Frailty in older adults: detection and management in primary care. Fisterra clinical practice guideline.

AIM: To provide an evidence-based, practical framework for the detection and management of frailty in community-dwelling older adults in primary care. FINDING: Active opportunistic case finding in individuals aged ≥ 70 years using simple performance-based tools enables early identification of frailty. Multicomponent interventions integrating physical exercise, nutritional support, medication optimisation and psychosocial strategies are effective in preventing or reversing frailty. MESSAGE: Systematic frailty management in primary care is feasible and should be based on early detection and personalised, multidimensional care plans.