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However, patients with the highest fracture risk may benefit from anabolic therapy before bisphosphonate use. Behavioral and environmental fall prevention measures also play a key role to prevent future fractures. Hospitalists are well\u2010positioned to help address the gap in osteoporosis care\u2014especially for patients who have already fractured and are at highest risk.<\/jats:p>","DOI":"10.1002\/jhm.70062","type":"journal-article","created":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T05:41:06Z","timestamp":1744609266000},"page":"983-987","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical progress note: Secondary fracture prevention"],"prefix":"10.1002","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4126-8662","authenticated-orcid":false,"given":"Emily E.","family":"Waner","sequence":"first","affiliation":[{"name":"Division of Hospital Medicine University of Colorado School of Medicine Aurora Colorado USA"},{"name":"Hospital Medicine Section, Rocky Mountain Regional VA Medical Center Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Saxon","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Metabolism, and Diabetes University of Colorado Aurora Colorado USA"},{"name":"Division of Endocrinology Rocky Mountain Regional VA Medical Center Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather E.","family":"Nye","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California San Francisco California USA"},{"name":"Hospital Medicine Section, San Francisco VA Health Care System San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2014.01.001"},{"key":"e_1_2_9_3_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmj-2021-068033","article-title":"Fracture risk reduction and safety by osteoporosis treatment compared with placebo or active comparator in postmenopausal women: systematic review, network meta\u2010analysis, and meta\u2010regression analysis of randomised clinical trials","volume":"381","author":"H\u00e4ndel MN","year":"2023","journal-title":"BMJ"},{"issue":"1","key":"e_1_2_9_4_1","article-title":"Exercise for preventing falls in older people living in the community","volume":"1","author":"Sherrington C","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"issue":"3","key":"e_1_2_9_5_1","article-title":"Environmental interventions for preventing falls in older people living in the community","volume":"3","author":"Clemson L","year":"2023","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_6_1","unstructured":"HansenD PelizzariP PyensonB.Milliman Research Report. 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