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Journal of Osteoporosis
Volume 2015, Article ID 312952, 7 pages
Research Article

Characterizing the Assessment and Management of Vitamin D Levels in Patients with Osteoporosis in Clinical Practice: A Chart Review Initiative

1Charlton Medical Centre, Department of Medicine, McMaster University, 25 Charlton Avenue E., Suite 501, Hamilton, ON, Canada L8N 1Y2
2Groupe de Recherche en Rhumatologie et Maladies Osseuses, Centre de Recherche du Centre Hospitalier Universitaire de Québec, Laval University, 2705 Boulevard Laurier, S-763, Quebec City, QC, Canada G1V 4G2

Received 31 October 2014; Accepted 1 January 2015

Academic Editor: Manuel Diaz Curiel

Copyright © 2015 Jonathan D. Adachi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Though vitamin D is important for bone health, little is known about the monitoring and management of vitamin D levels in patients with osteoporosis in clinical practice—a deficit this chart review initiative aimed to remedy. A total of 52 physicians completed profiles for 983 patients being treated for osteoporosis between November 2008 and April 2009. Information collected included demographics; fracture risk factors; availability and level of serum vitamin D measurements; and information on osteoporosis medications and calcium and vitamin D supplementation. Physicians also evaluated patients’ current regimens and detailed proposed changes, if applicable. Nearly 85% of patients were prescribed calcium and vitamin D supplements. Serum 25-hydroxy vitamin D levels were available for 73% of patients. Of these patients, approximately 50% had levels less than 80 nmol/L, which contrasts with the 37% thought to have “unsatisfactory” vitamin D levels based on physician perceptions. Physicians felt 26% of patients would benefit from additional vitamin D supplementation. However, no changes to the osteoporosis regimen were suggested for 48% of patients perceived to have “unsatisfactory” vitamin D levels. The results underscore the importance of considering vitamin D status when looking to optimize bone health.