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USPSTF Recommendation on Falls Prevention

JAMA; ePub 2018 Apr 17; US Preventive Services Task Force

Exercise interventions can help prevent falls in community-dwelling adults aged ≥65 years who are increased risk for falls, according to a new recommendation statement from the US Preventive Services Task Force (USPSTF). The statement updates the 2012 USPSTF recommendation on the prevention of falls in community-dwelling older adults. The updated statement includes the following recommendations:

  • The USPSTF recommends exercise interventions to prevent falls in community-dwelling adults aged ≥65 years who are at increased risk for falls. (B recommendation)
  • The USPSTF recommends that clinicians selectively offer multifactorial interventions to prevent falls in community-dwelling adults aged ≥65 years who are at increased risk for falls. Existing evidence indicates that the overall net benefit of routinely offering multifactorial interventions to prevent falls is small. When determining whether this service is appropriate for an individual, patients and clinicians should consider the balance of benefits and harms based on the circumstances of prior falls, presence of comorbid medical conditions, and the patient’s values and preferences. (C recommendation)
  • The USPSTF recommends against vitamin D supplementation to prevent falls in community-dwelling adults aged ≥65 years. (D recommendation)

Citation:

US Preventive Services Task Force. Interventions to prevent falls in community-dwelling older adults. US Preventive Services Task Force recommendation statement. [Published online ahead of print April 17, 2018]. JAMA. doi:10.1001/jama.2018.3097.

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