F Buckinx1,2, J Y Reginster3,4, E Cavalier5, J Petermans6, C Ricour6, C Dardenne7, O Bruyère3,4,8. 1. Department of Public health, Epidemiology and health Economics, University of Liège, CHU - Sart Tilman, Bât. B23, Quartier Hôpital, Avenue Hippocrate, 13, 4000, Liège, Belgium. fanny.buckinx@ulg.ac.be. 2. Support Unit in Epidemiology and Biostatistics, University of Liège, Liège, Belgium. fanny.buckinx@ulg.ac.be. 3. Department of Public health, Epidemiology and health Economics, University of Liège, CHU - Sart Tilman, Bât. B23, Quartier Hôpital, Avenue Hippocrate, 13, 4000, Liège, Belgium. 4. Support Unit in Epidemiology and Biostatistics, University of Liège, Liège, Belgium. 5. Department of Medical Chemistry, CHU of Liège, Liège, Belgium. 6. Geriatric Department, CHU of Liège, Liège, Belgium. 7. "Maison Médicale Oxygène", Seraing, Belgium. 8. Department of Motricity Sciences, University of Liège, Liège, Belgium.
Abstract
SUMMARY: A total of 119 GPs participated to a survey aimed to assess the profile and determinants of vitamin D supplementation prescription in nursing homes. Among the respondent GPs, 65 (54.6%) systematically prescribe vitamin D to their institutionalized patients and the 54 (45.4%) others prescribe only sometimes. INTRODUCTION: The aim of this study is to assess the profile and determinants of vitamin D supplementation prescription in nursing homes. METHODS: General practitioners (GPs) having at least one patient in a nursing home in Liège, Belgium, were asked to complete the survey. RESULTS: A total of 119 GPs participated in the survey. Among the respondent GPs, 65 (54.6 %) systematically prescribe vitamin D to their institutionalized patients and the 54 (45.4%) others prescribe only sometimes. The main reasons for prescribing vitamin D cited by GPs who do so systematically are as follows: because they believe nursing home residents are mostly deficient in vitamin D status (92.1%), because they believe that vitamin D supplementation prevents osteoporotic fractures (77.8%), and because vitamin D supplementation is recommended by various scientific societies (38.1%). GPs who only prescribe vitamin D supplementation in some patients mainly do so following a diagnosis of osteoporosis (82.4%), on the basis the 25(OH)D level (78.4%), in the case of history of fracture (54.9%) or after a recent fracture (43.4%). Surprisingly, 16 physicians (31.4%) only prescribe vitamin D when they think of it. Interestingly, while 40.7% of GPs always prescribe the same dose of vitamin D, the remaining 59.3% prescribe a dose that will mainly depend on the results of the 25(OH)D level (94.0%), the patient's bone health (49.3%), or history of fracture (43.3%). CONCLUSIONS: More than half of GPs systematically prescribe vitamin D to their patients living in nursing homes. The other GPs usually prescribe vitamin D following the result of the vitamin D status or after a diagnosis of osteoporosis.
SUMMARY: A total of 119 GPs participated to a survey aimed to assess the profile and determinants of vitamin D supplementation prescription in nursing homes. Among the respondent GPs, 65 (54.6%) systematically prescribe vitamin D to their institutionalized patients and the 54 (45.4%) others prescribe only sometimes. INTRODUCTION: The aim of this study is to assess the profile and determinants of vitamin D supplementation prescription in nursing homes. METHODS: General practitioners (GPs) having at least one patient in a nursing home in Liège, Belgium, were asked to complete the survey. RESULTS: A total of 119 GPs participated in the survey. Among the respondent GPs, 65 (54.6 %) systematically prescribe vitamin D to their institutionalized patients and the 54 (45.4%) others prescribe only sometimes. The main reasons for prescribing vitamin D cited by GPs who do so systematically are as follows: because they believe nursing home residents are mostly deficient in vitamin D status (92.1%), because they believe that vitamin D supplementation prevents osteoporotic fractures (77.8%), and because vitamin D supplementation is recommended by various scientific societies (38.1%). GPs who only prescribe vitamin D supplementation in some patients mainly do so following a diagnosis of osteoporosis (82.4%), on the basis the 25(OH)D level (78.4%), in the case of history of fracture (54.9%) or after a recent fracture (43.4%). Surprisingly, 16 physicians (31.4%) only prescribe vitamin D when they think of it. Interestingly, while 40.7% of GPs always prescribe the same dose of vitamin D, the remaining 59.3% prescribe a dose that will mainly depend on the results of the 25(OH)D level (94.0%), the patient's bone health (49.3%), or history of fracture (43.3%). CONCLUSIONS: More than half of GPs systematically prescribe vitamin D to their patients living in nursing homes. The other GPs usually prescribe vitamin D following the result of the vitamin D status or after a diagnosis of osteoporosis.
Entities:
Keywords:
General practitioners; Nursing homes; Survey; Vitamin D
Authors: M S Stein; J D Wark; S C Scherer; S L Walton; P Chick; M Di Carlantonio; J D Zajac; L Flicker Journal: J Am Geriatr Soc Date: 1999-10 Impact factor: 5.562
Authors: Gotaro Kojima; Anna Tamai; Kamal Masaki; Gregory Gatchell; James Epure; Craig China; G Webster Ross; Helen Petrovitch; Marianne Tanabe Journal: J Am Geriatr Soc Date: 2013-10-01 Impact factor: 5.562
Authors: P Caillet; J C Souberbielle; S B Jaglal; A Reymondier; E Van Ganse; R Chapurlat; A M Schott Journal: Eur J Clin Nutr Date: 2013-10-02 Impact factor: 4.016
Authors: Gustavo Duque; Stephen R Lord; Jenson Mak; Kirtan Ganda; Jacqueline J T Close; Peter Ebeling; Alexandra Papaioannou; Charles A Inderjeeth Journal: J Am Med Dir Assoc Date: 2016-06-24 Impact factor: 4.669
Authors: Charlotte Mortensen; Inge Tetens; Michael Kristensen; Pia Snitkjaer; Anne Marie Beck Journal: BMC Geriatr Date: 2022-01-06 Impact factor: 3.921
Authors: Mikołaj Kamiński; Magdalena Molenda; Agnieszka Banaś; Aleksandra Uruska; Dorota Zozulińska-Ziółkiewicz Journal: Int J Environ Res Public Health Date: 2020-01-22 Impact factor: 3.390