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We thank Dr Kanterewicz and Ms Yañez for their letter. While it is certainly possible that a wider search may have led to an increased number of related articles, I think the issue in question is that of timing. We carried out our search prior to April 2000 when the article1 referred to was published, and I think it is for that reason that we missed it because indeed it would have come up with a regular search. We still believe that our study and that of Morote et al1 show that a remarkably small proportion of patients who had a fragility fracture are receiving what is now recognized to be effective drug therapy in reducing the risk of subsequent fractures. Hopefully, with further publicity such as that provided by Dr Kanterewicz and Ms Yañez, we will all start to improve our treatment of this condition.
Russell AS, Khan SA. Osteoporosis Attitudes After a Colles Fracture—Reply. Arch Intern Med. 2001;161(21):2634. doi: