{"id":"https://openalex.org/W7204098751","doi":"https://doi.org/10.1186/s13561-026-00845-6","title":"A scoping review on the economic burden of falls among older adults","display_name":"A scoping review on the economic burden of falls among older adults","publication_year":2026,"publication_date":"2026-08-24","ids":{"openalex":"https://openalex.org/W7204098751","doi":"https://doi.org/10.1186/s13561-026-00845-6"},"language":"en","primary_location":{"id":"doi:10.1186/s13561-026-00845-6","doi":"https://doi.org/10.1186/s13561-026-00845-6","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13561-026-00845-6","pdf_url":null,"source":{"id":"https://openalex.org/S2738551320","display_name":"Health Economics Review","issn_l":"2191-1991","issn":["2191-1991"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-c","cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Economics Review","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s13561-026-00845-6","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5052100557","display_name":"Dhika Dharmansyah","orcid":"https://orcid.org/0000-0001-6338-3852","observed_orcids":["https://orcid.org/0000-0001-6338-3852"]},"institutions":[{"id":"https://openalex.org/I130218214","display_name":"Indonesia University of Education","ror":"https://ror.org/044b0xj37","country_code":"ID","type":"education","lineage":["https://openalex.org/I130218214"]},{"id":"https://openalex.org/I91819753","display_name":"Padjadjaran University","ror":"https://ror.org/00xqf8t64","country_code":"ID","type":"education","lineage":["https://openalex.org/I91819753"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Dhika Dharmansyah","raw_affiliation_strings":["Department of Nursing, Faculty of Sport and Health Education, Universitas Pendidikan Indonesia, Bandung, Indonesia","Doctoral Study Program in Medical Science, Faculty of Medicine, Universitas Padjadjaran, Sumedang, West Java, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nursing, Faculty of Sport and Health Education, Universitas Pendidikan Indonesia, Bandung, Indonesia","institution_ids":["https://openalex.org/I130218214"]},{"raw_affiliation_string":"Doctoral Study Program in Medical Science, Faculty of Medicine, Universitas Padjadjaran, Sumedang, West Java, Indonesia","institution_ids":["https://openalex.org/I91819753"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089638225","display_name":"Laili Rahayuwati","orcid":"https://orcid.org/0000-0002-2732-3534","observed_orcids":["https://orcid.org/0000-0002-2732-3534"]},"institutions":[{"id":"https://openalex.org/I91819753","display_name":"Padjadjaran University","ror":"https://ror.org/00xqf8t64","country_code":"ID","type":"education","lineage":["https://openalex.org/I91819753"]}],"countries":["ID"],"is_corresponding":true,"raw_author_name":"Laili Rahayuwati","raw_affiliation_strings":["Department of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia"],"raw_orcid":"https://orcid.org/0000-0002-2732-3534","affiliations":[{"raw_affiliation_string":"Department of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia","institution_ids":["https://openalex.org/I91819753"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012736337","display_name":"Iqbal Pramukti","orcid":"https://orcid.org/0000-0002-0645-0534","observed_orcids":["https://orcid.org/0000-0002-0645-0534"]},"institutions":[{"id":"https://openalex.org/I91819753","display_name":"Padjadjaran University","ror":"https://ror.org/00xqf8t64","country_code":"ID","type":"education","lineage":["https://openalex.org/I91819753"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Iqbal Pramukti","raw_affiliation_strings":["Department of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia","institution_ids":["https://openalex.org/I91819753"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5074027707","display_name":"Kuswandewi Mutyara","orcid":"https://orcid.org/0000-0003-2971-3672","observed_orcids":["https://orcid.org/0000-0003-2971-3672"]},"institutions":[{"id":"https://openalex.org/I91819753","display_name":"Padjadjaran