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Comment & Response
August 7, 2019

Fractures While Walking Leashed Dogs

Author Affiliations
  • 1New Mexico Clinical Research & Osteoporosis Center, Albuquerque
JAMA Surg. Published online August 7, 2019. doi:10.1001/jamasurg.2019.2652

To the Editor The Research Letter by Pirruccio et al1 reported an increase of fracture rates in recent years for Americans 65 years and older while walking leashed dogs.1 It was recommended that clinicians intervene to reduce fracture risk by advocating dog obedience training or suggesting smaller dog breeds. While dog training and appropriate breed selection are certainly appropriate, there is an elephant in the room that merits even greater attention: osteoporosis.

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