Treatment for osteoporosis in Australian residential aged care facilities: consensus recommendations for fracture prevention
Gustavo Duque, Jacqueline J Close, Julien P de Jager, Peter R Ebeling, Charles Inderjeeth, Stephen Lord, Andrew J McLachlan, Ian R Reid, Bruce R Troen, Philip N Sambrook
MEDICAL JOURNAL OF AUSTRALIA | WILEY | Published : 2010
Older people living in residential aged care facilities (RACFs) are at considerably higher risk of suffering fractures than older people living in the community. When admitted to RACFs, patients should be assessed for fracture risk to ensure early implementation of effective fracture prevention measures. Routine or regular determination of calcium and phosphate serum levels in institutionalised older people is not indicated. Opinion is divided about the value of routine measurements of serum concentrations of 25-hydroxyvitamin D, parathyroid hormone and bone turnover markers. The non-pharmacological approach to fracture prevention includes multifactorial programs of falls prevention and the ..View full abstract
The Consensus Conference was endorsed as a continuing medical education activity by the Royal Australian College of General Practitioners. The Australian and New Zealand Bone and Mineral Society and Osteoporosis Australia endorsed the Consensus Conference. The Consensus Conference was funded with an unrestricted educational grant from Novartis Australia and a grant from the Nepean Medical Research Foundation.Ian Reid received money, as a board member, from Novartis, Merck, Sanofi-Aventis and Amgen. His employing institution received grants from Novartis, Merck, Amgen, and Procter and Gamble. He received honoraria from Merck, Amgen and Novartis. Stephen Lord received consulting fees and support for travel expenses, as an unrestricted grant, from Novartis Pharmaceuticals Australia. Peter Ebeling's employing institution received an honorarium and support for travel expenses from Novartis. He received fees for review activities, including payment for reviewing this article and support in kind, from Novartis. His employing institution received money for his board membership of Merck, Amgen and Sanofi-Aventis and grants from Novartis, Amgen and Merck. Julien de Jager received an honorarium from Novartis for chairing a small group. Jacqueline Close's employing institution received honoraria from Novartis for coordinating a workshop and she received support for accommodation and Meal expenses for a night. Gustavo Duque's employing institution received money from Novartis and the Nepean Medical Research Foundation, and he received a consulting fee from Novartis. He has been paid money as a board member of Procter and Gamble Pharmaceuticals and his employing institution received a research' grant from Novartis.