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Authors’ reply to Lee and colleagues
Author(s) -
Teppo L. N. Järvinen,
Karl Michaëlsson,
Jarkko Jokihaara,
Gary S. Collins,
Thomas L. Perry,
Barbara Mintzes,
Vijaya M Musini,
Juan Erviti,
Javier Gorricho,
James M Wright,
Harri Sievänen
Publication year - 2015
Publication title -
bmj
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.831
H-Index - 429
ISSN - 1756-1833
DOI - 10.1136/bmj.h3737
Subject(s) - data science , computer science , world wide web
Lee and colleagues of the National Bone Health Alliance (NBHA) call for expanded fracture liaison services (FLS), because secondary prevention represents the most productive opportunity for pharmacotherapy. Intuitively this seems logical, but supporting arguments do not stand up to scrutiny.1 2The effectiveness of FLS should be tested in randomised controlled trials (RCTs) to see whether this approach can achieve the “quality outcomes” referred to1—prevention of second fractures—as opposed to the proportion of patients evaluated or prescribed drugs. Presently, evidence on FLS is limited to observational studies or …

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