Evidence map›Paper›PMID 41761018›Full record

ArticleJournal of general internal medicine2026

Keeping Patients on Their Feet: How Fall Prevention Clinics Can Be More Effective.

David R Lee, Lauren K Matsuno, Joyce H Seo, Betty Y Wong, Erin A Cook, Grace I Chen, Kyle Newbrey, Susan Stich, David B Reuben

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

David R LeeDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA. drlee@mednet.ucla.edu.ORCID http://orcid.org/0000-0003-2052-6192
Lauren K MatsunoDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Joyce H SeoDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Betty Y WongBrandman Centers for Senior Care, Los Angeles, CA, USA.
Erin A CookDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Grace I ChenDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Kyle NewbreyUCLA Health, Outpatient Rehabilitation, Los Angeles, CA, USA.
Susan StichUCLA Health, Outpatient Rehabilitation, Los Angeles, CA, USA.
David B ReubenDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.

Funding

HRSA HHS T32HP19001
6 · The paper itself

Abstract

backgroundAlthough fall prevention programs in real-world clinical settings often generate recommendations to reduce fall risk factors, evidence that they improve clinical outcomes remains limited. To better understand this gap, we examined implementation rates of recommendations.

methodsThis retrospective cohort study evaluated patients who received care at an interdisciplinary (nurse, physical therapist, geriatrician) fall prevention consultation clinic from November 2020 to December 2022. Data were collected on patient demographics, screening assessments (including self-reported falls, fracture risk, visual acuity, cognition, and orthostatic blood pressure), physical therapy evaluations, and implementation of recommendations. Fall- and fracture-related ED visits and hospitalizations in the year before and after the clinic visit were compared.

resultsNinety-four patients seen with a mean age of 79 years (SD = 8.4, range 63-101); 71% were women, 60% self-identified as non-Hispanic White, 39% needed help with ≥ 1 activity of daily living, and 62% needed help with ≥ 2 instrumental activities of daily living. Patients screened positive for a self-reported fall in the last year (81%), increased fracture risk (67%), vision impairment (43%), cognitive concerns (27%), and orthostatic hypotension (12%). Implementation of recommendations occurred most often for home (58%) and outpatient (46%) physical therapy, bisphosphonate recommendations or orders (50%), ophthalmology (43%), and medication adjustment recommendations (36%). Referrals to podiatry (30%), clinical pharmacy (29%) for fall risk-increasing drugs, osteoporosis clinic (23%), and memory clinic (12%) were implemented least frequently. There were no statistically significant differences in fall- or fracture-related ED visits (IRR 0.61, 95% CI 0.33-1.15) or hospitalizations (IRR 0.75, 95% CI 0.32-1.72) 1-year pre- and post-clinic evaluation.

conclusionsAlthough this consultative fall prevention clinic generated actionable recommendations, their implementation was sub-optimal. The study identified key areas for process improvement, particularly enhancing adherence to high-impact recommendations such as physical therapy and bone health.

Indexed as

Accidental FallsActivities of Daily LivingAgedAged, 80 and overCohort StudiesEmergency Room VisitsFemaleFractures, BoneHumansMaleMiddle AgedRetrospective StudiesRisk Factorsbone healthfall preventioninterdisciplinary teamphysical therapyquality improvement

Identifiers

PMID41761018
PMCPMC13631217

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.