AI Article Synopsis

  • Serum 25-hydroxyvitamin D (25OHD) tests in France have surged by tenfold over the past decade, often for questionable reasons.
  • In 2013, the French National Authority for Health imposed limits on when these tests could be ordered, restricting them mainly to specific health conditions like rickets and certain cases in older adults.
  • The authors argue that there are additional valid reasons for testing, supported by research, and advocate for the continued reimbursement of serum 25OHD tests for broader clinical scenarios.

Article Abstract

The number of serum 25-hydroxyvitamin D (25OHD) assays has increased tenfold in France in less than 10 years, sometimes for invalidated reasons. In 2013, the French National Authority for Health (Haute autorité de santé, or HAS) limited the indications for serum 25OHD measurements to rickets/osteomalacia, older adults with recurrent falls, monitoring of kidney transplant in adults, and surgical treatment of obesity in adults. Our aim here was to note that other indications for serum 25OHD measurements are supported by previous literature and by a number of national and international recommendations, in particular the following: any situation of bone fragility, any chronic renal failure <45 mL/min/1.73m, any situation of malabsorption, clinical signs consistent with vitamin D deficiency or vitamin D overload, and calcium phosphorus evaluation. We suggest that the measurement of serum 25OHD concentration should remain reimbursed as part of these extended indications.

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Source
http://dx.doi.org/10.1684/pnv.2016.0631DOI Listing

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