In judging the delivery of health care it is important to ask the question who should be treated and who is treated with medical interventions. There is a general consensus that men and women with a prior hip or spine fracture should be offered treatment for osteoporosis.
In Romania, it is estimated that 115,000 men and women received treatment for osteoporosis with a high risk population of 834,000. When the number of patients exceeding the intervention threshold without receiving treatment is expressed as a percentage of the total number of patients exceeding the threshold, the resulting treatment gap is 86% (94% in men and 83% in women). Thus, the overwhelming majority of individuals at high risk of fracture are untreated.