Obtaining Vitamin D Levels in Children With Fractures Improves Supplementation Compliance

AHS Bone Health Compliance Group

Research output: Contribution to journalArticle

Abstract

Background: Obtaining ideal serum 25-vitamin D (25VitD) levels (>30 ng/mL) is imperative in childhood to achieve peak bone mass. Supplementation compliance in children recommended to take vitamin D postfracture was evaluated. The questions we sought to answer were: Is there (1) a compliance difference between patients with known versus unknown 25VitD levels; (2) an association between compliance and age; and (3) an association between fracture severity and initial 25VitD level. Methods: One physician analyzed compliance in 1818 fracture patients 2 to 18 years (42% female) with known (48%) and unknown 25VitD. Patient/caregiver's self-reported adherence to supplementation as "yes" (4 d/wk minimum) or "no" defined compliance. Compliance relating to fracture severity via Abbreviated Injury Scale (AIS), 25VitD level, and age, was analyzed. Results: Patients with 25VitD levels were more compliant than patients without (61%, n=532/872; 21%, n=206/946; P<0.001). In total, 83% (n=104/125) of AIS 3 patients were compliant, compared with 49% (n=628/1292) of AIS 1/2 patients (P<0.001). Compliance increased with age (odds ratio: 1.09, 95% confidence interval: 1.061-1.120, P<0.001).Conclusions: Compliance increased when 25VitD levels were obtained, improving with fracture severity. Clinicians should order 25VitD levels on fracture patients to improve supplementation compliance.

Original languageEnglish (US)
Pages (from-to)E436-E440
JournalJournal of Pediatric Orthopaedics
Volume39
Issue number6
DOIs
StatePublished - Jul 1 2019
Externally publishedYes

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Vitamin D
Compliance
Abbreviated Injury Scale
Caregivers
Odds Ratio
Confidence Intervals
Physicians
Bone and Bones
Serum

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

Cite this

@article{1a4e6c16259c4a508a991fd6843f751d,
title = "Obtaining Vitamin D Levels in Children With Fractures Improves Supplementation Compliance",
abstract = "Background: Obtaining ideal serum 25-vitamin D (25VitD) levels (>30 ng/mL) is imperative in childhood to achieve peak bone mass. Supplementation compliance in children recommended to take vitamin D postfracture was evaluated. The questions we sought to answer were: Is there (1) a compliance difference between patients with known versus unknown 25VitD levels; (2) an association between compliance and age; and (3) an association between fracture severity and initial 25VitD level. Methods: One physician analyzed compliance in 1818 fracture patients 2 to 18 years (42{\%} female) with known (48{\%}) and unknown 25VitD. Patient/caregiver's self-reported adherence to supplementation as {"}yes{"} (4 d/wk minimum) or {"}no{"} defined compliance. Compliance relating to fracture severity via Abbreviated Injury Scale (AIS), 25VitD level, and age, was analyzed. Results: Patients with 25VitD levels were more compliant than patients without (61{\%}, n=532/872; 21{\%}, n=206/946; P<0.001). In total, 83{\%} (n=104/125) of AIS 3 patients were compliant, compared with 49{\%} (n=628/1292) of AIS 1/2 patients (P<0.001). Compliance increased with age (odds ratio: 1.09, 95{\%} confidence interval: 1.061-1.120, P<0.001).Conclusions: Compliance increased when 25VitD levels were obtained, improving with fracture severity. Clinicians should order 25VitD levels on fracture patients to improve supplementation compliance.",
author = "{AHS Bone Health Compliance Group} and Barbara Minkowitz and Leah Nadel and Meghan McDermott and Zachary Cherna and Jennifer Ristic and Stephanie Chiu and Adams, {Elizabeth J.} and Melissa Austin and Gabrielle Foster and Joseph Israeli and Emily Lillie and Elizabeth Reynolds and Amanda Saracinello and Reid Schalet and Shih, {Sabrina J.} and Stephanie Simoes",
year = "2019",
month = "7",
day = "1",
doi = "10.1097/BPO.0000000000001363",
language = "English (US)",
volume = "39",
pages = "E436--E440",
journal = "Journal of Pediatric Orthopaedics",
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Obtaining Vitamin D Levels in Children With Fractures Improves Supplementation Compliance. / AHS Bone Health Compliance Group.

