Evidence map›Paper›PMID 38131656›Full record

ArticleJournal of the American Geriatrics Society2024

American Geriatrics Society response to the World Falls Guidelines.

Elizabeth Eckstrom, Jennifer L Vincenzo, Colleen M Casey, Shelly Gray, Kristina Cosley, Jamie Caulley, Manisha Parulekar, Anita Rasheed, Martine Sanon, George Demiris and 3 more

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

34 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Elizabeth EckstromDivision of General Internal Medicine & Geriatrics, Oregon Health & Science University, Portland, Oregon, USA.
Jennifer L VincenzoLewis E. Epley Jr. Department of Physical Therapy, College of Health Professions, University of Arkansas for Medical Sciences, Fayetteville, Arkansas, USA.
Colleen M CaseySenior Health Program, Providence Health & Services, Portland, Oregon, USA.
Shelly GrayDepartment of Pharmacy, University of Washington, Seattle, Washington, USA.
Kristina CosleyRehab Therapies, University of Washington, Seattle, Washington, USA.
Jamie CaulleyProvidence Northeast Rehabilitation, Providence Health & Services, Portland, Oregon, USA.
Manisha ParulekarHackensack Meridian School of Medicine, Hackensack University Medical Center, Hackensack, New Jersey, USA.ORCID 0000-0002-2896-2805
Anita RasheedDepartment of Internal Medicine, The University of Arizona College of Medicine - Phoenix, Phoenix, Arizona, USA.
Martine SanonIcahn School of Medicine at Mount Sinai, Mount Sinai Hospital, New York, New York, USA.
George DemirisPerelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-6318-5829
Robbie ZimbroffDivision of Geriatrics, University of California, San Francisco, California, USA.
Bryanna De LimaDivision of General Internal Medicine & Geriatrics, Oregon Health & Science University, Portland, Oregon, USA.ORCID 0000-0002-4603-4084
Elizabeth PhelanSchool of Medicine, Division of Gerontology and Geriatric Medicine, University of Washington, Seattle, Washington, USA.

Funding

Expanding Translational Research in ArkansasUL1TR003107 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI JAMES, LAURA P · 2019 to 2023
$21.6M
Technology Identification and Training CoreP30AG073105 · NIA · UNIVERSITY OF PENNSYLVANIA · PI JOHNSON, KEVIN B. · 2021 to 2025
$21.2M
Clin-STAR Coordinating CenterU24AG065204 · NIA · AMERICAN FEDERATION FOR AGING RESEARCH · PI Thomas Michael Gill, Kristine Yaffe · 2019 to 2026
$5.5M
Institutional Career DevelopmentKL2TR003108 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI ARTHUR, JOHN M., BORSHEIM, ELISABET · 2019 to 2023
$2.3M
Consultative Physical Therapy: A Physical Activity and Exercise Implementation Strategy in Parkinson'sR01HD110668 · NICHD · REHABILITATION INSTITUTE OF CHICAGO D/B/A SHIRLEY RYAN ABILITYLAB · PI Miriam Rose Rafferty · 2023 to 2026
$1.9M
Developing and testing implementation strategies to support the STEADI for falls risk management in outpatient rehabilitationK76AG074920 · NIA · UNIV OF ARKANSAS FOR MED SCIS · PI Jennifer Lynn Vincenzo · 2022 to 2026
$1.0M
Engaging care partners in fall risk management for community-dwelling older adults living with dementiaR21AG079316 · NIA · UNIVERSITY OF TEXAS AT AUSTIN · PI ZHOU, YUANJIN · 2022 to 2023
$443k
Engaging older adults in fall prevention using Motivational Interviewing (MI)K23NR018672 · NINR · OREGON HEALTH & SCIENCE UNIVERSITY · PI KIYOSHI-TEO, HIROKO · 2020 to 2022
$411k
NCATS NIH HHS KL2 TR003108NCATS NIH HHS UL1 TR003107NCIPC CDC HHS R49 CE003087NCIPC CDC HHS U01 CE002967NIA NIH HHS K76 AG074920NIA NIH HHS P30 AG073105NIA NIH HHS R21 AG079316NIA NIH HHS U24 AG065204NICHD NIH HHS R01 HD110668NINR NIH HHS K23 NR018672
6 · The paper itself

Abstract

Falls are a major cause of preventable death, injury, and reduced independence in adults aged 65 years and older. The American Geriatrics Society and British Geriatrics Society (AGS/BGS) published a guideline in 2001, revised in 2011, addressing common risk factors for falls and providing recommendations to reduce fall risk in community-dwelling older adults. In 2022, the World Falls Guidelines (WFG) Task Force created updated, globally oriented fall prevention risk stratification, assessment, management, and interventions for older adults. Our objective was to briefly summarize the new WFG, compare them to the AGS/BGS guideline, and offer suggestions for implementation in the United States. We reviewed 11 of the 12 WFG topics related to community-dwelling older adults and agree with several additions to the prior AGS/BGS guideline, including assessment and intervention for hearing impairment and concern for falling, assessment and individualized exercises for older adults with cognitive impairment, and performing a standardized assessment such as STOPPFall before prescribing a medication that could potentially increase fall risk. Notable areas of difference include: (1) AGS continues to recommend screening all patients aged 65+ annually for falls, rather than just those with a history of falls or through opportunistic case finding; (2) AGS recommends continued use of the Timed Up and Go as a gait assessment, rather than relying on gait speed; and (3) AGS recommends clinical judgment on whether or not to check an ECG for those at risk for falling. Our review and translation of the WFG for a US audience offers guidance for healthcare and other providers and teams to reduce fall risk in older adults.

Indexed as

Accidental FallsGeriatric AssessmentGeriatricsPractice Guidelines as TopicAgedAged, 80 and overFemaleHumansIndependent LivingMaleRisk AssessmentRisk FactorsSocieties, MedicalUnited Statesexercisefall preventionguidelinesmultifactorial assessmentscreening

Identifiers

PMID38131656
PMCPMC11187658

What OpenQuestion holds

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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.