Evidence map›Paper›PMID 40898581›Full record

ArticleACR open rheumatology2025

Falls Among Individuals With Systemic Lupus Erythematosus: An Observational Study.

Chelsea R Perfect, C Barrett Bowling, S Sam Lim, Charmayne Dunlop-Thomas, Courtney Hoge, Jinoos Yazdany, Patricia P Katz, Laura C Plantinga

Abstract read
In one paragraph

Article in ACR open rheumatology, 2025. 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

8 authors.

Chelsea R PerfectDuke University School of Medicine and Durham Veterans Affairs Geriatric Research Education and Clinical Center, Durham VA Medical Center, Durham, North Carolina.ORCID https://orcid.org/0000-0003-3805-3290
C Barrett BowlingDuke University School of Medicine and Durham Veterans Affairs Geriatric Research Education and Clinical Center, Durham VA Medical Center, Durham, North Carolina.
S Sam LimEmory University, Atlanta, Georgia.ORCID https://orcid.org/0000-0003-2361-0787
Charmayne Dunlop-ThomasEmory University, Atlanta, Georgia.
Courtney HogeUniversity of California, San Francisco.
Jinoos YazdanyUniversity of California, San Francisco.ORCID https://orcid.org/0000-0002-3508-4094
Patricia P KatzUniversity of California, San Francisco.ORCID https://orcid.org/0000-0002-8146-2519
Laura C PlantingaUniversity of California, San Francisco.ORCID https://orcid.org/0000-0003-0809-8981

Funding

RESOURCE-BASED CENTER FOR THE ADVANCEMENT OF PRECISION MEDICINE IN RHEUMATOLOGYP30AR070155 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Mary C Nakamura · 2016 to 2026
$8.2M
Burden, correlates, and outcomes of poor cognitive and physical functioning in the lupus populationR01AG061179 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PLANTINGA, LAURA · 2019 to 2024
$1.6M
CDC HHS 1U01DP006698.NCCDPHP CDC HHS U01 DP006698NIAMS NIH HHS P30 AR070155NIA NIH HHS R01 AG061179NIA NIH HHS R01AG061179
6 · The paper itself

Abstract

objectiveSystemic lupus erythematosus (SLE) is thought to accelerate the aging process. However, there is limited research on geriatric syndromes, such as falls, in this potentially vulnerable population. This study aimed to describe the prevalence of and contributors to falls in the SLE population.

methodsParticipants were recruited from an ongoing population-based cohort of individuals with validated SLE. Falls (number of falls and fall-related injuries requiring medical attention over the past year) and perceived contributing factors were self-reported. Descriptive statistics were calculated, and age-, sex-, and race-adjusted odds ratios (aORs) of participant characteristics with falls were estimated using multivariable logistic regression.

resultsNearly one-third (30.7%) of participants (overall N = 447; 40.9% aged ≥50 years, 91.7% female, and 82.6% Black) reported falling in the past year; 19.2% fell twice or more. Loss of balance (78.1% of falls), slipping/tripping (64.2%), and weakness (53.3%) were the most commonly reported contributing factors. Age and sex were not associated with falls, but higher physical performance (aOR, 0.78; 95% confidence interval [CI], 0.71-0.87) was associated with lower odds of falls. Higher SLE activity (aOR, 1.78; 95% CI, 1.44-2.21) and damage (aOR, 1.22; 95% CI, 1.00-1.49), greater depressive symptoms (aOR, 1.43; 95% CI, 1.14,1-80), and taking fall risk-increasing drugs (antidepressants: aOR, 1.82; 95% CI, 1.13-2.93; pain medications: aOR, 2.60; 95% CI, 1.68-4.00; opioids: aOR, 4.52; 95% CI, 2.39-8.56) were associated with higher odds of falls.

conclusionFalls were common in our cohort, regardless of age. Our results suggest potential interventions for reducing falls, like better control of SLE, physical therapy, depression screening, and medication review.

Identifiers

PMID40898581
PMCPMC12405055

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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.