Clinical Management of Low Vitamin D: A Scoping Review of Physician's Practices

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dc.contributor.authorRockwell, Michelle S.en
dc.contributor.authorKraak, Vivicaen
dc.contributor.authorHulver, Matthew W.en
dc.contributor.authorEpling, John W.en
dc.contributor.departmentHuman Nutrition, Foods, and Exerciseen
dc.contributor.departmentFralin Biomedical Research Instituteen
dc.date.accessioned2019-01-21T19:16:57Zen
dc.date.available2019-01-21T19:16:57Zen
dc.date.issued2018-04-16en
dc.date.updated2019-01-21T19:16:56Zen
dc.description.abstractThe role of vitamin D in the prevention and treatment of non-skeletal health issues has received significant media and research attention in recent years. Costs associated with clinical management of low vitamin D (LVD) have increased exponentially. However, no clear evidence supports vitamin D screening to improve health outcomes. Authoritative bodies and professional societies do not recommend population-wide vitamin D screening in community-dwelling adults who are asymptomatic or at low risk of LVD. To assess patterns of physicians’ management of LVD in this conflicting environment, we conducted a scoping review of three electronic databases and the gray literature. Thirty-eight records met inclusion criteria and were summarized in an evidence table. Thirteen studies published between 2006 and 2015 across seven countries showed a consistent increase in vitamin D lab tests and related costs. Many vitamin D testing patterns reflected screening rather than targeted testing for individuals at high risk of vitamin D deficiency or insufficiency. Interventions aimed at managing inappropriate clinical practices related to LVD were effective in the short term. Variability and controversy were pervasive in many aspects of vitamin D management, shining a light on physicians’ practices in the face of uncertainty. Future research is needed to inform better clinical guidelines and to assess implementation practices that encourage evidence-based management of LVD in adult populations.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationRockwell, M.; Kraak, V.; Hulver, M.; Epling, J. Clinical Management of Low Vitamin D: A Scoping Review of Physicians’ Practices. Nutrients 2018, 10, 493.en
dc.identifier.doihttps://doi.org/10.3390/nu10040493en
dc.identifier.urihttp://hdl.handle.net/10919/86815en
dc.language.isoenen
dc.publisherMDPIen
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectvitamin Den
dc.subject25-hydroxyvitamin-Den
dc.subject25-OH-Den
dc.subjectlow vitamin Den
dc.subjectscreeningen
dc.subjectphysician practicesen
dc.subjectlow value careen
dc.subjecttest overutilizationen
dc.titleClinical Management of Low Vitamin D: A Scoping Review of Physician's Practicesen
dc.title.serialNutrientsen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
pubs.organisational-group/Virginia Tech/Agriculture & Life Sciencesen
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/Agriculture & Life Sciences/Human Nutrition, Foods, & Exerciseen

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