Prescription of Vitamin D to Fracture Patients: A Lack of Consensus and Evidence

Journal of Orthopaedic Trauma
Sheila SpragueGerard P Slobogean

Abstract

We conducted a survey to explore practice patterns regarding the assessment of hypovitaminosis D and the prescription of vitamin D in acute fracture patients. Our secondary objective was to determine whether practice patterns differed between fragility and nonfragility fracture patients. Cross-sectional survey. All surveys were completed using SurveyMonkey. We surveyed surgeon members of the Canadian Orthopaedic Association and the Orthopaedic Trauma Association. Survey. The proportion of surgeons who routinely prescribe vitamin D to fracture patients. A total of 397 surveys were completed. Of total, 65.8% of surgeons indicated that they routinely prescribe vitamin D to fragility fracture patients and 25.7% routinely prescribe vitamin D to nonfragility fracture patients. We identified considerable variability in dosing regimens, as 45 different dosing regimens were prescribed in fragility fracture patients and 29 in nonfragility fracture patients. They ranged from daily doses of 400 IU to loading doses of 600,000 IU. The most frequently prescribed doses were 1000 IU daily (14.6%), 2000 IU daily (13.4%), and 50,000 IU weekly (8.7%). Respondents indicated that they heavily relied on clinical experience to guide their decisions to...Continue Reading

References

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Apr 11, 2014·Trauma Monthly·Hossein EttehadArdeshir Shirangi

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Citations

Feb 21, 2018·Journal of Orthopaedic Trauma·Stephen L KatesEmil H Schemitsch
Jan 11, 2018·Geriatric Orthopaedic Surgery & Rehabilitation·Sheila SpragueMohit Bhandari
Dec 24, 2018·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Christopher C StewartGerard P Slobogean
Nov 16, 2019·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Joseph L Roberts, Hicham Drissi
Sep 3, 2020·Journal of Bone and Mineral Metabolism·Xin-Ping LiPing Zhang
Aug 17, 2020·JBJS Reviews·Justin E HellwinkelZachary M Working
May 21, 2021·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·T ChevalleyR Rizzoli

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