Treatment of Low Bone Density or Osteoporosis to Prevent Fractures in Men and Women

Paul D. Miller

doi:10.7326/L17-0486

Letters |19 December 2017

Treatment of Low Bone Density or Osteoporosis to Prevent Fractures in Men and Women

Paul D. Miller, MD

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TO THE EDITOR:

As a specialist in metabolic bone disease who prescribes a large amount of anabolic agents to improve bone strength, I am concerned about Qaseem and colleagues' clinical practice guideline for women with osteoporosis (1), which focuses only on treatment with antiresorptive therapies. This guideline fails to acknowledge or address what has become a crisis in health care, with the yearly incidence of osteoporotic fractures affecting more women in the United States than stroke, heart attack, and breast cancer combined. Once a patient has had a first osteoporotic fracture, her risk for another fracture is 5 times higher, especially in the first year.

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2017 American College of Physicians

Letters |19 December 2017

Treatment of Low Bone Density or Osteoporosis to Prevent Fractures in Men and Women

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Letters |19 December 2017

Treatment of Low Bone Density or Osteoporosis to Prevent Fractures in Men and Women

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