Evidence map›Paper›PMID 36402961›Full record

Observational studyBMC geriatrics2022

Incidence of falls and fall-related injuries and their predictive factors in frail older persons with cancer: a multicenter study.

Cindy Kenis, Lore Decoster, Johan Flamaing, Philip R Debruyne, Inge De Groof, Christian Focan, Frank Cornélis, Vincent Verschaeve, Christian Bachmann, Dominique Bron and 10 more

Open access · goldAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
11.7field-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.

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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Article
  4. Burden and Determinants of Fall and its Related Injuries in the Elderly Population of Uttarakhand, India: A Community-based Cross-sectional Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026
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  7. Incidence and associated factors of falls in patients with chemotherapy-induced peripheral neuropathy: a scoping review and evidence mapping.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  12. The relationship between frailty and depression in Chinese elderly prostate cancer patients following radical surgery: the mediating effect of sleep disturbances.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  13. Falls, fear of falling, and lower body strength in a cohort of community-dwelling older adults with cancer.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2025
    Article
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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

20 authors at 14 institutions in 2 countries.

Cindy Kenis *Department of General Medical Oncology, University Hospitals Leuven, Leuven, Belgium.
Lore Decoster *Department of Medical Oncology, Oncologisch Centrum, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
Johan FlamaingDepartment of Geriatric Medicine, University Hospitals Leuven, Leuven, Belgium.
Philip R DebruyneDepartment of Medical Oncology, Kortrijk Cancer Centre, AZ Groeninge, Kortrijk, Belgium & Medical Technology Research Centre (MTRC), School of Life Sciences, Faculty of Science and Engineering, Anglia Ruskin University, Cambridge, UK.
Inge De GroofDepartment of Geriatric Medicine, St. Augustinus, Wilrijk, Belgium.
Christian FocanDepartment of Oncology, Clinique CHC Montlégia, Liège, Belgium.
Frank CornélisDepartment of Medical Oncology, Cliniques Universitaires Saint-Luc, UCLouvain, Brussels, Belgium.
Vincent VerschaeveDepartment of Medical Oncology, GHDC Grand Hôpital de Charleroi, Charleroi, Belgium.
Christian BachmannDepartment of Geriatric Medicine, AZ Sint-Lucas, Ghent, Belgium.
Dominique BronDepartment of Hematology, ULB Institut Jules Bordet, Brussels, Belgium.
Heidi Van den BulckDepartment of Medical Oncology, Imelda hospital, Bonheiden, Belgium.
Dirk SchrijversDepartment of Medical Oncology, ZNA Middelheim, Antwerp, Belgium.
Christine LangenaekenDepartment Medical Oncology, AZ Klina, Brasschaat, Belgium.
Pol SpecenierDepartment of Medical Oncology, University Hospital Antwerp, Antwerp, Belgium.
Guy JerusalemDepartment of Medical Oncology, Centre Hospitalier Universitaire Sart Tilman and Liege University, Liege, Belgium.
Jean-Philippe PraetDepartment of Geriatric Medicine, CHU St-Pierre, Free Universities Brussels, Brussels, Belgium.
Jessie De CockDepartment of Geriatric Medicine, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
Jean-Pierre LobelleDepartment of Oncology, Laboratory of Experimental Oncology, KU Leuven - University of Leuven, Leuven, Belgium.
Hans Wildiers *Department of General Medical Oncology, University Hospitals Leuven, Leuven, Belgium.
Koen Milisen *Department of Geriatric Medicine, University Hospitals Leuven, Leuven, Belgium. koen.milisen@kuleuven.be.ORCID 0000-0001-9230-1246
KU Leuven · BEVrije Universiteit Brussel · BEAntwerp University Hospital · BEAZ Groeninge · BEAZ Klina · BEAZ Sint-Lucas · BECentre Hospitalier Chrétien · BECentre Hospitalier Universitaire de Liège · BECliniques Universitaires Saint-Luc · BEGrand Charleroi Hospital · BEGZA Ziekenhuizen Campus Sint-Augustinus · BEImelda Hospital · BEInstitut Jules Bordet · BEZNA Middelheim Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFalls and fall-related injuries are a major public health problem. Data on falls in older persons with cancer is limited and robust data on falls within those with a frailty profile are missing. The aim of this study is to investigate the incidence and predictive factors for falls and fall-related injuries in frail older persons with cancer.

methodsThis study is a secondary data analysis from data previously collected in a large prospective multicenter observational cohort study in older persons with cancer in 22 Belgian hospitals (November 2012-February 2015). Patients ≥70 years with a malignant tumor and a frailty profile based on an abnormal G8 score were included upon treatment decision and evaluated with a Geriatric Assessment (GA). At follow-up, data on falls and fall-related injuries were documented.

resultsAt baseline 2141 (37.2%) of 5759 included patients reported at least one fall in the past 12 months, 1427 patients (66.7%) sustained an injury. Fall-related data of 3681 patients were available at follow-up and at least one fall was reported by 769 patients (20.9%) at follow-up, of whom 289 (37.6%) fell more than once and a fall-related injury was reported by 484 patients (62.9%). Fear of falling was reported in 47.4% of the patients at baseline and in 55.6% of the patients at follow-up. In multivariable analysis, sex and falls history in the past 12 months were predictive factors for both falls and fall-related injuries at follow-up. Other predictive factors for falls, were risk for depression, cognitive impairment, dependency in activities of daily living, fear of falling, and use of professional home care.

conclusionGiven the high number of falls and fall-related injuries and high prevalence of fear of falling, multifactorial falls risk assessment and management programs should be integrated in the care of frail older persons with cancer. Further studies with long-term follow-up, subsequent impact on cancer treatment and interventions for fall prevention, and integration of other important topics like medication and circumstances of a fall, are warranted.

trial registrationB322201215495.

Indexed as

FrailtyNeoplasmsAccidental FallsActivities of Daily LivingAgedAged, 80 and overFearFrail ElderlyHumansIncidenceProspective StudiesCancerFall-related injuriesFallsFrailtyGeriatric assessmentOlder persons

Identifiers

PMID36402961
PMCPMC9675153
OpenAlexW4309657829

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.