"Evidence-based" or "logic-based" medicine?

R D Blank; J P Bilezikian; S L Bonnick; A J Laster; E S Leib; E M Lewiecki; P D Miller; N B Watts; N Binkley

doi:10.1007/s00198-010-1269-3

"Evidence-based" or "logic-based" medicine?

Osteoporos Int. 2010 Oct;21(10):1681-3. doi: 10.1007/s00198-010-1269-3. Epub 2010 May 13.

Authors

R D Blank¹, J P Bilezikian, S L Bonnick, A J Laster, E S Leib, E M Lewiecki, P D Miller, N B Watts, N Binkley

Affiliation

¹ Geriatrics Research, Education, and Clinical Center, William S. Middleton Veterans Hospital, Madison, WI, USA. rdb@medicine.wisc.edu

PMID: 20464543
DOI: 10.1007/s00198-010-1269-3

Abstract

Low trauma fractures are the cardinal manifestation of osteoporosis. Their occurrence supersedes bone mineral density in deciding whether specific therapy is warranted. We therefore disagree with the notion that a densitometric threshold for treatment should be applied to patients over age 50 who suffer low trauma distal radius fracture.

Publication types

Comment

MeSH terms

Bone Density
Bone Density Conservation Agents / therapeutic use*
Evidence-Based Medicine / methods
Humans
Logic
Osteoporosis / drug therapy
Osteoporotic Fractures / physiopathology
Osteoporotic Fractures / prevention & control*
Patient Selection
Radius Fractures / etiology*
Radius Fractures / physiopathology
Risk Assessment / methods

Substances

Bone Density Conservation Agents