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I followed with great interest the data reported by Kiebzak et al¹ regarding the underdiagnosis and undertreatment of osteoporosis in men. Only 7% of their male patients had a diagnosis of osteoporosis prior to hip fracture, and fewer than 5% were taking treatment of any kind at hospital discharge. Moreover, in their medical chart review, the authors stated that osteoporosis risk factors were not consistently documented in patients' medical records. Specifically, there was no mention of hypogonadism, a well-established risk factor for osteoporosis in men. Clearly, the previous data unravel the profound unawareness of risk factors and treatment of osteoporosis in the male sex. In fact, hypogonadism is the commonest cause of secondary osteoporosis in men, occurring in up to 20% of men with symptomatic vertebral fractures and 50% of elderly men with hip fractures.² In the series of Kiebzak et al,¹ only 5 of the 110 male patients with . . . [Full Text of this Article]

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