title: Treatment of Osteoporosis in Australian Residential Aged Care Facilities: Update on Consensus Recommendations for Fracture Prevention.
abstract: Older people living in residential aged care facilities (RACFs) are at a higher risk of suffering fractures than the community-dwelling older population. The first Consensus Conference on Treatment of Osteoporosis in RACFs in Australia, held in Sydney in July 2009, aimed to address some of the issues relating to the treatment of older residents with osteoporosis in RACFs. Considering that the field of osteoporosis diagnosis and management has significantly advanced in the last 5 years and that new evidence has been generated from studies performed within RACFs, a Second Consensus Conference was held in Sydney in November 2014.
  
  
  
  An expert panel met in November 2014 in Penrith, NSW, Australia in an attempt to reach a consensus on diverse issues related to the treatment of osteoporosis at RACFs. Participants were selected by the scientific committee on the basis of their practice in an RACF and/or major published articles. The co-chairs distributed topics randomly to all participants, who then had to propose a statement on each topic for approval by the conference after a short, evidence-based presentation, when possible.
  
  
  
  This article provides an update on the most relevant evidence on osteoporosis in older people living in RACFs graded according to its level, quality, and relevance.
  
  
  
  As with the first consensus, it is hoped that this statement will constitute an important guide to aid physicians in their decision making while practicing at RACFs.
authors.affiliation: Australian Institute for Musculoskeletal Science (AIMSS), The University of Melbourne and Western Health, St. Albans, VIC, Australia; Department of Medicine, Melbourne Medical School-Western Precinct, The University of Melbourne, St. Albans, VIC, Australia. Electronic address: gustavo.duque@unimelb.edu.au.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Duque
authors.affiliation: Neuroscience Research Australia, University of New South Wales, Randwick, NSW, Australia.
authors.forename: Stephen R
authors.initials: SR
authors.lastname: Lord
authors.affiliation: Faculty of Health and Medicine-The University of Newcastle, Callaghan, NSW, Australia.
authors.forename: Jenson
authors.initials: J
authors.lastname: Mak
authors.affiliation: Concord Clinical School-The University of Sydney, Concord, NSW, Australia.
authors.forename: Kirtan
authors.initials: K
authors.lastname: Ganda
authors.affiliation: Neuroscience Research Australia, University of New South Wales, Randwick, NSW, Australia.
authors.forename: Jacqueline J T
authors.initials: JJ
authors.lastname: Close
authors.affiliation: Monash Medical Centre, Clayton Campus, Clayton, VIC, Australia.
authors.forename: Peter
authors.initials: P
authors.lastname: Ebeling
authors.affiliation: GERAS Centre, McMaster University, St. Peter's Hospital, Hamilton, ON, Canada.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Papaioannou
authors.affiliation: Area Rehabilitation and Aged Care NMHS and University of Western Australia, Nedlands, WA, Australia.
authors.forename: Charles A
authors.initials: CA
authors.lastname: Inderjeeth
mesh_terms: D000058:Accidental Falls; D040561:Assisted Living Facilities; D019317:Evidence-Based Medicine; D005260:Female; D050723:Fractures, Bone / Q000517:prevention & control*; D006801:Humans; D008297:Male; D009517:New South Wales; D010024:Osteoporosis / Q000188:drug therapy*; D012112:Residential Facilities; D018570:Risk Assessment
keywords: Osteoporosis; falls; fractures; nursing homes; vitamin D