In Reply We thank Lewiecki for carefully considering and subsequently framing our epidemiological findings1 in the context of a broader societal crisis concerning the diagnosis and management of osteoporosis. Indeed, identifying patients with osteoporosis prior to their first fracture is of principal importance and a necessary first step in initiating appropriate treatment to prevent potentially debilitating osteoporotic fractures.
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Pirruccio K, Ahn J. Fractures While Walking Leashed Dogs—Reply. JAMA Surg. Published online August 07, 2019. doi:10.1001/jamasurg.2019.2664
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