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This algorithm looks promising and would alert clinicians to often-missed patients with high fracture risk who need to be investigated for osteoporosis, an observer says, but it needs further validation.
Greater efforts are needed to prevent hip fractures and improve the treatment gap and post-fracture care, especially in men and the oldest old, say researchers.
Risedronate confers less hip fracture protection than alendronate during drug holidays beyond 2 years, so a 2- to 3-year drug holiday for risedronate is likely too long.