Impact of annual wellness visits on preventing falls and fractures for Alzheimer's disease and related dementias older adults.
Background Falls and fractures are leading causes of disability and premature death among older adults with Alzheimer's Disease and Related Dementias (ADRD). Annual Wellness Visits (AWVs), which Medicare reimburses, can screen and manage fall/fracture-related risk factors. This study evaluates the a...
| Publicado en: | Age & Ageing Vol. 55; no. 3; pp. 1 - 11 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Mar2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=192797133&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 192797133 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Mar2026 vid: 55 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 192797133 10.1093/ageing/afag065 ppf: 1 ppct: 10 formats: tig: atl: Impact of annual wellness visits on preventing falls and fractures for Alzheimer's disease and related dementias older adults. aug: au: Ali, Sheheryar Kuo, Yong-Fang Shan, Yong Tzeng, Huey-Ming Raji, Mukaila A affil: The University of Texas Medical Branch John Sealy School of Medicine, Galveston, Texas, USAThe University of Texas Medical Branch at Galveston School of Public and Population Health, Galveston, Texas, USA The University of Texas Medical Branch at Galveston, Department of Internal Medicine-Geriatric Medicine Division, Galveston, Texas, USAThe University of Texas Medical Branch at Galveston, Sealy Center on Aging, Galveston, Texas, USAThe University of Texas Medical Branch at Galveston, Office of Biostatistics, Galveston, Texas, USAThe University of Texas Medical Branch at Galveston School of Public and Population Health, Department of Biostatistics and Data Science, Galveston, Texas, USA The University of Texas Medical Branch at Galveston, Office of Biostatistics, Galveston, Texas, USAThe University of Texas Medical Branch at Galveston School of Public and Population Health, Department of Biostatistics and Data Science, Galveston, Texas, USA The University of Texas Medical Branch at Galveston, Sealy Center on Aging, Galveston, Texas, USAThe University of Texas Medical Branch at Galveston School of Nursing, Galveston, Texas, USA The University of Texas Medical Branch at Galveston, Sealy Center on Aging, Galveston, Texas, USAThe University of Texas Medical Branch John Sealy School of Medicine, Department of Internal Medicine-Geriatric Medicine Division, Galveston, Texas, USA su: Insurance Medicare Health insurance Health Aging Health equity Preventive health services Bone fracture prevention Alzheimer's disease Research funding Probability theory Descriptive statistics Kaplan-Meier estimator Bone fractures Medical appointments Dementia Data analysis software Confidence intervals Accidental falls Proportional hazards models Disease complications sug: subj: Insurance Medicare Health insurance Health Aging Health equity Preventive health services All Other Insurance Related Activities Third Party Administration of Insurance and Pension Funds Other Insurance Funds Direct individual life, health and medical insurance carriers Direct group life, health and medical insurance carriers Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Bone fracture prevention Alzheimer's disease Research funding Probability theory Descriptive statistics Kaplan-Meier estimator Bone fractures Medical appointments Dementia Data analysis software Confidence intervals Accidental falls Proportional hazards models Disease complications keyword: alzheimer's disease Alzheimer's disease and related dementias annual wellness visit copyrightHolder:British Geriatrics Society copyrightYear:2026 dementia fall prevention fracture prevention fractures health health services https://dx.doi.org/10.1093/ageing/afag065 inLanguage:en medicare older adult older people prevention publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/41911320/ alzheimer's disease Alzheimer's disease and related dementias annual wellness visit copyrightHolder:British Geriatrics Society copyrightYear:2026 dementia fall prevention fracture prevention fractures health health services https://dx.doi.org/10.1093/ageing/afag065 inLanguage:en medicare older adult older people prevention publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/41911320/ ab: Background Falls and fractures are leading causes of disability and premature death among older adults with Alzheimer's Disease and Related Dementias (ADRD). Annual Wellness Visits (AWVs), which Medicare reimburses, can screen and manage fall/fracture-related risk factors. This study evaluates the association between AWV and falls/fractures prevention among Medicare beneficiaries with ADRD. Methods We analysed a cohort of Medicare beneficiaries in 2017 aged ≥68 years with ADRD and continuous enrollment from 2014 to 2016 (n = 1 610 637). AWV recipients were stratified by the number of visits before 2017 (0, 1, 2 or ≥ 3). Kaplan–Meier methods estimated rates of falls and fractures. Patients were censored at end of study (12/31/2021), if they lost Medicare coverage, or switched to HMO. We used inverse probability treatment weighting (IPTW) with propensity score in Cox proportional hazards models to assess the effect of AWVs. Results AWVs were associated with reduced risks for falls (HR: 0.976 for 2 AWVs; 0.936 for ≥3 AWVs) and fractures (HR: 0.978 for 1 AWV; 0.960 for 2 AWVs; 0.927 for ≥3 AWVs), with greater reductions observed with more AVWs. Time-dependent models revealed AWV in follow-up period had stronger effects on fall and fracture risk (HR: 0.921 and 0.929, respectively). In subgroup analyses, AWV risk reduction was weaker for falls in Black and rural residents with no significant fracture risk reduction. Conclusions Our studies indicate more AWVs are associated with greater risk reduction of falls/fractures in older adults with ADRD. This study emphasizes expanding awareness of AWVs to prevent falls/fractures in this population. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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