Determinants of vitamin D supplementation prescription in nursing homes: a survey among general practitioners

Buckinx, Fanny; Reginster, Jean‐Yves; Cavalier, Étienne; Pétermans, Jean; Ricour, Céline; Dardenne, Charles; Bruyère, Olivier

doi:10.1007/s00198-015-3469-3

Cited by 15 publications

(12 citation statements)

References 44 publications

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“…In Belgium, the response rate of 28% in the survey on perception and knowledge of the FRAX tool (Bruyère et al, 2013) and 30% in the survey on vitamin D supplementation prescription in nursing homes (Buckinx et al, 2016) was achieved. A national survey regarding sun exposure and vitamin D in New Zealand, which included more than one thousand GPs, achieved 32% (Reeder et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

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How General Practitioners and Their Patients Adhere to Osteoporosis Management: A Follow-Up Survey among Czech General Practitioners

et al. 2017

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Introduction: General practitioners (GPs) are key participants in osteoporosis (OP) management. The aim was to evaluate their adherence to lege artis management of the disease, potential barriers, and to discuss differences observed in comparison with the baseline survey carried out in 2007; the focus was on secondary prevention.Methods: On behalf of two professional associations, 2-round postal survey among randomly selected GPs (>1/4 of all Czech GPs) was performed in 2014. The questionnaire covered areas concerning GP's role in the fight against OP, knowledge about OP, management of OP-related fractures, barriers to the management of OP, system- and patient-related in particular, and availability and use of information sources.Results: The overall questionnaire return rate was 37% (551 respondents); mean age of the respondents was 53 year (37% men). The GP's role in the treatment of OP was rated as essential in 28 and 37% of men and women, respectively (P = 0.012). The guideline for diagnosis and treatment of OP for GPs was considered accessible by 92% of respondents. As much as 60% of the respondents were adherent to the guideline, i.e., used it repeatedly. The knowledge of several risk factors was very good, however, recommended daily intake of calcium was stated correctly by only 41% of respondents, and daily intake of vitamin D by only 40%. Three quarters reported active steps after a fracture: referral to a specialist, life-style recommendations, prescription of calcium/vitamin D supplements. Half of the respondents focus on fall prevention. System-related barriers, such as lack of possibility to prescribe selected drugs (61%) and financial limits set by health insurance company (44%) were most frequently reported. Patient-related barriers were also common, patient's non-adherence (reported by 29%) and patient's reluctance to go to a specialist (18%).Conclusion: GPs adhered to OP management more than in 2007. Knowledge of risk factors and involvement in post-fracture care was relatively high. Compared to baseline survey, patient-related barriers, patient non-adherence in particular, were more common. Prescribing conditions are still an important issue. Among GPs, education should be focused on calcium and vitamin D intake, doses, sources, and supplements.

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Section: Discussionmentioning

confidence: 99%

“…In the survey of Buckinx, more than half of GPs systematically prescribe vitamin D to their patients in nursing homes (Buckinx et al, 2016). However, 60% of the respondents is not aware of the recommended dosing of the nutrients.…”

Section: Discussionmentioning

confidence: 99%

How General Practitioners and Their Patients Adhere to Osteoporosis Management: A Follow-Up Survey among Czech General Practitioners

et al. 2017

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“…Additionally, a short, anonymous authors' questionnaire dedicated to diabetologists or residents of diabetology was prepared. The questions were inspired by previous survey studies [27,28]. The survey contained questions on personal VD supplementation status, motivation, and whether the respondent recommends patients VD supplementation (Table S3).…”

Section: Methodsmentioning

confidence: 99%

Determinants of Vitamin D Supplementation among Individuals with Type 1 Diabetes

Kamińśki

Molenda

Banaś

et al. 2020

IJERPH

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Half of the individuals with type 1 diabetes (T1DM) may present Vitamin D (VD) deficiency. There is little known about factors determining a decision on VD supplementation. The study aimed to determine the factors affecting vitamin D supplementation in people with T1DM. A cross-sectional survey study using the authors’ questionnaire paper and its digital version was performed. The questions involved data on the basic characteristics of the respondent, medical history, VD supplementation status, influence of the social environment, self-education, and the most important personal motivator for VD supplement use. Multivariate logistic regression analysis was performed. We collected a total of n = 184 papers and n = 550 digital complete surveys. From 734 total respondents, 62.0% declared VD supplementation. The main personal rationale for VD supplementation were recommendation of medical specialist 172 (37.8%) and self-education 135 (29.7%). The main reasons for non-supplementation of VD were lack of knowledge about VD 159 (57.0%) and lack of motivation 77 (27.6%). VD supplementation was independently associated with a family doctor (odds ratio (OR), 95% confidence interval (CI): 4.67, 2.32–9.40) or medical specialist recommendation (16.20, 9.57–27.43), and self-education (5.97, 3.90–9.13). Most Polish individuals with T1DM use VD supplements, and the decision is related to physicians’ recommendations and self-education.

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“…Recent studies suggest that weekly doses of vitamin D may be more effective in correcting deficiency than small regular doses, have an effect on preventing both fractures and falls, and might achieve higher compliance, which is a major limitation of this therapy. 54 In addition, access to the sunshine for nursing home residents also improves vitamin D status, 55,56 although it is not enough to correct serum levels of vitamin D in severely deficient residents.…”

Section: Pharmacologicalmentioning

confidence: 99%

Treatment of Osteoporosis in Australian Residential Aged Care Facilities: Update on Consensus Recommendations for Fracture Prevention

Duque

Lord

Mak

et al. 2016

Journal of the American Medical Directors Association

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Determinants of vitamin D supplementation prescription in nursing homes: a survey among general practitioners

Abstract: 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.

Cited by 15 publications

References 44 publications

How General Practitioners and Their Patients Adhere to Osteoporosis Management: A Follow-Up Survey among Czech General Practitioners

How General Practitioners and Their Patients Adhere to Osteoporosis Management: A Follow-Up Survey among Czech General Practitioners

Determinants of Vitamin D Supplementation among Individuals with Type 1 Diabetes

Treatment of Osteoporosis in Australian Residential Aged Care Facilities: Update on Consensus Recommendations for Fracture Prevention

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