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October 10, 2012

Bone Density Testing in Older Women—Reply

Author Affiliations

Letters Section Editor: Jody W. Zylke, MD, Senior Editor.

Author Affiliations: Endocrine Unit, Massachusetts General Hospital, Boston (ewyu@partners.org).

JAMA. 2012;308(14):1428-1429. doi:10.1001/jama.2012.12820

In Reply: Drs Grey and Cundy indicate their dissatisfaction with the intervention thresholds for osteoporosis treatment recommended by the National Osteoporosis Foundation (ie, 3% absolute risk of hip fracture or 20% risk of major osteoporotic fracture during a 10-year period).1 We understand that intervention thresholds will vary by practitioner, patient, and country, and we agree that a robust discussion about appropriate thresholds is important. We do believe, however, that cost-effectiveness analyses can be helpful in setting public health policy.

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