Evidence map›Paper›PMID 39500610›Full record

ArticleBMJ open2024

Cost-effectiveness of falls prevention strategies for older adults: protocol for a living systematic review.

Jennifer C Davis, Kirsten Husdal, Jordyn Rice, Sohail Loomba, Ryan Stanley Falck, Vrinda Dimri, Marina Pinheiro, Ian Cameron, Catherine Sherrington, Kenneth M Madden and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Jennifer C DavisFaculty of Management, The University of British Columbia Okanagan, Kelowna, British Columbia, Canada jennifer.davis@ubc.ca.ORCID http://orcid.org/0000-0002-5274-4293
Kirsten HusdalFaculty of Management, The University of British Columbia Okanagan, Kelowna, British Columbia, Canada.ORCID http://orcid.org/0009-0002-7281-3142
Jordyn RiceDepartment of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada.
Sohail LoombaFaculty of Medicine and Health Science, Royal College of Surgeons in Ireland, Dublin, Ireland.
Ryan Stanley FalckDepartment of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada.
Vrinda DimriDepartment of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada.
Marina PinheiroUniversity of Sydney, Sydney, New South Wales, Australia.
Ian CameronJohn Walsh Centre for Rehabilitation Research, University of Sydney, St Leonards, New South Wales, Australia.
Catherine SherringtonInstitute for Musculoskeletal Health, University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0001-8934-4368
Kenneth M MaddenFaculty of Medicine, University of British Columbia, Canada, Vancouver, British Columbia, Canada.
Teresa Liu-AmbroseDepartment of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOne-third of adults aged 65+ fall annually. Injuries from falls can be devastating for individuals and account for 1.5% of annual healthcare spending. With the growing ageing population, falls place increased strain on scarce health resources. Prevention strategies that target individuals at high risk for falls demonstrate the best value for money; however, limited efficiency (ie, cost-effectiveness) information for fall prevention interventions hinders the implementation of effective falls prevention programmes. Living systematic reviews provide a timely up-to-date evidence-based resource to inform clinical guidelines and health policy decisions. This protocol details the methodology for a living systematic review of the efficiency (ie, cost-effectiveness) of fall prevention interventions for older adults in three settings: community-dwelling, aged care and hospitals. METHODS AND ANALYSIS: This protocol used the reporting guidelines from the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocol. Peer-reviewed economic evaluations of controlled clinical trials or health state models will be included. Reports will be obtained through monthly systematic searches of CENTRAL (Ovid), CINAHL (EBSCO), Embase (Ovid), MEDLINE (Ovid), SCOPUS (Elsevier) and Web of Science (Clarivate) alongside snowballing and handsearching EconLit and the Tufts Cost Effectivness Analysis Registry. Screening, data extraction, quality assessment and risk of bias will be assessed by multiple reviewers. The primary outcomes will be the incremental cost-effectiveness (ie, incremental cost per fall prevented), incremental cost-utility (ie, incremental cost per quality-adjusted life year gained) or cost-benefit ratio. Additional outcomes will include falls and cost-related measures. All economic outcomes will be reported in a common year and currency. Results will be reported as a narrative synthesis; meta-analysis will be considered based on data quality, suitability and availability. ETHICS AND DISSEMINATION: Ethical approval is not required as primary human data will not be collected. Results will be disseminated through peer-reviewed publications and a dedicated website. PROSPERO REGISTRATION NUMBER: CRD42024532485.

Indexed as

Accidental FallsCost-Effectiveness AnalysisAgedHumansIndependent LivingResearch DesignSystematic Reviews as TopicAgedAgeingHealth Care CostsHEALTH ECONOMICS

Identifiers

PMID39500610
PMCPMC11552585

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.