ReviewInternational journal of nursing studies advances2025
The quality and applicability of clinical practice guidelines for falls prevention, assessment and management across the lifespan: A systematic review.
Review in International journal of nursing studies advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
7 authors.
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Abstract
Background: The burden of falls across the lifespan is substantial. Given the variety of clinical practice guidelines available for falls management, it is useful to understand the quality and clinical applicability of guidelines and their recommendations. Objective: To assess the quality and applicability of clinical practice guidelines for falls prevention, assessment and management across the lifespan. Design: Systematic review, reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data Sources: CINAHL, Cochrane, Embase, MEDLINE, PsycINFO and grey literature databases were searched from January 2016 to April 2025. Methods: Two investigators assessed the methodological quality of the guidelines and recommendations based on the eligibility criteria established a priori. Scaled domain scores were calculated for AGREE II and AGREE-REX. Results: Eleven guidelines met the eligibility criteria and were included for analysis. Most provided recommendations for older adults with only two guidelines focused on adults. AGREE II scores ranged from 32 % to 83 %, while AGREE-REX scores ranged from 39 % to 56 %. Three guidelines were of high quality (≥70 %): (1) 2017 Registered Nurses' Association of Ontario, (2) 2025 National Institute for Health and Care Excellence, and (3) 2022 World Falls Guideline. Conclusion: This systematic review identified gaps in evidence-based guidelines for falls prevention, particularly for individuals under 65. Variations in guideline quality suggest the need for refined development processes, emphasizing stakeholder involvement and applicability. Despite limitations in the current evidence, this review offers a foundation for future guideline development, highlighting the importance of developing inclusive, evidence-based guidelines to address falls for children and adults under the age of 65. Registration: The review protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO registration CRD42023446557). Tweetable Abstract: Gaps in fall prevention, assessment, and management guidelines emphasize the need for evidence-based recommendations for children and adults under the age of 65.
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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.