Multisite pain and self-reported falls in older people: systematic review and meta-analysis

Arthritis Research & Therapy
Victoria K WelshJohn McBeth

Abstract

Multisite pain and falls are common in older people, and isolated studies have identified multisite pain as a potential falls risk factor. This study aims to synthesise published literature to further explore the relationship between multisite pain and falls and to quantify associated risks. Bibliographic databases were searched from inception to December 2017. Studies of community-dwelling adults aged 50 years and older with a multisite pain measurement and a falls outcome were included. Two reviewers screened articles, undertook quality assessment and extracted data. Random-effects meta-analysis was used to pool the effect estimate (odds ratio (OR) and 95% confidence interval (95%CI)). Heterogeneity was assessed by I2; sensitivity analyses used adjusted risk estimates and exclusively longitudinal studies. The search identified 49,577 articles, 3145 underwent abstract review, 22 articles were included in the systematic review and 18 were included in the meta-analysis. The unadjusted pooled OR of 1.82 (95%CI 1.55-2.13), demonstrating that those reporting multisite pain are at increased risk of falls, is supported by the adjusted pooled OR of 1.56 (95%CI 1.39-1.74). Multisite pain predicts future falls risk (OR = 1.74 (95%CI 1.5...Continue Reading

References

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Citations

Jun 27, 2019·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Feng PanGraeme Jones
Oct 2, 2020·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Yurun CaiTongjian You
Jan 8, 2020·Arthritis Care & Research·Hirotaka IijimaMasaki Takahashi

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