The purpose of this study was to assess whether physicians in practice inadequately diagnose @entity170 in a high-risk population of postmenopausal @entity1 who have sustained @entity173 . Using the Texas Hospital Discharge Data-Public Use Data File (PUDF) provided through the Texas Health Care Information Council, the authors conducted a review of all postmenopausal @entity1 older than 55 years with @entity173 discharged from Texas hospitals during 1999. A total of 13,628 @entity1 meeting these criteria were found using the PUDF. In their diagnoses, physicians for 2233 (16.3%) of these 13,628 @entity1 also specified the code for @entity170 (P < .001) from the ninth revision of the International Classification of Diseases. It is estimated that between 40% and 50% of postmenopausal @entity1 have @entity170 . Therefore, @entity1 with @entity174 form an even more at-risk subset of the population--so much so that one would expect a majority of these @entity1 to carry diagnoses of @entity170 . The age distribution in each group was comparable, implying that receiving a coded diagnosis for @entity170 was not related to the age of the @entity1 when she was admitted to the hospital. Further, when data was analyzed by race or ethnicity, percentages for each group (ie, diagnosed with @entity173 only versus diagnosed with @entity173 and @entity170 ) were comparable. In conclusion, physicians practicing in Texas during calendar year 1999 inadequately diagnosed @entity170 in a high-risk population of postmenopausal @entity1 who were admitted to hospitals with @entity173 . Future analysis of subsequent annual databases will identify whether continuing medical education efforts cause physicians to diagnosis @entity170 in this high-risk population more frequently.

An analysis of XXXX -related @entity173 using hospital discharge data.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient'] @entity173 :: ('MESH:D006620', 'Disease') :: ['hip fractures', 'hip fracture', 'fractured hips'] @entity170 :: ('MESH:D010024', 'Disease') :: ['osteoporosis'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fragility fractures']
@entity170 :: (MESH:D010024,Disease) :: ['osteoporosis']