University","ror":"https://ror.org/00xqf8t64","country_code":"ID","type":"education","lineage":["https://openalex.org/I91819753"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Kuswandewi Mutyara","raw_affiliation_strings":["Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, Sumedang, West Java, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, Sumedang, West Java, Indonesia","institution_ids":["https://openalex.org/I91819753"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5089638225"],"corresponding_institution_ids":["https://openalex.org/I91819753"],"apc_list":{"value":2990,"currency":"USD","value_usd":2990},"apc_paid":{"value":2990,"currency":"USD","value_usd":2990},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.6578991,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10114","display_name":"Balance, Gait, and Falls Prevention","score":0.9726999998092651,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10114","display_name":"Balance, Gait, and Falls Prevention","score":0.9726999998092651,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11509","display_name":"Hip and Femur Fractures","score":0.00800000037997961,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11824","display_name":"Injury Epidemiology and Prevention","score":0.00559999980032444,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/falls","display_name":"falls","score":0.7990000247955322},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.9160000085830688},{"id":"https://openalex.org/keywords/economic-burden","display_name":"economic burden","score":0.8080000281333923},{"id":"https://openalex.org/keywords/fall-injuries","display_name":"fall-related injuries","score":0.8560000061988831},{"id":"https://openalex.org/keywords/hip-fracture","display_name":"hip fracture","score":0.8619999885559082},{"id":"https://openalex.org/keywords/informal-care","display_name":"informal care","score":0.6710000038146973},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.8109999895095825},{"id":"https://openalex.org/keywords/low-and-middle-income-countries","display_name":"low- and middle-income countries","score":0.9679999947547913},{"id":"https://openalex.org/keywords/resource-limited-settings","display_name":"resource-limited settings","score":0.7829999923706055},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.38199999928474426}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6139000058174133},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.6050000190734863},{"id":"https://openalex.org/C524218345","wikidata":"https://www.wikidata.org/wiki/Q31218","display_name":"Health economics","level":3,"score":0.5861999988555908},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.5620999932289124},{"id":"https://openalex.org/C190385971","wikidata":"https://www.wikidata.org/wiki/Q373494","display_name":"Injury prevention","level":3,"score":0.5507000088691711},{"id":"https://openalex.org/C526869908","wikidata":"https://www.wikidata.org/wiki/Q3298118","display_name":"Suicide prevention","level":3,"score":0.5254999995231628},{"id":"https://openalex.org/C187155963","wikidata":"https://www.wikidata.org/wiki/Q629029","display_name":"Occupational safety and health","level":2,"score":0.506600022315979},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.47279998660087585},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.4433000087738037},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.4406999945640564},{"id":"https://openalex.org/C166735990","wikidata":"https://www.wikidata.org/wiki/Q1750812","display_name":"Human factors and ergonomics","level":3,"score":0.4287000000476837},{"id":"https://openalex.org/C109359841","wikidata":"https://www.wikidata.org/wiki/Q728944","display_name":"Inclusion (mineral)","level":2,"score":0.41260001063346863},{"id":"https://openalex.org/C61904560","wikidata":"https://www.wikidata.org/wiki/Q1148359","display_name":"Grey literature","level":3,"score":0.37290000915527344},{"id":"https://openalex.org/C145096142","wikidata":"https://www.wikidata.org/wiki/Q5333450","display_name":"Economic cost","level":2,"score":0.37229999899864197},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3637000024318695},{"id":"https://openalex.org/C2778149918","wikidata":"https://www.wikidata.org/wiki/Q3291156","display_name":"Population