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Kiebzak et al¹ in their article titled "Undertreatment of Osteoporosis in Men With Hip Fracture" have identified a real problem in the treatment of patients with fractures. The responses by Abraham² and Mikhail³ and the replies by Kiebzak et al^4-5 further identify the issues that need to be addressed before patients with fracture can obtain optimum care.

Just as it would not be in the patient's best interest for an endocrinologist to attempt to treat a fracture, neither is treatment of osteoporosis of this magnitude without referral to an endocrinologist with expertise in treating bone disease in the patient's best interest. The article¹ and ensuing letters^2-5 allude to the issues, but the endocrinologist's approach has not been considered in the treatment plan. Treatment of osteoporosis that has advanced to the fracture stage is not a quick-fix situation; rather, it is a long-term problem that needs as much expertise as that . . . [Full Text of this Article]

Morton H. Field, MD
Beverly Hills, Calif

RELATED ARTICLE

Fractures, Osteoporosis, and the Endocrinologist—Reply
Gary M. Kiebzak
Arch Intern Med. 2003;163(22):2796-2797.
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