Evidence map›Paper›PMID 38833246›Full record

GuidelineJAMA2024

Interventions to Prevent Falls in Community-Dwelling Older Adults: US Preventive Services Task Force Recommendation Statement.

US Preventive Services Task Force, Wanda K Nicholson, Michael Silverstein, John B Wong, Michael J Barry, David Chelmow, Tumaini Rucker Coker, Esa M Davis, Carlos Roberto Jaén, Marie Krousel-Wood and 8 more

Abstract readPractice GuidelineSystematic Review
PubMed Publisher
In one paragraph

Guideline in JAMA, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 5 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

52 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Multi-Factorial and Multi-Component Fall Prevention Interventions Initiated From the Emergency Department: A Systemic Review and Meta-Analysis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. [PAPPS update on older people 2024].Atencion primaria · 2024
    Guideline
  5. Guideline
  6. Trial
  7. Trial
  8. Strategies to Minimize Fall-related Injuries in Older Adults at Risk of Falls: The Falling Safely Training Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Trial
  9. Trial
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Bone health in patients with cancer: a SEOM-SEIOMM consensus review of risk factors, assessment strategies, and management approaches.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

US Preventive Services Task Force
Wanda K NicholsonGeorge Washington University, Washington, DC.
Michael SilversteinBrown University, Providence, Rhode Island.
John B WongTufts University School of Medicine, Boston, Massachusetts.
Michael J BarryHarvard Medical School, Boston, Massachusetts.
David ChelmowVirginia Commonwealth University, Richmond.
Tumaini Rucker CokerUniversity of Washington, Seattle.
Esa M DavisUniversity of Maryland School of Medicine, Baltimore.
Carlos Roberto JaénThe University of Texas Health Science Center, San Antonio.
Marie Krousel-WoodTulane University, New Orleans, Louisiana.
Sei LeeUniversity of California, San Francisco.
Li LiUniversity of Virginia, Charlottesville.
Goutham RaoCase Western Reserve University, Cleveland, Ohio.
John M RuizUniversity of Arizona, Tucson.
James StevermerUniversity of Missouri, Columbia.
Joel TsevatThe University of Texas Health Science Center, San Antonio.
Sandra Millon UnderwoodUniversity of Wisconsin, Milwaukee.
Sarah WieheIndiana University, Bloomington.

Funding

Prognostic Indices for Hospitalized Older Adults with and without Alzheimer’s Disease and Related DementiasR01AG079982 · NIA · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI Sei Lee, Alexander Keliimoeanu Smith · 2023 to 2026
$3.1M
Mentoring Patient-Oriented Research to Individualize Care for Hospitalized Older Adults with and without Alzheimer's Disease and Related DementiasK24AG066998 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Sei Lee · 2021 to 2026
$1.1M
NIA NIH HHS K24 AG066998NIA NIH HHS R01 AG079982
6 · The paper itself

Abstract

Importance: Falls are the leading cause of injury-related morbidity and mortality among older adults in the US. In 2018, 27.5% of community-dwelling adults 65 years or older reported at least 1 fall in the past year and 10.2% reported a fall-related injury. In 2021, an estimated 38 742 deaths resulted from fall-related injuries. Objective: The US Preventive Services Task Force (USPSTF) commissioned a systematic review to evaluate the effectiveness and harms of primary care-relevant interventions to prevent falls and fall-related morbidity and mortality in community-dwelling adults 65 years or older. Population: Community-dwelling adults 65 years or older at increased risk of falls. Evidence Assessment: The USPSTF concludes with moderate certainty that exercise interventions provide a moderate net benefit in preventing falls and fall-related morbidity in older adults at increased risk for falls. The USPSTF concludes with moderate certainty that multifactorial interventions provide a small net benefit in preventing falls and fall-related morbidity in older adults at increased risk for falls. Recommendation: The USPSTF recommends exercise interventions to prevent falls in community-dwelling adults 65 years or older who are at increased risk for falls. (B recommendation) The USPSTF recommends that clinicians individualize the decision to offer multifactorial interventions to prevent falls to community-dwelling adults 65 years or older who are at increased risk for falls. Existing evidence indicates that the overall net benefit of routinely offering multifactorial interventions to prevent falls is small. When determining whether this service is appropriate for an individual, patients and clinicians should consider the balance of benefits and harms based on the circumstances of prior falls, presence of comorbid medical conditions, and the patient's values and preferences. (C recommendation).

Indexed as

Accidental FallsExercise TherapyIndependent LivingAdvisory CommitteesAgedExerciseHumansPrimary Health CareRisk AssessmentUnited States

Identifiers

PMID38833246

What OpenQuestion holds

Textmetadata
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.