Abstract：
Osteoporosis is underdiagnosed and undertreated in people living in Residential Aged Care Facilities (RACFs), even though aged-care residents are at greater risk of experiencing fractures than their community-dwelling counterparts. The first (2009) and second (2016) Consensus Conferences on the Treatment of Osteoporosis in RACFs in Australia addressed the prevention of falls and fractures in RACFs. A third Consensus Conference was held to review advances in the field of osteoporosis for people living in RACFs and to update current guidelines. The Conference was held virtually in October 2020 due to the COVID-19 pandemic. Attendance at the meeting was open to health practitioners (n = 116) (eg, general practitioners, geriatricians, rehabilitation specialists, endocrinologists, pharmacists, and physiotherapists) working in RACFs. Participants chose and/or were assigned to breakout groups to review the evidence and reach a consensus on the topic area assigned to the group, which was then presented to the entire group by a nominated spokesperson. Recommendations developed by breakout groups were discussed and voted on by all attending participants. This article updates the evidence for preventing falls and fractures and managing osteoporosis in older adults living in RACFs based on agreed outcomes from the group. We anticipate these updated recommendations will provide health practitioners with valuable guidance when practicing in RACFs.
摘要：
居住在住宅老年人护理设施（RACF）中的骨质疏松症未被诊断和治疗不足，即使老年护理居民比社区居民面临更大的骨折风险。第一次（2009年）和第二次（2016年）澳大利亚RACF骨质疏松症治疗共识会议讨论了预防RACF跌倒和骨折的问题。举行了第三次共识会议，以审查生活在RACF中的人们在骨质疏松症领域的进展，并更新现行准则。由于COVID-19大流行，会议几乎于2020年10月举行。参加会议对健康从业者开放（n=116）（例如，全科医生,老年病学家,康复专家,内分泌学家,药剂师,和物理治疗师）在RACF工作。参与者选择和/或被分配到分组小组，以审查证据并就分配给小组的主题领域达成共识，然后由提名的发言人提交给整个小组。分组小组提出的建议由所有与会者进行了讨论和投票。本文根据该小组的一致结果，更新了预防跌倒和骨折以及管理生活在RACF中的老年人骨质疏松症的证据。我们预计这些更新的建议将为健康从业者在RACF中的实践提供有价值的指导。
