François Montastruc, Fabrice Muscari, Ivan Tack, Justine Benevent, Margaux Lafaurie, Claire de Canecaude, Haleh Bagheri, Fabien Despas, Christine Damase-Michel, Geneviève Durrieu, Agnès Sommet
Teaching pharmacovigilance to French medical students during the COVID-19 pandemic: Interest of distance learning clinical reasoning sessions
Therapie
global population aging falls fallrelated injuries ubiquitous several clinical practice guidelines falls prevention management individuals 60 years older developed systematic evaluation recommendations agreement level lacking perform systematic review clinical practice guidelines falls prevention management adults 60 years older settings eg community acute care nursing homes evaluate agreement recommendations identify potential gaps systematic review following preferred reporting items systematic reviews metaanalyses statement methods clinical practice guidelines fall prevention management older adults conducted updated july 1 2021 using medline pubmed psycinfo embase cinahl cochrane library pedro epistemonikos databases medical subject headings search terms related falls clinical practice guidelines management prevention older adults restrictions date language setting inclusion three independent reviewers selected records fulltext examination followed evidence consensusbased processes assessed quality guidelines using appraisal guidelines research evaluation ii agreeii criteria strength recommendations evaluated using grades recommendation assessment development evaluation scores agreement across topic areas assessed using fleiss statistic 11 414 records identified 159 fully reviewed assessed eligibility 15 included 15 selected guidelines highquality agreeii total scores mean sd 801 56 although individual quality domain scores clinical applicability mean sd 634 114 stakeholder clinicians patients caregivers involvement mean sd 763 90 lower total 198 recommendations covering 16 topic areas 15 guidelines identified screening 4767 abstracts proceeded 159 full texts 11 guidelines strongly recommended performing risk stratification assessment tests gait balance fracture osteoporosis management multifactorial interventions medication review exercise promotion environment modification vision footwear correction referral physiotherapy cardiovascular interventions strengths recommendations inconsistent vitamin supplementation addressing cognitive factors falls prevention education recommendations use hip protectors digital technology wearables often missing none examined guidelines included patient caregiver panel deliberations systematic review found current clinical practice guidelines fall prevention management older adults showed high degree agreement several areas strong recommendations made whereas topic areas achieve level consensus coverage future guidelines address clinical applicability recommendations include perspectives patients stakeholders