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Vitamin D Use and Health Outcomes After Surgery for Hip Fracture
- Source :
- Orthopedics, 40, 5, pp. e868-e875, Orthopedics, 40, e868-e875, Orthopedics, 40(5), e868. Slack Incorporated, Orthopedics, 40(5), e868-e875. Slack Incorporated, Bone and Joint Institute
- Publication Year :
- 2017
-
Abstract
- Daily administration of vitamin D is important for maintaining bone homeostasis. The orthopedic community has shown increased interest in vitamin D supplementation and patient outcomes after fracture. The current study used data from a large hip fracture trial to determine the proportion of patients who consistently used vitamin D after hip fracture surgery and to determine whether supplementation was associated with improved health-related quality of life and reduced reoperation rates. The FAITH study is a multicenter trial of elderly patients with femoral neck fracture treated with internal fixation. The current study asked a subset of patients included in the FAITH study about vitamin D supplementation and categorized them as consistent users, inconsistent users, or nonusers. This study also evaluated whether supplementation was associated with improved quality of life and reduced reoperation rates. The final analysis included 573 patients (mean age, 74.1 years; female, 66.3%; nondis-placed fractures, 72.4%). A total of 18.7% of participants reported no use of vitamin D, 35.6% reported inconsistent use, and 45.7% reported consistent use. Adjusted analysis found that consistent supplementation was associated with a 2.42 increase of the Short Form-12 physical component score 12 months postoperatively ( P =.033). However, supplementation was not associated with reduced reoperation rates ( P =.386). Despite guidelines recommending vitamin D supplementation, a low proportion of elderly patients with hip fracture use vitamin D consistently, suggesting a need for additional strategies to promote compliance. This study found that the use of vitamin D was associated with a statistically significant but not clinically significant improvement in health-related quality of life after hip fracture. Further research is needed to confirm these findings. [ Orthopedics. 2017; 40(5):e868–e875.]
- Subjects :
- Male
Reoperation
medicine.medical_specialty
law.invention
03 medical and health sciences
Fracture Fixation, Internal
0302 clinical medicine
Randomized controlled trial
Quality of life
law
Multicenter trial
Fracture fixation
medicine
Vitamin D and neurology
Medicine and Health Sciences
Humans
Orthopedics and Sports Medicine
030212 general & internal medicine
Vitamin D
Femoral neck
Aged
Aged, 80 and over
030222 orthopedics
Hip fracture
business.industry
Middle Aged
medicine.disease
Surgery
Femoral Neck Fractures
Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10]
medicine.anatomical_structure
Reconstructive and regenerative medicine Radboud Institute for Molecular Life Sciences [Radboudumc 10]
Orthopedic surgery
Dietary Supplements
Quality of Life
Female
business
Subjects
Details
- ISSN :
- 01477447
- Database :
- OpenAIRE
- Journal :
- Orthopedics, 40, 5, pp. e868-e875, Orthopedics, 40, e868-e875, Orthopedics, 40(5), e868. Slack Incorporated, Orthopedics, 40(5), e868-e875. Slack Incorporated, Bone and Joint Institute
- Accession number :
- edsair.doi.dedup.....ff7ef6ce40b1e16cd0ff418ad94cb6e1