Retrospective review of Vitamin D Treatment at Veterans Affairs Medical Center

Objectives: The primary objective of this study is to evaluate the therapeutic regimens and laboratory monitoring of vitamin D prescribed in an outpatient setting of a Veterans Affairs facility. Adherence to published recommendations and guidelines will then be quantified and studied.

Methods: A retrospective chart review of patients prescribed vitamin D at the Martinsburg Veterans Affairs Medical Center on an outpatient basis between October 1, 2009 and September 30, 2011 was conducted. Patients who were prescribed vitamin D from outside a non-VA provider and those received vitamin D therapy for less than 3 months are excluded from the study. Study endpoints included: vitamin D regimen, calcium regimen, serum 25-OH-D level, calcium level, and parathyroid hormone level.  For measurement of the primary objective, the following information was documented: baseline and follow-up laboratory values, dosing regimen, and vitamin D related diagnoses.  

Results: This study is currently in progress.  A total of 2144 patients were identified from computerized patient record system as having been prescribed vitamin D on an outpatient basis during the inclusion period.  Data collection is currently in progression and results will be reported for the poster symposium.

Conclusion: The results will illuminate the vitamin D prescribing practices at this facility.  Comparisons to published recommendations for treatment will be discussed.  This information can be utilized to improve the quality of patient care.