Characterizing the Assessment and Management of Vitamin D Levels in Patients with Osteoporosis in Clinical Practice: A Chart Review Initiative
Though vitamin D is important for bone health, little is known about the monitoring and management of vitamin D levels in patients with osteoporosis in clinical practice—a deficit this chart review initiative aimed to remedy. A total of 52 physicians completed profiles for 983 patients being treated...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Journal of Osteoporosis |
| Online Access: | http://dx.doi.org/10.1155/2015/312952 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850214463781732352 |
|---|---|
| author | Jonathan D. Adachi Jacques P. Brown George Ioannidis |
| author_facet | Jonathan D. Adachi Jacques P. Brown George Ioannidis |
| author_sort | Jonathan D. Adachi |
| collection | DOAJ |
| description | Though vitamin D is important for bone health, little is known about the monitoring and management of vitamin D levels in patients with osteoporosis in clinical practice—a deficit this chart review initiative aimed to remedy. A total of 52 physicians completed profiles for 983 patients being treated for osteoporosis between November 2008 and April 2009. Information collected included demographics; fracture risk factors; availability and level of serum vitamin D measurements; and information on osteoporosis medications and calcium and vitamin D supplementation. Physicians also evaluated patients’ current regimens and detailed proposed changes, if applicable. Nearly 85% of patients were prescribed calcium and vitamin D supplements. Serum 25-hydroxy vitamin D levels were available for 73% of patients. Of these patients, approximately 50% had levels less than 80 nmol/L, which contrasts with the 37% thought to have “unsatisfactory” vitamin D levels based on physician perceptions. Physicians felt 26% of patients would benefit from additional vitamin D supplementation. However, no changes to the osteoporosis regimen were suggested for 48% of patients perceived to have “unsatisfactory” vitamin D levels. The results underscore the importance of considering vitamin D status when looking to optimize bone health. |
| format | Article |
| id | doaj-art-85f4dca827334d9391787a101d53fed6 |
| institution | OA Journals |
| issn | 2090-8059 2042-0064 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Osteoporosis |
| spelling | doaj-art-85f4dca827334d9391787a101d53fed62025-08-20T02:08:54ZengWileyJournal of Osteoporosis2090-80592042-00642015-01-01201510.1155/2015/312952312952Characterizing the Assessment and Management of Vitamin D Levels in Patients with Osteoporosis in Clinical Practice: A Chart Review InitiativeJonathan D. Adachi0Jacques P. Brown1George Ioannidis2Charlton Medical Centre, Department of Medicine, McMaster University, 25 Charlton Avenue E., Suite 501, Hamilton, ON, L8N 1Y2, CanadaGroupe de Recherche en Rhumatologie et Maladies Osseuses, Centre de Recherche du Centre Hospitalier Universitaire de Québec, Laval University, 2705 Boulevard Laurier, S-763, Quebec City, QC, G1V 4G2, CanadaCharlton Medical Centre, Department of Medicine, McMaster University, 25 Charlton Avenue E., Suite 501, Hamilton, ON, L8N 1Y2, CanadaThough vitamin D is important for bone health, little is known about the monitoring and management of vitamin D levels in patients with osteoporosis in clinical practice—a deficit this chart review initiative aimed to remedy. A total of 52 physicians completed profiles for 983 patients being treated for osteoporosis between November 2008 and April 2009. Information collected included demographics; fracture risk factors; availability and level of serum vitamin D measurements; and information on osteoporosis medications and calcium and vitamin D supplementation. Physicians also evaluated patients’ current regimens and detailed proposed changes, if applicable. Nearly 85% of patients were prescribed calcium and vitamin D supplements. Serum 25-hydroxy vitamin D levels were available for 73% of patients. Of these patients, approximately 50% had levels less than 80 nmol/L, which contrasts with the 37% thought to have “unsatisfactory” vitamin D levels based on physician perceptions. Physicians felt 26% of patients would benefit from additional vitamin D supplementation. However, no changes to the osteoporosis regimen were suggested for 48% of patients perceived to have “unsatisfactory” vitamin D levels. The results underscore the importance of considering vitamin D status when looking to optimize bone health.http://dx.doi.org/10.1155/2015/312952 |
| spellingShingle | Jonathan D. Adachi Jacques P. Brown George Ioannidis Characterizing the Assessment and Management of Vitamin D Levels in Patients with Osteoporosis in Clinical Practice: A Chart Review Initiative Journal of Osteoporosis |
| title | Characterizing the Assessment and Management of Vitamin D Levels in Patients with Osteoporosis in Clinical Practice: A Chart Review Initiative |
| title_full | Characterizing the Assessment and Management of Vitamin D Levels in Patients with Osteoporosis in Clinical Practice: A Chart Review Initiative |
| title_fullStr | Characterizing the Assessment and Management of Vitamin D Levels in Patients with Osteoporosis in Clinical Practice: A Chart Review Initiative |
| title_full_unstemmed | Characterizing the Assessment and Management of Vitamin D Levels in Patients with Osteoporosis in Clinical Practice: A Chart Review Initiative |
| title_short | Characterizing the Assessment and Management of Vitamin D Levels in Patients with Osteoporosis in Clinical Practice: A Chart Review Initiative |
| title_sort | characterizing the assessment and management of vitamin d levels in patients with osteoporosis in clinical practice a chart review initiative |
| url | http://dx.doi.org/10.1155/2015/312952 |
| work_keys_str_mv | AT jonathandadachi characterizingtheassessmentandmanagementofvitamindlevelsinpatientswithosteoporosisinclinicalpracticeachartreviewinitiative AT jacquespbrown characterizingtheassessmentandmanagementofvitamindlevelsinpatientswithosteoporosisinclinicalpracticeachartreviewinitiative AT georgeioannidis characterizingtheassessmentandmanagementofvitamindlevelsinpatientswithosteoporosisinclinicalpracticeachartreviewinitiative |