Evidence map›Paper›PMID 42083402›Full record

ArticleThe Medical journal of Australia2026

Australian Consensus Statement on the Prevention and Management of Frailty Among Community-Dwelling Older Adults: A Modified Delphi Study.

Sakshi Chopra, Ida Tornvall, Natasha Reid, Elizabeth Whiting, Sarah N Hilmer, Jenny Job, Anthony Villani, Andrew J Maiorana, Mark Morgan, Sarah Fox and 15 more

Abstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in The Medical journal of Australia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors.

Sakshi ChopraCentre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia.
Ida TornvallCentre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia.
Natasha ReidCentre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0002-8528-9741
Elizabeth WhitingThe Prince Charles Hospital, Brisbane, Queensland, Australia.
Sarah N HilmerRoyal North Shore Hospital and University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-5970-1501
Jenny JobUQ-MRI Centre for Health System Reform and Integration Mater Research Institute, University of Queensland, Brisbane, Queensland, Australia.
Anthony VillaniUniversity of the Sunshine Coast, Maroochydore, Queensland, Australia.
Andrew J MaioranaCurtin University, Perth, Western Australia, Australia.
Mark MorganBond University, Gold Coast, Queensland, Australia.
Sarah FoxCentre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia.
Adrienne YoungCentre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia.
Caroline GibsonAustralian Primary Health Care Nurses Association, Melbourne, Victoria, Australia.
Donna M ReidlingerCentre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia.
Elissa BurtonenAble Institute, Curtin University, Perth, Western Australia, Australia.
Emily H GordonCentre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia.
James BakerSouthern Cross University, Lismore, New South Wales, Australia.ORCID https://orcid.org/0000-0002-8290-3996
Leila Shafiee HanjaniCentre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0001-7088-9739
Lisa Kouladjian O'DonnellThe University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0003-0927-7295
Marc SimThe University of Western Australia, Perth, Western Australia, Australia.
Michelle MillerFlinders University of South Australia, Adelaide, South Australia, Australia.
Peta DampneyCentre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia.
Pazit LevingerNational Ageing Research Institute, Melbourne, Victoria, Australia.
Shannon KingCentre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia.
Ruth E HubbardCentre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia.
Australian Frailty Network Working Group

Funding

Queensland Health
6 · The paper itself

Abstract

introductionThis consensus statement from multidisciplinary experts and consumers across Australia provides comprehensive recommendations on the prevention and management of frailty in community-dwelling older adults.

methodsThe study uses a modified Delphi design. Phase I involved iterative discussion among six frailty care working groups, based on current evidence and expert opinion, to draft the statements. Phase II involved validation of each statement across two Delphi rounds conducted to determine level of agreement. MAIN RECOMMENDATIONS: A lifelong approach to health promotion for frailty prevention should focus on raising awareness, annual screening (65+ years) and personalised counselling around accessible health behaviours to manage chronic comorbidities. An individualised, balanced, protein-rich diet is likely to be effective in delaying the onset of frailty. Protein-energy malnutrition and nutritional deficiencies should be identified and treated. A nutrition care plan that considers the relaxation of dietary restrictions aligned with goals of care should be planned for older adults with severe frailty. Progressive, individualised and ongoing exercise should be a combination of aerobic and resistance exercise, and balance and functional training tailored to frailty level and supervised by professionals. Social prescribing for older adults should be co-designed with a link worker to support meaningful, accessible and culturally appropriate activities that foster social engagement, with plans customised to the individual's frailty level. A comprehensive, multidisciplinary medication review tailored to the older adult's health status, preferences and frailty degree helps optimise medication use, minimise harm and support functional independence across all stages of frailty. Older adults with severe frailty need a regularly reviewed, personalised care plan, which involves carers in decision-making, supports advance care planning and ensures high-quality end-of-life care. CHANGES IN MANAGEMENT INFORMED BY THIS STATEMENT: The consensus statements introduce an integrated, evidence-informed and consumer-focused framework to guide healthcare professionals in delivering personalised and effective care for community-dwelling older adults living with or at risk of frailty.

Indexed as

Frail ElderlyFrailtyAgedAged, 80 and overAging in PlaceAustraliaDelphi TechniqueGeriatric AssessmentHealth PromotionHumansSocial Prescribingageingcommunity health servicesdietgeriatricshealth promotionhealth services for the agedpharmacyprimary healthcarepublic health

Identifiers

PMID42083402
PMCPMC13139793

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.