Evidence map›Paper›PMID 36918243›Full record

Observational studyBMJ open2023

Course of fear of falling after hip fracture: findings from a 12-month inception cohort.

Maaike N Scheffers-Barnhoorn, Miriam L Haaksma, Wilco P Achterberg, Arthur Hp Niggebrugge, Max Pl van der Sijp, Jolanda Cm van Haastregt, Monica van Eijk

Open access · goldAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 12% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Fear-avoidant beliefs and behaviours after upper limb fracture in older people: a systematic review and meta-ethnography.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Pooled it
  2. Pooled it
  3. Article
  4. Article
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

7 authors at 3 institutions in 1 country.

Maaike N Scheffers-BarnhoornDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands m.n.scheffers-barnhoorn@lumc.nl.ORCID 0000-0002-9580-0208
Miriam L HaaksmaDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands.
Wilco P AchterbergDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0001-9227-7135
Arthur Hp NiggebruggeDepartment of Surgery, Medisch Centrum Haaglanden, Den Haag, Netherlands.
Max Pl van der SijpDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands.
Jolanda Cm van HaastregtDepartment of Health Services Research, Maastricht University, Maastricht, Netherlands.
Monica van EijkDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands.
Leiden University Medical Center · NLMaastricht University · NLMedisch Centrum Haaglanden · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine the course of fear of falling (FoF) up to 1 year after hip fracture, including the effect of prefracture FoF on the course.

designObservational cohort study with assessment of FoF at 6, 12 and 52 weeks after hip fracture.

settingHaaglanden Medical Centre, the Netherlands.

participants444 community-dwelling adults aged 70 years and older, admitted to hospital with a hip fracture.

main outcome measureShort Falls Efficacy Scale International (FES-I), with a cut-off score ≥11 to define elevated FoF levels.

resultsSix weeks after hip fracture the study population-based mean FES-I was located around the cut-off value of 11, and levels decreased only marginally over time. One year after fracture almost one-third of the population had FoF (FES-I ≥11). Although the group with prefracture FoF (42.6%) had slightly elevated FES-I levels during the entire follow-up, the effect was not statistically significant. Patients with persistent FoF at 6 and 12 weeks after fracture (26.8%) had the highest FES-I levels, with a mean well above the cut-off value during the entire follow-up. For the majority of patients in this group, FoF is still present 1 year after fracture (84.9%).

conclusionsIn this study population, representing patients in relative good health condition that are able to attend the outpatient follow-up at 6 and 12 weeks, FoF as defined by an FES-I score ≥11 was common within the first year after hip fracture. Patients with persistent FoF at 12 weeks have the highest FES-I levels in the first year after fracture, and for most of these patients the FoF remains. For timely identification of patients who may benefit from intervention, we recommend structural assessment of FoF in the first 12 weeks after fracture.

Indexed as

FearHip FracturesAgedAged, 80 and overCohort StudiesHumansRisk FactorsGERIATRIC MEDICINEHipREHABILITATION MEDICINE

Identifiers

PMID36918243
PMCPMC10016251
OpenAlexW4324195785

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.