Falls prevention in community-dwelling older adults and implementation of world falls guidelines: a call for action across Europe by the European Geriatric Medicine Society Special Interest Group on Falls and Fractures.
van der Velde, Nathalie; Seppala, Lotta J; Herrero, Alvaro Casaset al.
Accidental falls; Implementation; Older adults; World falls guidelines
Abstract :
[en] Falls among older adults represent a significant public health challenge due to their consequences, including serious injuries, increased morbidity and mortality, decreased quality of life, and heightened healthcare costs. The World Falls Guidelines (WFG), published in 2022, offer a robust framework for evidence-based interventions; however, the uptake of these guidelines into clinical practice across Europe remains inconsistent. Key barriers to implementation include insufficient resources, a lack of trained healthcare professionals, and limited integration into existing healthcare systems. This position paper by the EuGMS Special Interest Group (SIG) on Falls and Fractures addresses the implementation of the WFG among community-dwelling older adults and falls prevention across Europe by providing an overview of the current status of WFG adoption in Europe and discusses the challenges and opportunities for implementation. We provide an overview of the current resources to support the clinical practice of falls prevention, implementation guides, and educational programs. Additionally, we discuss what is necessary for the future development of these resources and for advancing research. The EuGMS SIG on Falls and Fractures advocates for a commitment of healthcare providers as well as insurers, policymakers, and other stakeholders to collaborative European initiatives-such as developing a standardised falls prevention strategy, promoting evidence-based implementation plans, establishing a European-wide research agenda, and creating under- and postgraduate curricula-which are essential for advancing falls prevention efforts across Europe.
Disciplines :
Public health, health care sciences & services
Author, co-author :
van der Velde, Nathalie; Internal Medicine, Section of Geriatric Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands ; Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
Seppala, Lotta J ; Internal Medicine, Section of Geriatric Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands. l.j.seppala@amsterdamumc.nl ; Amsterdam Public Health Research Institute, Amsterdam, the Netherlands. l.j.seppala@amsterdamumc.nl
Herrero, Alvaro Casas; Geriatrics Department, Universitario de Navarra (HUN), C/Irunlarrea s/n 31008, Pamplona, Spain ; Navarra Institute for Health Research (IdiSNA), Pamplona, Spain ; CIBER of Frailty and Healthy Aging (CIBERFES), Instituto de Salud Carlos III, Madrid, Spain
Annweiler, Cedric; UNIV ANGERS, UPRES EA 4638, University of Angers, Angers, France ; Department of Geriatric Medicine and Rehabilitation, Research Center On Autonomy and Longevity, University Hospital, Angers, France ; Department of Medical Biophysics, Schulich School of Medicine and Dentistry, Robarts Research Institute, The University of Western Ontario, London, ON, Canada
Jónsdóttir, Anna Björg; Department of Geriatric Medicine, University Hospital of Iceland, Reykjavík, Iceland ; Faculty of Medicine, University of Iceland, Reykjavík, Iceland
Blain, Hubert; Geriatric Department, Montpellier University, Montpellier, France
Dionyssiotis, Yannis; 2nd Physical Medicine and Rehabilitation Department, National Rehabilitation Center EKA, Athens, Greece
Duque, Sofia; Preventive Medicine and Public Health Institute, Faculty of Medicine, University of Lisbon, Hospital Cuf Descobertas, Lisbon, Portugal
Frith, James; Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK
Francis, Bahaa N; Geriatric Division, Holy Family Hospital, Bar Ilan University, Nazareth, Israel
Grodzicki, Tomasz; Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, Kraków, Poland
Hay, Alison; Department of Emergency Medicine, Wexford General Hospital, Wexford, Ireland
Hernández-Sánchez, Luisa Alejandra; Servicio de Geriatría, Hospital Universitario Ramón y Cajal (IRYCIS), Madrid, Spain
Jaatinen, Roope; Oulunkylä Rehabilitation Centre, Helsinki, Finland ; University of Helsinki, Helsinki, Finland
Kadane, Christof J; Department for Scientific Research in Rehabilitation, Pension Insurance Austria, Vienna, Austria ; Research Unit for Aging and Life Long Health, Medical University of Graz, Graz, Austria
Kolsek, Marko; Department of Family Medicine, Faculty of Medicine, University of Ljubljana, Korytkova ulica 2, Ljubljana, Slovenia
Kostka, Tomasz; Department of Geriatrics, Healthy Ageing Research Centre (HARC), Medical University of Lodz, Pomorska 247/249, 92-209, Łódź, Poland
