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A cost analysis of systematic vitamin D supplementation in the elderly versus supplementation based on assessed requirements
Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry. (eHälsoinstitutet ; eHealth Institute)ORCID iD: 0000-0002-0518-6196
Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.ORCID iD: 0000-0002-6648-8702
Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry. Kalmar County Hospital.ORCID iD: 0000-0003-3106-0754
Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry. (eHälsoinstitutet ; eHealth Institute)ORCID iD: 0000-0002-4295-7201
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2017 (English)In: Journal of Aging Research and Healthcare, ISSN 2474-7785, Vol. 2, no 2, p. 13-22Article in journal (Refereed) Published
Abstract [en]

Hypovitaminosis D is common among older people and treatment with vitamin D is associated with reduced risk of falls and fractures. This paper provides a cost analysis of assessing the vitamin D status of and providing the pharmaceuticals for elderly citizens in Kalmar County, Sweden (population approximately 230,000). Four hypothetical interventions were analyzed: (a) systematic vitamin D/calcium supplementation to all elderly (≥75 years), (b) assessment of vitamin D status in elderly and supplementation to those with insufficient levels, (c) systematic vitamin D/calcium supplementation to all nursing-home residents, and (d) assessment of vitamin D status in nursing-home residents and supplementation to those with insufficient levels. The calculations were based on an estimated reduction in overall costs due to the assessed number of hip fractures after vitamin D/calcium supplementation. The annual net economic benefit of vitamin D/calcium supplementation was estimated at (a) €304,000, (b) €860,000, (c) €755,000, and (d) €740,000. The provision of systematic vitamin D supplementation to nursing-home residents would provide a substantial net economic benefit to society and assessment of the vitamin D status before starting supplementation does not seem to be necessary. Although assessment of all elderly citizens would be more comprehensive, the true proportion with insufficient vitamin D levels in the general population is uncertain and to reaching consensus on the most advantageous daily vitamin D intake, vitamin D blood levels are necessary. Also, systematic supplementation to all elderly would result in other outcomes that could be worth the cost, but that remains to be evaluated.

Place, publisher, year, edition, pages
2017. Vol. 2, no 2, p. 13-22
Keywords [en]
Vitamin D, Supplementation, Screening, Cost, Frail elderly
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health and Caring Sciences; Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-67953DOI: 10.14302/issn.2474-7785.jarh-17-1724OAI: oai:DiVA.org:lnu-67953DiVA, id: diva2:1141300
Projects
Betydelsen av bra D-vitaminstatus för äldres hälsa
Funder
The Kamprad Family Foundation, 20130084Available from: 2017-09-14 Created: 2017-09-14 Last updated: 2018-02-28Bibliographically approved

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Ericson, LisaHovstadius, BoCarlsson, MartinPetersson, Göran

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CiteExportLink to record
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