{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T12:40:03Z","timestamp":1777466403928,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T00:00:00Z","timestamp":1751414400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["Grant No. 20K19419"],"award-info":[{"award-number":["Grant No. 20K19419"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The factors and thresholds associated with falls in patients with hip osteoarthritis (HOA) have not been clarified. This study aimed to clarify the internal factors associated with falls in patients with HOA and their thresholds using a decision tree analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study participants were 203 patients with HOA scheduled to undergo total hip arthroplasty at multiple facilities in Japan. The study evaluated various potential predictors, including sociodemographic factors, medical information, and assessments of motor function. Classification and regression tree techniques were used to develop clinical prediction rules.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 24.1% of the participants had experienced a fall. Age was selected as the first factor for falls in patients with HOA, with age\u2009&gt;\u200979 years found to be highly associated with falls (57.1%). Pain scores on the Japanese Orthopaedic Association Hip-Disease Evaluation Questionnaire (JHEQ) were selected as the second factor. The findings indicated that even among those aged \u2264 69 years, those with a JHEQ pain score \u2264 9 (severe pain) were more likely to experience a fall (40.7%). The model demonstrated a fair level of predictive performance, as indicated by the area under the receiver operating characteristic curve (AUROC) of 0.738.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Being older and having severe pain even at a young age were identified as significant predictors of falls among patients with HOA. These findings could help health-care providers develop more effective interventions to prevent falls in patients with HOA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538127251355926","type":"journal-article","created":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T03:10:59Z","timestamp":1751425859000},"page":"164-170","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A clinical prediction rule based on the decision tree model for falls among patients with hip osteoarthritis"],"prefix":"10.1177","volume":"39","author":[{"given":"Takashi","family":"Tsuru","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Science, Graduate School of Health Sciences, Kobe University, Kobe, Japan"},{"name":"Suita Municipal Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4397-0130","authenticated-orcid":false,"given":"Shigeharu","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Science, Graduate School of Health Sciences, Kobe University, Kobe, Japan"},{"name":"Division of Physical Therapy, Department of Rehabilitation, Faculty of Health Sciences, Tokyo Kasei University, Sayama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Shinonaga","sequence":"additional","affiliation":[{"name":"Rehabilitation Center, Kawasaki Geriatric Medical Center, Okayama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaito","family":"Kitada","sequence":"additional","affiliation":[{"name":"Suita Municipal Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Taguchi","sequence":"additional","affiliation":[{"name":"Ishii Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4118-3208","authenticated-orcid":false,"given":"Yasushi","family":"Miura","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Science, Graduate School of Health Sciences, Kobe University, Kobe, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,2]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"World Health Organization. 2021. http:\/\/www.who.int\/violence_injury_prevention\/other_injury\/falls\/en\/"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.84.4.565"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/38.5.549"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1790100403"},{"key":"e_1_3_3_6_2","unstructured":"Cabinet Office Japan. 2022. https:\/\/www8.cao.go.jp\/kourei\/whitepaper\/w-2022\/html\/zenbun\/s1_2_2.html"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22499"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1519\/JPT.0000000000000156"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/1756-185X.12871"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198304000-00014"},{"key":"e_1_3_3_11_2","volume-title":"Angular deformity. 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