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November 10, 1999


Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthorStephenLurieMD, PhDIndividualAuthor

JAMA. 1999;282(18):1723. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-18-jbk1110

To the Editor: In her excellent review of osteoporosis, Dr Greenspan1 might have made more comment about Mrs Z's history of multiple fractures prior to her first bone density and "formal" diagnosis of osteoporosis. A guide entitled Physician's Guide to Prevention and Treatment of Osteoporosis, which was published by the National Osteoporosis Foundation,2 lists 4 risk factors for hip fracture that are independent of bone density: personal history of fracture as an adult, history of fracture in a first-degree relative, current cigarette smoking, and low body weight (<57 kg).

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