In: Journal of Pediatric Orthopaedics, Vol. 39, No. 6, 01.07.2019, p. E436-E440.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Obtaining Vitamin D Levels in Children With Fractures Improves Supplementation Compliance

AU - AHS Bone Health Compliance Group

AU - Minkowitz, Barbara

AU - Nadel, Leah

AU - McDermott, Meghan

AU - Cherna, Zachary

AU - Ristic, Jennifer

AU - Chiu, Stephanie

AU - Adams, Elizabeth J.

AU - Austin, Melissa

AU - Foster, Gabrielle

AU - Israeli, Joseph

AU - Lillie, Emily

AU - Reynolds, Elizabeth

AU - Saracinello, Amanda

AU - Schalet, Reid

AU - Shih, Sabrina J.

AU - Simoes, Stephanie

PY - 2019/7/1

Y1 - 2019/7/1

N2 - Background: Obtaining ideal serum 25-vitamin D (25VitD) levels (>30 ng/mL) is imperative in childhood to achieve peak bone mass. Supplementation compliance in children recommended to take vitamin D postfracture was evaluated. The questions we sought to answer were: Is there (1) a compliance difference between patients with known versus unknown 25VitD levels; (2) an association between compliance and age; and (3) an association between fracture severity and initial 25VitD level. Methods: One physician analyzed compliance in 1818 fracture patients 2 to 18 years (42% female) with known (48%) and unknown 25VitD. Patient/caregiver's self-reported adherence to supplementation as "yes" (4 d/wk minimum) or "no" defined compliance. Compliance relating to fracture severity via Abbreviated Injury Scale (AIS), 25VitD level, and age, was analyzed. Results: Patients with 25VitD levels were more compliant than patients without (61%, n=532/872; 21%, n=206/946; P<0.001). In total, 83% (n=104/125) of AIS 3 patients were compliant, compared with 49% (n=628/1292) of AIS 1/2 patients (P<0.001). Compliance increased with age (odds ratio: 1.09, 95% confidence interval: 1.061-1.120, P<0.001).Conclusions: Compliance increased when 25VitD levels were obtained, improving with fracture severity. Clinicians should order 25VitD levels on fracture patients to improve supplementation compliance.

AB - Background: Obtaining ideal serum 25-vitamin D (25VitD) levels (>30 ng/mL) is imperative in childhood to achieve peak bone mass. Supplementation compliance in children recommended to take vitamin D postfracture was evaluated. The questions we sought to answer were: Is there (1) a compliance difference between patients with known versus unknown 25VitD levels; (2) an association between compliance and age; and (3) an association between fracture severity and initial 25VitD level. Methods: One physician analyzed compliance in 1818 fracture patients 2 to 18 years (42% female) with known (48%) and unknown 25VitD. Patient/caregiver's self-reported adherence to supplementation as "yes" (4 d/wk minimum) or "no" defined compliance. Compliance relating to fracture severity via Abbreviated Injury Scale (AIS), 25VitD level, and age, was analyzed. Results: Patients with 25VitD levels were more compliant than patients without (61%, n=532/872; 21%, n=206/946; P<0.001). In total, 83% (n=104/125) of AIS 3 patients were compliant, compared with 49% (n=628/1292) of AIS 1/2 patients (P<0.001). Compliance increased with age (odds ratio: 1.09, 95% confidence interval: 1.061-1.120, P<0.001).Conclusions: Compliance increased when 25VitD levels were obtained, improving with fracture severity. Clinicians should order 25VitD levels on fracture patients to improve supplementation compliance.

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