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dc.contributor.authorWylie, Gavin
dc.contributor.authorTorrens, Claire
dc.contributor.authorCampbell, Pauline
dc.contributor.authorFrost, Helen
dc.contributor.authorGordon, Adam Lee
dc.contributor.authorMenz, Hylton B.
dc.contributor.authorSkelton, Dawn A.
dc.contributor.authorSullivan, Francis
dc.contributor.authorWitham, Miles D.
dc.contributor.authorMorris, Jacqui
dc.date.accessioned2019-01-10T16:30:04Z
dc.date.available2019-01-10T16:30:04Z
dc.date.issued2019-05
dc.identifier.citationWylie , G , Torrens , C , Campbell , P , Frost , H , Gordon , A L , Menz , H B , Skelton , D A , Sullivan , F , Witham , M D & Morris , J 2019 , ' Podiatry interventions to prevent falls in older people : a systematic review and meta-analysis ' , Age and Ageing , vol. 48 , no. 3 , pp. 327–336 . https://doi.org/10.1093/ageing/afy189en
dc.identifier.issn1468-2834
dc.identifier.otherPURE: 256435595
dc.identifier.otherPURE UUID: 6eb9c8f7-1576-495c-8df2-4db99c3df03a
dc.identifier.otherScopus: 85065776030
dc.identifier.otherWOS: 000469432200006
dc.identifier.urihttp://hdl.handle.net/10023/16836
dc.descriptionFunding: Chief Scientist Office (CSO) of the Scottish Government, award number CGA/16/40.en
dc.description.abstractBackground foot problems are independent risk factors for falls in older people. Podiatrists diagnose and treat a wide range of problems affecting the feet, ankles and lower limbs. However, the effectiveness of podiatry interventions to prevent falls in older people is unknown. This systematic review examined podiatry interventions for falls prevention delivered in the community and in care homes. Methods systematic review and meta-analysis. We searched multiple electronic databases with no language restrictions. Randomised or quasi-randomised-controlled trials documenting podiatry interventions in older people (aged 60+) were included. Two reviewers independently applied selection criteria and assessed methodological quality using the Cochrane Risk of Bias tool. TiDieR guidelines guided data extraction and where suitable statistical summary data were available, we combined the selected outcome data in pooled meta-analyses. Results from 35,857 titles and 5,201 screened abstracts, nine studies involving 6,502 participants (range 40–3,727) met the inclusion criteria. Interventions were single component podiatry (two studies), multifaceted podiatry (three studies), or multifactorial involving other components and referral to podiatry component (four studies). Seven studies were conducted in the community and two in care homes. Quality assessment showed overall low risk for selection bias, but unclear or high risk of detection bias in 4/9 studies. Combining falls rate data showed significant effects for multifaceted podiatry interventions compared to usual care (falls rate ratio 0.77 [95% CI 0.61, 0.99]); and multifactorial interventions including podiatry (falls rate ratio: 0.73 [95% CI 0.54, 0.98]). Single component podiatry interventions demonstrated no significant effects on falls rate. Conclusions multifaceted podiatry interventions and multifactorial interventions involving referral to podiatry produce significant reductions in falls rate. The effect of multi-component podiatry interventions and of podiatry within multifactorial interventions in care homes is unknown and requires further trial data. PROSPERO registration number CRD42017068300.
dc.format.extent10
dc.language.isoeng
dc.relation.ispartofAge and Ageingen
dc.rights© The Author(s) 2019. Published by Oxford University Press on behalf of the British Geriatrics Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited.en
dc.subjectFallsen
dc.subjectPodiatryen
dc.subjectCare homesen
dc.subjectCommunity dwellingen
dc.subjectOlder peopleen
dc.subjectSystematic reviewen
dc.subjectHT Communities. Classes. Racesen
dc.subjectRA Public aspects of medicineen
dc.subject3rd-NDASen
dc.subject.lccHTen
dc.subject.lccRAen
dc.titlePodiatry interventions to prevent falls in older people : a systematic review and meta-analysisen
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews.Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews.School of Medicineen
dc.contributor.institutionUniversity of St Andrews.Sir James Mackenzie Institute for Early Diagnosisen
dc.identifier.doihttps://doi.org/10.1093/ageing/afy189
dc.description.statusPeer revieweden


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