0
ARTICLE |

'Please Pass the Roach Poison' Again FREE

Michael Kleerekoper, MD
[+] Author Affiliations

Reprint requests to the Department of Medicine, Bone and Mineral Division, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, Ml 48202-2689 (Dr Kleerekoper).


JAMA. 1992;268(6):781-782. doi:10.1001/jama.1992.03490060113035
Text Size: A A A
Published online

"Reduce hip fractures among people aged 65 and older sothat hospitalizations for this condition are no more than 607 per 100000. (Baseline: 714 per 100000 in 1988)"1

This terse directive to the health care and lay communities alike acknowledges hip fractures as a major community health problem. It also emphasizes the significant potential for reduction in the incidence of these fractures, provided adequate attention is given to controllable risk factors. The challenge to all of us is to identify these factors, with an emphasis on those that are most cost-effective.

See also p 746.

Several studies have demonstrated that 5 to 10 years of estrogen replacement for perimenopausal women will reduce the incidence of hip and other osteoporotic fractures by as much as 50%.2 While it is currently my practice to prescribe estrogen to all perimenopausal women in whom there is no contraindication, there is still considerable debate

REFERENCES

Healthy People 2000: National Health Promotions and Disease Prevention Objectives . Washington, DC: US Dept of Health and Human Services; 1991;:279-280. US Dept of Health and Human Services publication PHS 91-50212.
Kiel DP, Felson DT, Anderson JJ, Wilson PW, Moskowitz MA.  Hip fracture and the use of estrogens in postmenopausal women: the Framingham study. N Engl J Med . 1987;;317:1169-1174.
Weinstein NC, Tosteson AN.  Cost-effectiveness of hormone replacement. Ann N Y Acad Sci . 1990;;592:162-172.
Danielson C, Lyon JL, Egger M, Goodenough GK.  Hip fractures and fluoridation in Utah's elderly population. JAMA . 1992;;268:746-748.
Jacobsen SJ, Goldberg J, Miles TP, Brody JA, Stiers W, Rimm AA.  Regional variation in the incidence of hip fracture: US white women aged 65 years and older. JAMA . 1990;;264:500-502.
Cooper C, Wickham C, Lacey RF, Barker DJ.  Water fluoride concentration and fracture of the proximal femur. J Epidemiol Community Health . 1990;;44:17-19.
Cooper C, Wickham CA, Barker DJR, Jacobsen SJ.  Water fluoridation and hip fracture. JAMA . 1991;;266:513-514.
Sowers MR, Clark MK, Jannausch ML, Wallace RB.  A prospective study of bone mineral content and fracture in communities with differential fluoride exposure. Am J Epidemiol . 1991;;133:649-660.
Simonen O, Laitinen O.  Does fluoridation of drinking water prevent bone fragility and osteoporosis? Lancet . 1985;;2:432-433.
Gordon SL, Corbin SB.  Summary of workshop on drinking water fluoride influence on hip fracture on bone health. Osteoporosis Int . 1992;;2:109-117.
 Please pass the roach poison. JAMA . 1966;;195:955-956. Editorial.
 More roach poison. JAMA . 1966;;198:550-551. Editorial.
Bernstein DS, Sadowsky N, Hegsted DM, Guri CD, Stave FJ.  Prevalence of osteoporosis in high- and low-fluoride areas in North Dakota. JAMA . 1966;;198:499-504.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Healthy People 2000: National Health Promotions and Disease Prevention Objectives . Washington, DC: US Dept of Health and Human Services; 1991;:279-280. US Dept of Health and Human Services publication PHS 91-50212.
Kiel DP, Felson DT, Anderson JJ, Wilson PW, Moskowitz MA.  Hip fracture and the use of estrogens in postmenopausal women: the Framingham study. N Engl J Med . 1987;;317:1169-1174.
Weinstein NC, Tosteson AN.  Cost-effectiveness of hormone replacement. Ann N Y Acad Sci . 1990;;592:162-172.
Danielson C, Lyon JL, Egger M, Goodenough GK.  Hip fractures and fluoridation in Utah's elderly population. JAMA . 1992;;268:746-748.
Jacobsen SJ, Goldberg J, Miles TP, Brody JA, Stiers W, Rimm AA.  Regional variation in the incidence of hip fracture: US white women aged 65 years and older. JAMA . 1990;;264:500-502.
Cooper C, Wickham C, Lacey RF, Barker DJ.  Water fluoride concentration and fracture of the proximal femur. J Epidemiol Community Health . 1990;;44:17-19.
Cooper C, Wickham CA, Barker DJR, Jacobsen SJ.  Water fluoridation and hip fracture. JAMA . 1991;;266:513-514.
Sowers MR, Clark MK, Jannausch ML, Wallace RB.  A prospective study of bone mineral content and fracture in communities with differential fluoride exposure. Am J Epidemiol . 1991;;133:649-660.
Simonen O, Laitinen O.  Does fluoridation of drinking water prevent bone fragility and osteoporosis? Lancet . 1985;;2:432-433.
Gordon SL, Corbin SB.  Summary of workshop on drinking water fluoride influence on hip fracture on bone health. Osteoporosis Int . 1992;;2:109-117.
 Please pass the roach poison. JAMA . 1966;;195:955-956. Editorial.
 More roach poison. JAMA . 1966;;198:550-551. Editorial.
Bernstein DS, Sadowsky N, Hegsted DM, Guri CD, Stave FJ.  Prevalence of osteoporosis in high- and low-fluoride areas in North Dakota. JAMA . 1966;;198:499-504.
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.