartment of Geriatric Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Neil B AlexanderDepartment of Internal Medicine, Division of Geriatric and Palliative Medicine, University of Michigan; Veterans Administration Ann Arbor Healthcare System Geriatrics Research Education Clinical Center, Ann Arbor, MI, USA.
Clemens BeckerDepartment of Clinical Gerontology and Geriatric Rehabilitation, Robert Bosch Hospital, Stuttgart, Germany.
Hubert BlainDepartment of Geriatrics, Montpellier University hospital and MUSE, Montpellier, France.ORCID 0000-0002-0177-2470
Robbie BourkeDepartment of Medical Gerontology Trinity College Dublin and Mercers Institute for Successful Ageing, St James's Hospital, Dublin, Ireland.
Ian D CameronJohn Walsh Centre for Rehabilitation Research, Northern Sydney Local Health District and Faculty of Medicine and Health, University of Sydney. Department of Medicine (Neurology) and Neuroscience and Mental Health, Sydney, NSW, Australia.
Richard CamicioliDepartment of Medicine (Neurology), Neuroscience and Mental Health Institute, University of Alberta, Edmonton, AB, Canada.
Lindy ClemsonSydney School of Health Sciences, Faculty of Medicine & Health, The University of Sydney, Sydney, Australia.
Jacqueline CloseFalls, Balance and Injury Research Centre, Neuroscience Research Australia, University of New South Wales, Sydney, NSW, Australia.
Kim DelbaereFalls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, NSW, Australia; School of Population Health, University of New South Wales, Kensington, NSW, Australia.
Leilei DuanNational Centre for Chronic and Noncommunicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention, Beijing, China.
Gustavo DuqueResearch Institute of the McGill University HealthCentre, Montreal, Quebec, Canada.ORCID 0000-0001-8126-0637
Suzanne M DyerFlinders Health and Medical Research Institute, Flinders University, Adelaide, SA, Australia.
Ellen FreibergerFriedrich-Alexander-University Erlangen-Nürnberg, Institute for Biomedicine of Aging, Nürnberg, Germany.
David A GanzMulticampus Program in Geriatric Medicine and Gerontology, David Geffen School of Medicine at UCLA and Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Fernando GómezResearch Group on Geriatrics and Gerontology, International Association of Gerontology and Geriatrics Collaborative Center, University Caldas, Manizales, Colombia.
Jeffrey M HausdorffCenter for the Study of Movement, Cognition and Mobility, Neurological Institute, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
David B HoganBrenda Strafford Centre on Aging, O'BrienInstitute for Public Health, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Susan M W HunterSchool of Physical Therapy, Faculty of Health Sciences, Elborn College, University of Western Ontario, London, ON, Canada.
Jose R JaureguiAgeing Biology Unit, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Nellie KamkarGait and Brain Lab, Parkwood Institute, Lawson Health Research Institute, London, ON, Canada.
Rose-Anne KennyDepartment of Medical Gerontology Trinity College Dublin and Mercers Institute for Successful Ageing, St James's Hospital, Dublin, Ireland.
Sarah E LambFaculty of Health and Life Sciences, Mireille Gillings Professor of Health Innovation, Medical School Building, Exeter, England, UK.
Nancy K LathamBrigham and Women's Hospital, Boston, MA, USA.
Lewis A LipsitzHinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Teresa Liu-AmbroseDjavad Mowafaghian Centre for Brain Health, Center for Hip Health and Mobility, Vancouver Coastal Health Research Institute, University of British Columbia, Vancouver, BC, Canada.
Pip LoganSchool of Medicine, University of Nottingham, Nottingham, England, UK.
Stephen R LordFalls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, NSW, Australia.
Louise MalletDepartment of Pharmacy, Faculty of Pharmacy, McGill University Health Center, Université de Montréal, Montreal, QC, Canada.
David MarshUniversity College London, London, England, UK.
Koen MilisenDepartment of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven, Leuven, Belgium.ORCID 0000-0001-9230-1246
Rogelio Moctezuma-GallegosGeriatric Medicine & Neurology Fellowship, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán". Mexico City, Mexico.
Meg E MorrisHealthscope and Academic and Research Collaborative in Health (ARCH), La Trobe University, Australia.
Alice NieuwboerDepartment of Rehabilitation Sciences, Neurorehabilitation Research Group (eNRGy), KU Leuven, Leuven, Belgium.
Monica R PerraciniMaster's and Doctoral programs in Physical Therapy, Universidade Cidade de Sao Paulo (UNICID), Sao Paulo, Brazil.ORCID 0000-0001-9331-3820
Frederico Pieruccini-FariaGait and Brain Lab, Parkwood Institute, Lawson Health Research Institute, London, ON, Canada.
Alison PighillsMackay Institute of Research and Innovation, Mackay Hospital and Health Service, Mackay, QLD, Australia.
Catherine SaidWestern Health, University of Melbourne, Parkville, Melbourne, VIC, Australia.
Ervin SejdicDepartment of Electrical and Computer Engineering, Swanson School of Engineering, University of Pittsburgh, Pittsburgh, PA, USA.
Catherine SherringtonInstitute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, Australia.
Dawn A SkeltonSchool of Health and Life Sciences, Research Centre for Health (ReaCH), Glasgow Caledonian University, Cowcaddens Road, Glasgow, Scotland, UK.
Sabestina DsouzaDepartment of Occupational Therapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Mark SpeechleyDepartment of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada.
Susan StarkProgram in Occupational Therapy, School of Medicine, Washington University in St. Louis, St. Louis, MO, USA.
Chris ToddSchool of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, England, UK.
Bruce R TroenDivision of Geriatrics and Palliative Medicine, Department of Medicine, Jacobs School of Medicine & Biomedical Sciences, University of Buffalo; Research Service, Veterans Affairs Western New York Healthcare System, Buffalo, New York, USA.
Tischa van der CammenDepartment of Human-Centred Design, Faculty of Industrial Design Engineering, Delft University of Technology, Delft, The Netherlands.
Joe VergheseDivision of Geriatrics, Department of Medicine, Albert Einstein College of Medicine, Bronx, New York, USA.
Ellen VlaeyenDepartment of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven, Leuven, Belgium.
Jennifer A WattLi Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada.
Tahir MasudDepartment of Geriatric Medicine, The British Geriatrics Society, Nottingham University Hospitals NHS Trust, Nottingham, England, UK.
Task Force on Global Guidelines for Falls in Older Adults
Western University · CAThe University of Sydney · AUTrinity College Dublin · IEUNSW Sydney · AUKU Leuven · BEInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXAlbert Einstein College of Medicine · USSt. Michael's Hospital · CABeth Israel Deaconess Medical Center · USBrigham and Women's Hospital · USErasmus MC · NLFlinders University · AUFriedrich-Alexander-Universität Erlangen-Nürnberg · DEHospital Italiano de Buenos Aires · ARKing's College London · GBLawson Health Research Institute · CAManchester Academic Health Science Centre · GBManipal Academy of Higher Education · INMcGill University Health Centre · CANottingham University Hospitals NHS Trust · GB