McGarrigle, Lisa; National Institute for Health and Care Research (NIHR) Policy Research Unit in Healthy Ageing, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, M13 9PL, UK ; School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, M13 9PL, UK ; Manchester Academic Health Science Centre, Manchester, M13 9NQ, UK
Perkisas, Stany; University Center for Geriatrics, University of Antwerp/ZAS, Antwerp, Belgium
Pertinatsch, Christoph; Department for Scientific Research in Rehabilitation, Pension Insurance Austria, Vienna, Austria ; Research Unit for Aging and Life Long Health, Medical University of Graz, Graz, Austria
Pettersson, Beatrice; Department of Community Medicine and Rehabilitation, Umeå University, Umeå, Sweden
Reginster, Jean-Yves ; Université de Liège - ULiège > Département des sciences de la santé publique ; Protein Research Chair, Biochemistry Dept, College of Science, King Saud University, Riyadh, Kingdom of Saudi Arabia
Ruggiero, Carmelinda; Gerontology and Geriatric Section, Department of Medicine and Surgery, University of Perugia, Perugia, Italy
Sahota, Opinder; Department of Healthcare of Older People, Nottingham University Hospitals NHS Trust, Nottingham, NG72UH, UK ; Department of Trauma and Orthopaedics, Nottingham University Hospitals NHS Trust, Nottingham, UK, NG72UH
Sibille, François-Xavier; Geriatric Medicine Departement, CHU UCL Namur, Yvoir, Belgium ; Institute of Health and Society and Clinical Pharmacy and clinical Pharmacoepidemiology Research Group, Louvain Drug Research Institute Université Catholique de Louvain, Brussels, Belgium
Sokhal, Balamrit Singh; School of Medicine, Keele University, Newcastle-Under-Lyme, UK ; Royal Stoke University Hospital, University Hospitals North Midlands, Stoke-On-Trent, UK
Skelton, Dawn A; School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK
Spildooren, Joke; Faculty of Rehabilitation Sciences, REVAL-Rehabilitation Research Centre, Hasselt University, Diepenbeek, Belgium
Stanmore, Emma; School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, M13 9PL, UK ; Manchester Academic Health Science Centre, Manchester, M13 9NQ, UK ; Manchester University NHS Foundation Trust, Manchester, M13 9WL, UK
Vankova, Hana; Cooperatio 34, Department of Internal Medicine, Third Faculty of Medicine, Charles University, Prague, Czech Republic ; University Hospital Královské Vinohrady, Prague, Czech Republic
Vlaeyen, Ellen; Faculty of Medicine and Life Sciences, Hasselt University, Diepenbeek, Belgium ; Department of Public Health and Primary Care Academic Centre for Nursing and Midwifery, KU Leuven, Leuven, Belgium
Ozturk, Yelda; Department of Internal Medicine, Division of Geriatrics, TR Ministry of Health Eskisehir City Hospital, Eskisehir, Turkey
Yilmaz, Ozlem; Division of Geriatric Medicine, Department of Internal Medicine, Istanbul Training and Research Hospital, Samatya, Istanbul, Turkey
Todd, Chris; Manchester Academic Health Science Centre, Manchester, M13 9NQ, UK ; Manchester University NHS Foundation Trust, Manchester, M13 9WL, UK ; National Institute for Health and Care Research, Applied Research Collaboration-Greater Manchester, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester, M13 9PL, UK
Trevisan, Caterina; Department of Medical Science, University of Ferrara, Ferrara, Italy
Willems, Hanna; Internal Medicine, Section of Geriatric Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands ; Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
Montero-Odasso, Manuel; Gait and Brain Lab, Parkwood Institute and Lawson Health Research Institute, London, ON, Canada ; Schulich School of Medicine & Dentistry, Department of Medicine and Division of Geriatric Medicine, University of Western Ontario, London, ON, Canada ; Department of Epidemiology and Biostatistics, University of Western Ontario, London, Canada, ON
Martin, Finbarr C; Population Health Sciences, Faculty of Life Sciences and Medicine, King's College London, London, SE1 9RT, UK
Ryg, Jesper; Geriatric Research Unit, Department of Geriatric Medicine, Odense University Hospital, Odense, Denmark ; Department of Clinical Research, University of Southern Denmark, Odense, Denmark
Masud, Tahir; Nottingham University Hospitals NHS Trust, Nottingham, UK
European Geriatric Medicine Society Special Interest Group on Falls, Fractures
Falls prevention in community-dwelling older adults and implementation of world falls guidelines: a call for action across Europe by the European Geriatric Medicine Society Special Interest Group on Falls and Fractures.
Publication date :
12 June 2025
Journal title :
European Geriatric Medicine
ISSN :
1878-7649
eISSN :
1878-7657
Publisher :
Springer Science and Business Media LLC, Switzerland
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