[Vitamin D - population screening and supplementation in populations with deficit]

Donato M, Augustovski F, Pichon-Riviere A, García Martí S, Alcaraz A, Bardach A, Ciapponi A
Record ID 32018001498
Spanish
Original Title: Vitamina D: rastreo poblacional y suplementación en poblaciones con déficit
Authors' recomendations: CONCLUSIONS No evidence was identified on vitamin D screening in the general population in order to indicate supplementation to improve health results. Moderate-quality evidence suggests that supplementation with vitamin D or its analogues along with calcium supplementation considerably reduce hip fractures in postmenopausal women and elderly men with osteoporosis. Moderate-quality evidence suggests that in adult patients with confirmed hypovitaminosis D, supplementation with vitamin D or its analogues minimally reduce death for any cause when compared with placebo. No local economic evaluations were identified on vitamin D screening in the general population and supplementation with vitamin D or its analogues in subjects with vitamin D deficit. One economic evaluation from a high-income country indicates that vitamin D and calcium supplementation are cost-effective in preventing fractures when compared to no supplementation in people over 60 years old with osteoporosis. One evaluation from another high-income country concludes that performing a vitamin D level screening in people over 65 years old to decide supplementation is the most cost-effective strategy, among others, compared with no supplementation in people over 65 years old for primary prevention on hip fractures. The clinical practice guidelines and consensuses identified do not recommend vitamin D screening in the general population, but they do recommend it in populations at risk of vitamin D deficit when it comes to decision making on supplementation (as in subjects with osteoporosis, malabsorption syndromes, or chronic kidney disease). In Argentina, the Superintendence of Health Services does no mention measuring vitamin D, but includes it and its analogues for the indication assessed in the Mandatory Medical Plan, although it is not reimbursed by the Unique Reimbursement System.
Details
Project Status: Completed
Year Published: 2018
URL for published report: https://www.iecs.org.ar/home-ets/
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Argentina
MeSH Terms
  • Vitamin D
  • Vitamin D Deficiency
  • Mass Screening
  • Medical Overuse
  • Dietary Supplements
  • Diagnostic Tests, Routine
Contact
Organisation Name: Institute for Clinical Effectiveness and Health Policy
Contact Address: Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name: info@iecs.org.ar
Contact Email: info@iecs.org.ar
Copyright: Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.