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ArticleEuropean geriatric medicine2025

Challenges and opportunities for falls prevention: an online survey across European healthcare professionals.

Lotta J Seppala, James Frith, Dawn A Skelton, Clemens Becker, Hubert Blain, Rose-Anne Kenny, Annemiek J Linn, Jesper Ryg, Solveig A Arnadottir, Gülistan Bahat and 23 more

Abstract read
In one paragraph

Article in European geriatric medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. 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

33 authors.

Lotta J SeppalaDepartment of Internal Medicine, Section of Geriatric Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands. l.j.seppala@amsterdamumc.nl.ORCID http://orcid.org/0000-0001-9197-1424
James FrithThe Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, NE1 4LP, UK.
Dawn A SkeltonSchool of Health and Life Sciences, Research Centre for Health (ReaCH), Glasgow Caledonian University, Cowcaddens Road, Glasgow, Scotland, UK.
Clemens BeckerDepartment of Clinical Gerontology and Geriatric Rehabilitation, Robert Bosch Hospital, Stuttgart, Germany.
Hubert BlainDepartment of Geriatrics, Montpellier University Hospital and MUSE, Montpellier, France.
Rose-Anne KennyDepartment of Medical Gerontology, School of Medicine, Trinity College Dublin and Mercers Institute for Successful Ageing, St James's Hospital, Dublin, Ireland.
Annemiek J LinnDepartment of Communication, Amsterdam School of Communication Research/ASCoR, University of Amsterdam, Amsterdam, The Netherlands.
Jesper RygDepartment of Geriatric Medicine, Odense University Hospital, Odense, Denmark.
Solveig A ArnadottirDepartment of Physiotherapy, Faculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Gülistan BahatDivision of Geriatrics, Department of Internal Medicine, Istanbul Medical Faculty, Istanbul University, Capa, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-5343-9795
Maria BonniciDepartment of Geriatric Medicine, Karin Grech Rehabilitation Hospital, Pietà, Malta.
María Ángeles Caballero MoraHospital General Universitario de Ciudad Real, Ciudad Real, Spain.
Yannis Dionyssiotis2nd Physical Medicine and Rehabilitation Department, National Rehabilitation Center EKA, Athens, Greece.
Dvora FrankenthalIsrael Center for Disease Control (ICDC), Ministry of Health, Ramat-Gan, Israel.
Sirpa HartikainenSchool of Pharmacy, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
Jorunn L HelbostadDepartment of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.
Alvaro Casas HerreroGeriatric Department, Hospital Universitario de Navarra (HUN), Pamplona, Spain.
Birkan İlhanDivision of Geriatrics, Department of Internal Medicine, Liv Hospital Vadistanbul, Istanbul, Turkey.
Anna B JonsdottirDepartment of Geriatric Medicine, Landspitali University Hospital, Reykjavík, Iceland.
Marija MarkovskiDepartment of Physical Medicine and Rehabilitation, General Hospital 8Mi Septemvri, Skopje, North Macedonia.
Regina Roller-WirnsbergerDepartment of Internal Medicine, Medical University of Graz, Auenbruggerplatz 15, 8036, Graz, Austria.
Carmelinda RuggieroDivision of Gerontology and Geriatrics, Department of Medicine and Surgery, University of Perugia, Geriatric and Orthogeriatric Units, Azienda Ospedaliera di Perugia, Perugia, Italy.
Ingvild SaltvedtDepartment of Neuromedicine and Movement Science, Faculty of Medicine and Health Science, NTNU - Norwegian University of Science and Technology, Trondheim, Norway.
Anna SkalskaDepartment of Internal Medicine and Gerontology, Jagiellonian University Medical College, Kraków, Poland.
Daniel SmedbergDepartment of Geriatric Medicine, Skåne University Hospital, Malmö, Sweden.
George SoulisHellenic Society for the Study and Research of Ageing, Athens, Greece.
Katarzyna SzczerbińskaLaboratory for Research On Aging Society, Chair of Epidemiology and Preventive Medicine, Medical Faculty, Jagiellonian University Medical College, Kraków, Poland.
Eva TopinkovaDepartment of Geriatrics and Internal Medicine, 1st Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Gregor VeninšekCenter for Geriatric Medicine, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Ellen VlaeyenFaculty of Medicine and Life Sciences, Research Group Healthcare & Ethics, UHasselt, Diepenbeek, Belgium.
Alban YlliFaculty of Medicine, Tirana University of Medicine, Tirana, Albania.
Nathalie van der VeldeDepartment of Internal Medicine, Section of Geriatric Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.
European Geriatric Medicine Society Special Interest Group on Falls and Fractures

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo explore the challenges and opportunities for the implementation of falls preventive services across Europe.

methodsAn online cross-sectional survey among healthcare professionals was initiated by the European Geriatric Medicine Society (EuGMS) Special Interest Group on Falls and Fractures containing a Likert scale and multiple-choice questions on education and knowledge, current practices, barriers, and facilitators for falls prevention. Survey participation for healthcare professionals was encouraged by the EuGMS through an email invitation, website banner, and social media. National representatives from 24 countries further promoted it via societies, local networks, and hospital channels.

resultsA total of 1669 multidisciplinary healthcare professionals participated from 34 European countries (median 47 years; 75% female; 40.6% physicians (73.3% geriatricians/trainees), 36% physiotherapists, 23.4% other healthcare professionals). Only 26.9% believed their undergraduate education adequately prepared them for clinical practice in this area. A total of 75.8% of respondents reported opportunistically screening older adults for fall risk often or always during consultations. Gait and balance assessment was considered the most important and was the most frequently performed component of the multifactorial fall risk assessment. The top-five barriers were staffing issues, lack of time, older adults' non-adherence to recommended strategies, workload related to falls prevention, and prioritizing other tasks. The top-five facilitators were more time, easy-to-use guidelines, sufficient resources, increased education and training on falls prevention, and increased collaboration. We observed regional and country-level variation in these top barriers and facilitators.

conclusionThis survey highlights the need for improved undergraduate education in falls prevention across Europe. It is essential to educate and engage governmental bodies and insurers to secure their support and prioritization of falls prevention initiatives. Furthermore, enhancing education, addressing older adults' nonadherence, interdisciplinary collaboration and providing easy-to-use guidelines seem crucial for effective implementation. The falls prevention strategy should be tailored to the local context.

Indexed as

Accidental FallsHealth PersonnelAdultAgedCross-Sectional StudiesEuropeFemaleGeriatric AssessmentHumansMaleMiddle AgedRisk AssessmentSurveys and QuestionnairesFalls preventionGeriatric medicineImplementationInjurySurvey

Identifiers

PMID40528097
PMCPMC12378296

What OpenQuestion holds

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Registered trials

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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.