As prior @entity174 is consistently associated with increased risk of subsequent @entity174 , subjects with a history of prior @entity174 represent a high risk group which should be targeted for intervention to reduce future @entity174 rates. The aim of this study was to investigate whether prior @entity3604 affected treatment patterns among subjects admitted with @entity173 . All @entity173 admissions to two major teaching hospitals of the University of New South Wales, Sydney, Australia, over the 12-month period between July 1997 and June 1998 were identified retrospectively from medical records. @entity1 demographics, frequency and location of prior @entity174 , and treatment status on admission were recorded. There were a total of 348 atraumatic @entity173 admissions over this 12-month period. Forty five percent of 251 @entity1 and 30% of 97 @entity1 with an @entity173 had a known prior @entity174 , including prior @entity173 in 19% of the @entity1 and 8% of the @entity1 . Among subjects with prior @entity174 , only 18% of @entity1 and 7% of @entity1 were on any specific anti- @entity170 therapy. Even among those with a prior @entity173 , only 21% of @entity1 and none of the @entity1 were taking optimal appropriate therapy. A high proportion of individuals suffering @entity173 had sustained prior "signal" @entity174 . Although more subjects with prior @entity174 received treatment than those without prior @entity174 , total treatment levels were low, and the majority of high-risk subjects did not receive therapy shown to reduce the risk of further @entity174 .

XXXX : missed opportunity for intervention.

@entity3604 :: ('MESH:D058866', 'Disease') :: ['osteoporotic fracture'] @entity1 :: ('9606', 'Species') :: ['women', 'Patient', 'men'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture'] @entity170 :: ('MESH:D010024', 'Disease') :: ['osteoporosis'] @entity173 :: ('MESH:D006620', 'Disease') :: ['hip fractures', 'hip fracture', 'osteoporotic hip fracture']
@entity3604 :: (MESH:D058866,Disease) :: ['Osteoporotic fracture']