health","level":3,"score":0.3292999863624573},{"id":"https://openalex.org/C29374701","wikidata":"https://www.wikidata.org/wiki/Q1931388","display_name":"Cause of death","level":3,"score":0.3244999945163727},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.32429999113082886},{"id":"https://openalex.org/C126451531","wikidata":"https://www.wikidata.org/wiki/Q2852035","display_name":"Years of potential life lost","level":4,"score":0.3221000134944916},{"id":"https://openalex.org/C64332521","wikidata":"https://www.wikidata.org/wiki/Q614165","display_name":"Quality-adjusted life year","level":3,"score":0.30979999899864197},{"id":"https://openalex.org/C160050368","wikidata":"https://www.wikidata.org/wiki/Q132453","display_name":"Developed country","level":3,"score":0.3046000003814697},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.2973000109195709},{"id":"https://openalex.org/C46578552","wikidata":"https://www.wikidata.org/wiki/Q2725393","display_name":"Global health","level":3,"score":0.296999990940094},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.2930999994277954},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.2703000009059906},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.26969999074935913},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.26660001277923584},{"id":"https://openalex.org/C127454912","wikidata":"https://www.wikidata.org/wiki/Q942582","display_name":"Cost\u2013benefit analysis","level":2,"score":0.2646999955177307},{"id":"https://openalex.org/C2776125615","wikidata":"https://www.wikidata.org/wiki/Q18391886","display_name":"Economic evaluation","level":2,"score":0.26019999384880066},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.25839999318122864},{"id":"https://openalex.org/C3019080777","wikidata":"https://www.wikidata.org/wiki/Q1754768","display_name":"Cost effectiveness","level":2,"score":0.257999986410141},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.2572000026702881}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1186/s13561-026-00845-6","doi":"https://doi.org/10.1186/s13561-026-00845-6","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13561-026-00845-6","pdf_url":null,"source":{"id":"https://openalex.org/S2738551320","display_name":"Health Economics Review","issn_l":"2191-1991","issn":["2191-1991"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-c","cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Economics Review","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1186/s13561-026-00845-6","doi":"https://doi.org/10.1186/s13561-026-00845-6","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13561-026-00845-6","pdf_url":null,"source":{"id":"https://openalex.org/S2738551320","display_name":"Health Economics Review","issn_l":"2191-1991","issn":["2191-1991"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-c","cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Economics Review","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.48510000109672546,"display_name":"Decent work and economic growth","id":"https://metadata.un.org/sdg/8"},{"score":0.4000000059604645,"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10"}],"sustainable_development_goals_aurora":[{"score":0.6349934935569763,"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10"}],"study_designs":[{"display_name":"Systematic Review","id":"https://openalex.org/study-designs/systematic-review"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320329092","display_name":"Universitas