Overdiagnosis of osteoporosis: fact or fallacy?

Excerpt

In their paper in the British Medical Journal, “Overdiagnosis of bone fragility in the quest to prevent hip fracture”, Järvinen et al. claim that there is inadequate evidence to support current pharmacological approaches to the prevention of hip fracture [1]. They state, correctly, that the vast majority of hip fractures follow a fall but fail to recognize the obvious connection between the consequence of a fall and bone strength. With the use of selective and misleading presentation of published evidence, they provide a biased critique of current strategies for risk assessment and prevention of hip fracture. Most surprisingly, they fail even to mention Fracture Liaison Services, a model of care that has been shown to be both effective and cost-effective in the secondary prevention of fracture and has been successfully adopted in many parts of the world [2‐7]. …