Funding

Research Education CoreP30AG024824 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Andrzej T Galecki · 2004 to 2026
$29.2M
CIHR RN476173-478689NIA NIH HHS P30 AG024824
6 · The paper itself

Abstract

backgroundfalls and fall-related injuries are common in older adults, have negative effects on functional independence and quality of life and are associated with increased morbidity, mortality and health related costs. Current guidelines are inconsistent, with no up-to-date, globally applicable ones present.

objectivesto create a set of evidence- and expert consensus-based falls prevention and management recommendations applicable to older adults for use by healthcare and other professionals that consider: (i) a person-centred approach that includes the perspectives of older adults with lived experience, caregivers and other stakeholders; (ii) gaps in previous guidelines; (iii) recent developments in e-health and (iv) implementation across locations with limited access to resources such as low- and middle-income countries.

methodsa steering committee and a worldwide multidisciplinary group of experts and stakeholders, including older adults, were assembled. Geriatrics and gerontological societies were represented. Using a modified Delphi process, recommendations from 11 topic-specific working groups (WGs), 10 ad-hoc WGs and a WG dealing with the perspectives of older adults were reviewed and refined. The final recommendations were determined by voting. RECOMMENDATIONS: all older adults should be advised on falls prevention and physical activity. Opportunistic case finding for falls risk is recommended for community-dwelling older adults. Those considered at high risk should be offered a comprehensive multifactorial falls risk assessment with a view to co-design and implement personalised multidomain interventions. Other recommendations cover details of assessment and intervention components and combinations, and recommendations for specific settings and populations.

conclusionsthe core set of recommendations provided will require flexible implementation strategies that consider both local context and resources.

Indexed as

Independent LivingQuality of LifeAgedCaregiversHumansRisk Assessmentagedclinical practiceconsensusfallsglobalguidelinesinjuryolder peoplerecommendationsworld

Identifiers

PMID36178003
PMCPMC9523684
OpenAlexW4298086991

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.