Abstract

Atopic eczema, asthma and COPD are commonly treated with oral corticosteroids (OCS). OCS increase fracture risk. Guidelines recommend fracture preventive care (bone mineral density measurements or fracture-preventive medications, including bisphosphonates) when individuals are prescribed >=450mg prednisolone equivalent dose in 6 months. People are prescribed OCS in different patterns (e.g., continuously or intermittently). We hypothesised people receiving intermittent OCSs were less likely to receive adequate fracture-preventive care than people receiving the same cumulative OCS dose continuously.

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