Padjadjaran","ror":"https://ror.org/00xqf8t64"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Falls":[2],"are":[3,319],"the":[4,14,36,56,60,69,93,104,112,181,238,274,323,332,351,354],"second":[5],"leading":[6],"cause":[7],"of":[8,22,39,63,73,234,245,325,331],"unintentional":[9],"injury":[10,277],"death":[11],"globally,":[12],"and":[13,28,71,77,99,121,132,140,143,168,188,213,215,285,376],"World":[15],"Health":[16],"Organization":[17],"estimates":[18],"that":[19],"approximately":[20],"82%":[21],"fall-related":[23,161,327],"mortality":[24],"occurs":[25],"in":[26,44,101,163,202,306,350,362,378],"low-":[27],"middle-income":[29],"countries":[30,187,204,211],"(LMICs).":[31],"Despite":[32],"this":[33],"disproportionate":[34],"burden,":[35],"economic":[37,61,333,364],"impact":[38],"falls":[40,64,159,246,367],"among":[41,65,368],"older":[42,66,369],"adults":[43,370],"resource-limited":[45],"settings":[46],"remains":[47],"poorly":[48],"documented.":[49],"This":[50,310],"scoping":[51,88],"review":[52,89,311],"aimed":[53],"to":[54,84,252,264,321],"map":[55],"existing":[57],"evidence":[58,79,334],"on":[59,366],"burden":[62],"adults,":[67],"describe":[68],"extent":[70],"nature":[72],"available":[74],"cost":[75,155,342],"data,":[76,142],"identify":[78],"gaps,":[80],"with":[81,103,111,158],"particular":[82],"attention":[83],"LMICs.":[85],"Methods":[86],"A":[87],"was":[90,109],"conducted":[91,201,305],"following":[92],"Joanna":[94],"Briggs":[95],"Institute":[96],"(JBI)":[97],"methodology":[98],"reported":[100,152,241,272,282],"accordance":[102],"PRISMA-ScR":[105],"guidelines.":[106],"The":[107,340],"protocol":[108],"registered":[110],"Open":[113],"Science":[114],"Framework":[115],"(":[116,195],"https://doi.org/10.17605/OSF.IO/N23H5":[117],").":[118],"PubMed/MEDLINE,":[119],"Scopus,":[120],"Semantic":[122],"Scholar":[123],"were":[124,145,200,208,225,270],"searched":[125],"for":[126],"studies":[127,151,179,194,224,280,299],"published":[128],"between":[129],"January":[130,133],"2010":[131],"2026.":[134],"Two":[135],"reviewers":[136],"independently":[137],"screened":[138],"records":[139,173],"charted":[141],"findings":[144],"summarised":[146],"using":[147],"narrative":[148],"synthesis.":[149],"Eligible":[150],"quantitative":[153],"monetary":[154],"data":[156,343],"associated":[157],"or":[160,232],"injuries":[162],"populations":[164],"aged":[165],"60":[166],"years":[167],"older.":[169],"Results":[170],"Of":[171],"198":[172],"identified":[174,226,335],"(183":[175],"after":[176],"de-duplication),":[177],"33":[178],"met":[180],"inclusion":[182],"criteria,":[183],"originating":[184],"from":[185,209,218,227,248,260,337,344],"12":[186],"one":[189,216],"multi-country":[190],"European":[191],"study.":[192],"Most":[193],"n":[196],"=":[197],"30,":[198],"90.9%)":[199],"high-income":[203],"(HICs);":[205],"two":[206],"(6.1%)":[207],"upper-middle-income":[210],"(Iran":[212],"Mexico)":[214],"(3.0%)":[217],"a":[219,286,313],"lower-middle-income":[220],"country":[221],"(India).":[222],"No":[223],"low-income":[228],"countries,":[229],"Sub-Saharan":[230],"Africa,":[231],"most":[233,275,358],"Southeast":[235],"Asia.":[236],"In":[237],"United":[239],"States,":[240],"total":[242],"medical":[243],"costs":[244,258,292],"rose":[247],"US$50.0":[249],"billion":[250,254],"(2015)":[251],"US$80.0":[253],"(2020).":[255],"Reported":[256],"per-episode":[257],"ranged":[259],"US$5,974":[261],"(emergency":[262],"department)":[263],"US$48,679":[265],"(inpatient":[266],"admission).":[267],"Hip":[268],"fractures":[269],"consistently":[271],"as":[273],"costly":[276],"type.":[278],"Seven":[279],"(21.2%)":[281],"indirect":[283],"costs,":[284],"single":[287],"study":[288],"quantified":[289],"informal":[290],"caregiving":[291],"(US$4,274":[293],"per":[294,296],"faller":[295],"year).":[297],"Fifteen":[298],"(45.5%)":[300],"included":[301],"cost-effectiveness":[302],"components,":[303],"all":[304],"HIC":[307],"settings.":[308,339,381],"Conclusion":[309],"maps":[312],"marked":[314],"geographic":[315],"mismatch:":[316],"although":[317],"LMICs":[318,345],"estimated":[320],"bear":[322],"majority":[324],"global":[326],"mortality,":[328],"only":[329],"9.1%":[330],"originated":[336],"these":[338],"limited":[341],"constrains":[346],"evidence-based":[347],"fall-prevention":[348],"policy":[349,377],"regions":[352],"where":[353],"demographic":[355],"transition":[356],"is":[357],"rapid.":[359],"Further":[360],"investment":[361],"LMIC-specific":[363],"research":[365],"would":[371],"help":[372],"inform":[373],"resource":[374],"allocation":[375],"ageing":[379],"low-resource":[380]},"counts_by_year":[],"updated_date":"2026-10-08T09:06:37.294493","created_date":"2026-08-25T00:00:00"}
