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Accurate knowledge of pre-existing diagnoses is essential for tailoring interventions. However, identifying these diagnoses in emergency department (ED) is challenging due to time constraints, high workload, potential recall bias after a traumatic event, and limited electronic data exchange across healthcare settings in Germany. This study analyses the concordance between self-reported diagnoses of adults aged\u2009&gt;\u200960 years presenting to the ED after a fall without hospitalisation and diagnostic information provided by their general practitioners (GPs).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Data from the SeFallED study conducted in Germany were analysed. To analyse concordance, 28 major diagnostic groups (e.g. heart diseases, cancer, lung diseases) were established. Cohen\u2019s Kappa assessed the agreement between self-reported and GP-reported diagnoses. Logistic regression identified associations between population characteristics (e.g., cognition, concerns about falling, age) and discordance between self-reported and GP-reported diagnoses.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>A total of 216 participants (mean age 75.2), with an average of five diagnoses per person, were included. Agreement was almost perfect (K\u2009=\u20090.81-1.0) for Parkinson\u2019s disease, substantial (K\u2009=\u20090.61\u20130.80) for diabetes mellitus and cancer, and moderate (K\u2009=\u20090.41\u20130.60) for heart and lung diseases. Other conditions showed fair, poor, or no agreement. Age, sex, BMI, cognition, concerns about falling, education, and living arrangements were associated with discordance. Only higher concerns about falling were linked to non-agreement for overall diagnoses.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Overall, there was poor agreement between self-reported and GP-reported diagnoses. Special attention should be given to older adults and individuals with high concerns about falling, as these factors predicted discordance. Participants were more likely to report diseases with more noticeable symptoms and frequent monitoring such as Parkinson\u2019s disease or diabetes mellitus. To optimise follow-up care, improving the accuracy of diagnostic information is essential, which may be facilitated by harmonizing patient information across electronic systems (e.g., electronic health cards). Improved communication between GPs and patients regarding existing illnesses is also crucial to enhance the accuracy of patient self-reports.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Trial registration<\/jats:title>\n            <jats:p>DRKS (Deutsches Register f\u00fcr klinische Studien, DRKS00025949, prospectively registered on 4th November, 2021).<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s12877-025-06411-9","type":"journal-article","created":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T11:35:47Z","timestamp":1759750547000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Emergency department visits due to severe falls: comparing patient self- reports and general practitioner records: A cross-sectional study"],"prefix":"10.1186","volume":"25","author":[{"given":"Greta","family":"Fellh\u00f6lter","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Stuckenschneider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Himmelmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tania","family":"Zieschang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,6]]},"reference":[{"issue":"Supp 1","key":"6411_CR1","doi-asserted-by":"publisher","first-page":"i67","DOI":"10.1136\/injuryprev-2019-043347","volume":"26","author":"JA Haagsma","year":"2020","unstructured":"Haagsma JA, Olij BF, Majdan M, van Beeck EF, Vos T, Castle CD, Dingels ZV, Fox JT, Hamilton EB, Liu Z, et al. 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Front Public Health. 2022;10:902599.","journal-title":"Front Public Health"}],"container-title":["BMC Geriatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12877-025-06411-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12877-025-06411-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12877-025-06411-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T13:09:57Z","timestamp":1759756197000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcgeriatr.biomedcentral.com\/articles\/10.1186\/s12877-025-06411-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,6]]},"references-count":51,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["6411"],"URL":"https:\/\/doi.org\/10.1186\/s12877-025-06411-9","relation":{},"ISSN":["1471-2318"],"issn-type":[{"value":"1471-2318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,6]]},"assertion":[{"value":"18 November 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 August 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 October 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors state that their research was conducted ethically in accordance with the Declaration of Helsinki. This study was approved and reviewed by the Medical Ethics Committee of the University of Oldenburg, approval number 2021\u2009\u2212\u2009120. Written informed conent to participate in the study was obtained from the participants themselves or, in cases where this was not possible, from their legal guardians or family members. In instances of severe cognitive decline or dementia, consent was provided by a proxy, adhering to ethical guidelines for research involving adults who lack the capacity to provide informed consent.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable in this section.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"757"}}