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• W9665024 abstract "Editor—I was surprised that the BMJ published the unbalanced and poorly researched article of Moynihan in which osteoporosis was dismissed as a “risk masquerading as a disease” and compared in severity to baldness.1-1This article was insulting to all men and women who have excruciating pain and severe loss of quality of life from osteoporosis.The article wrongly stated that the risk of fracture for most people is low: in fact 1 in 3 women and 1 in 12 men over 50 are destined to have at least one fracture.The article also implied that population screening is advocated for osteoporosis: it is not. Neither the National Osteoporosis Society nor the International Osteoporosis Foundation advocates screening all men and women. However they do advocate that those in high risk groups should seek their doctor's advice and be assessed. These same groups are advocated in the Royal College of Physicians' report on osteoporosis and in section six of the government's national service framework for older people.1-2,1-3Moynihan et al also argued that we should not ask pharmaceutical companies to put money into campaigns to provide information about the disease. Why not?All profit making companies should be expected to put money back into helping patients, provided that they do not tell patient organisations what to say. As a national society, we follow strict guidelines in our dealings with pharmaceutical companies, but we expect them to support some of our work and the enlightened ones do. A modest percentage of our income comes from pharmaceutical companies, which is useful, but we are not dependent on it.A more appropriate target would be health authorities that currently provide no service for patients with or at high risk of osteoporosis, although good evidence shows that it would be cost effective to treat to prevent the high cost of further fractures.The National Osteoporosis Society in the United Kingdom and our sister societies in other countries are certainly not “attempting to persuade millions of healthy women that they are sick,” but we do have a duty to inform people about the seriousness of osteoporosis. We must also provide information about diet, exercise, and other lifestyle measures that can be taken from the cradle to extreme old age to help prevent this devastating disease." @default.
• W9665024 created "2016-06-24" @default.
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• W9665024 date "2002-07-27" @default.
• W9665024 modified "2023-09-23" @default.
• W9665024 title "The pharmaceutical industry and disease mongering. Déjà vu all over again." @default.
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