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Background: Patients with breast cancer are at increased risk of developing osteoporosis. Maintaining normal levels of vitamin D may decrease the risk of osteoporosis, and vitamin D levels must be corrected in patients who develop osteoporosis before beginning bone modifying agents. Therefore, it is important to correct insufficient vitamin D levels in a timely manner. In clinical practice, current guidelines for replacement regimens often fail to rapidly correct vitamin D levels. The goal of this study was to review data in order to predict what replacement regimen(s) were most effective at repleting vitamin D levels. Methods: For this retrospective cohort study, data was collected from medical records of 2,164 female patients with breast cancer with Institutional Review Board approval. Total level change per week was the primary outcome and was compared for the most commonly used vitamin D replacement regimens adjusted for age, race, body mass index, creatinine clearance, endocrine therapy, and initial level. Results: Higher weekly doses of vitamin D supplementation had a more significant impact on the rate of correction compared to lower daily doses. Generalized linear model was used to develop an online calculator that predicts time to vitamin D level correction adjusted for significant patient characteristics for 5 common replacement regimens as well as no intervention. Conclusions: When choosing a vitamin D replacement regimen for patients with vitamin D deficiency, we recommend clinicians use the online calculator to ensure that the chosen regimen will enable the patient to reach vitamin D sufficiency in a timely manner.
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참고문헌 (8)
참고문헌 신청
Sunyecz JA / 2008 / The use of calcium and vitamin D in the management of osteoporosis / Ther Clin Risk Manag 4:827~836
Hadji P / 2017 / Management of aromatase inhibitor-associated bone loss (AIBL) in postmenopausal women with hormone sensitive breast cancer: Joint position statement of the IOF, CABS, ECTS, IEG, ESCEO IMS, and SIOG / J Bone Oncol 7:1~12
Makhoul I / 2016 / The best of both worlds - managing the cancer, saving the bone / Nat Rev Endocrinol 12:29~42
Trivedi DP / 2003 / Effect of four monthly oral vitamin D3(cholecalciferol)supplementation on fractures and mortality in men and women living in the community : randomised double blind controlled trial / BMJ 326:469
Ross AC / 2011 / The 2011 report on dietary reference intakes for calcium and vitamin D from the Institute of Medicine : what clinicians need to know / J Clin Endocrinol Metab 96:53~58
Hadji P / 2017 / Management of aromatase inhibitor-associated bone loss (AIBL) in postmenopausal women with hormone sensitive breast cancer: Joint position statement of the IOF, CABS, ECTS, IEG, ESCEO IMS, and SIOG / J Bone Oncol 7:1~12
Makhoul I / 2016 / The best of both worlds - managing the cancer, saving the bone / Nat Rev Endocrinol 12:29~42
Trivedi DP / 2003 / Effect of four monthly oral vitamin D3(cholecalciferol)supplementation on fractures and mortality in men and women living in the community : randomised double blind controlled trial / BMJ 326:469
Ross AC / 2011 / The 2011 report on dietary reference intakes for calcium and vitamin D from the Institute of Medicine : what clinicians need to know / J Clin Endocrinol Metab 96:53~58
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