{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T21:38:50Z","timestamp":1776893930104,"version":"3.51.2"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Falls and fractures are leading causes of disability and premature death among older adults with Alzheimer\u2019s 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analysed a cohort of Medicare beneficiaries in 2017 aged \u226568\u00a0years with ADRD and continuous enrollment from 2014 to 2016 (n\u00a0=\u20091 610 637). AWV recipients were stratified by the number of visits before 2017 (0, 1, 2 or\u2009\u2265\u20093). Kaplan\u2013Meier 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>AWVs were associated with reduced risks for falls (HR: 0.976 for 2 AWVs; 0.936 for \u22653 AWVs) and fractures (HR: 0.978 for 1 AWV; 0.960 for 2 AWVs; 0.927 for \u22653 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ageing\/afag065","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T16:49:12Z","timestamp":1774889352000},"source":"Crossref","is-referenced-by-count":1,"title":["Impact of annual wellness visits on preventing falls and fractures for Alzheimer\u2019s disease and related dementias older adults"],"prefix":"10.1093","volume":"55","author":[{"given":"Sheheryar","family":"Ali","sequence":"first","affiliation":[{"name":"The University of Texas Medical Branch John Sealy School of Medicine , Galveston, Texas ,","place":["USA"]},{"name":"The University of Texas Medical Branch at Galveston School of Public and Population Health , Galveston, Texas ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1927-0927","authenticated-orcid":false,"given":"Yong-Fang","family":"Kuo","sequence":"additional","affiliation":[{"name":"The University of Texas Medical Branch at Galveston , Department of Internal Medicine-Geriatric Medicine Division, Galveston, Texas ,","place":["USA"]},{"name":"The University of Texas Medical Branch at Galveston, Sealy Center on Aging , Galveston, Texas ,","place":["USA"]},{"name":"The University of Texas Medical Branch at Galveston, Office of Biostatistics , Galveston, Texas ,","place":["USA"]},{"name":"The University of Texas Medical Branch at Galveston School of Public and Population Health, Department of Biostatistics and Data Science , Galveston, Texas ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong","family":"Shan","sequence":"additional","affiliation":[{"name":"The University of Texas Medical Branch at Galveston, Office of Biostatistics , Galveston, Texas ,","place":["USA"]},{"name":"The University of Texas Medical Branch at Galveston School of Public and Population Health, Department of Biostatistics and Data Science , Galveston, Texas ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huey-Ming","family":"Tzeng","sequence":"additional","affiliation":[{"name":"The University of Texas Medical Branch at Galveston, Sealy Center on Aging , Galveston, Texas ,","place":["USA"]},{"name":"The University of Texas Medical Branch at Galveston School of Nursing , Galveston, Texas ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7460-7281","authenticated-orcid":false,"given":"Mukaila A","family":"Raji","sequence":"additional","affiliation":[{"name":"The University of Texas Medical Branch at Galveston, Sealy Center on Aging , Galveston, Texas ,","place":["USA"]},{"name":"The University of Texas Medical Branch John Sealy School of Medicine, Department of Internal Medicine-Geriatric Medicine Division , Galveston, Texas ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"2026033012490960200_ref1","doi-asserted-by":"publisher","first-page":"e240001","DOI":"10.20900\/agmr.20240001","article-title":"Falls and Alzheimer disease","volume":"6","author":"Kehrer-Dunlap","year":"2024","journal-title":"Adv Geriatr Med Res"},{"key":"2026033012490960200_ref2","doi-asserted-by":"publisher","first-page":"1279","DOI":"10.1056\/NEJM199710303371806","article-title":"Falls, injuries due to falls, and the risk of admission to a nursing home","volume":"337","author":"Tinetti","year":"1997","journal-title":"N Engl J Med"},{"key":"2026033012490960200_ref3","doi-asserted-by":"publisher","first-page":"1492","DOI":"10.1001\/jama.1987.03390110068028","article-title":"Falls and fractures in patients 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Sci"},{"key":"2026033012490960200_ref14","doi-asserted-by":"publisher","first-page":"1881","DOI":"10.1002\/jbmr.4417","article-title":"Racial and ethnic disparities in bone health and outcomes in the United States","volume":"36","author":"Noel","year":"2021","journal-title":"J Bone Miner Res"},{"key":"2026033012490960200_ref15","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1186\/s12875-020-01216-8","article-title":"Primary care visits increase utilization of evidence-based preventative health measures","volume":"21","author":"Hostetter","year":"2020","journal-title":"BMC Fam Pract"},{"key":"2026033012490960200_ref16","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1093\/fampra\/cmad108","article-title":"Determinants and effectiveness of annual wellness visits among Medicare beneficiaries in 2020","volume":"41","author":"Park","year":"2024","journal-title":"Fam 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