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Closing the Osteoporosis Care GapA Teachable Moment

Educational Objective
To describe the rationale for appropriate treatment of osteoporosis after a patient's initial fragility fracture and the practice gap in doing so.
1 Credit CME

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Corresponding Author: William K. Silverstein, MD, Department of Medicine, University of Toronto, 2075 Bayview Ave, D-416B, Toronto, ON M4N 3M5, Canada (william.silverstein@mail.utoronto.ca).

Conflict of Interest Disclosures: Dr Zipursky reported payments from private law firms for medicolegal opinions regarding the safety and effectiveness of drugs outside the submitted work. No other disclosures were reported.

Additional Contributions: We thank Govind Warrier, MD, MPH, of the Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins University for his editorial assistance. He was not compensated for his contributions. We also thank the patient’s daughter for granting permission to publish this information.

Published Online: October 18, 2021. doi:10.1001/jamainternmed.2021.5972

References
1.
Compston  JE , McClung  MR , Leslie  WD .  Osteoporosis.   Lancet. 2019;393(10169):364-376. doi:10.1016/S0140-6736(18)32112-3PubMedGoogle ScholarCrossref
2.
Eastell  R , Rosen  CJ , Black  DM , Cheung  AM , Murad  MH , Shoback  D .  Pharmacological management of osteoporosis in postmenopausal women: an Endocrine Society Clinical Practice Guideline.   J Clin Endocrinol Metab. 2019;104(5):1595-1622. doi:10.1210/jc.2019-00221PubMedGoogle ScholarCrossref
3.
Kanis  JA , Svedbom  A , Harvey  N , McCloskey  EV .  The osteoporosis treatment gap.   J Bone Miner Res. 2014;29(9):1926-1928. doi:10.1002/jbmr.2301PubMedGoogle ScholarCrossref
4.
Martin  J , Viprey  M , Castagne  B ,  et al.  Interventions to improve osteoporosis care: a systematic review and meta-analysis.   Osteoporos Int. 2020;31(3):429-446. doi:10.1007/s00198-020-05308-0PubMedGoogle ScholarCrossref
5.
Crandall  CJ , Larson  JC , LaCroix  AZ ,  et al.  Risk of subsequent fractures in postmenopausal women after nontraumatic vs traumatic fractures.   JAMA Intern Med. 2021;181(8):1055-1063. doi:10.1001/jamainternmed.2021.2617PubMedGoogle ScholarCrossref
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