{"id":2916,"date":"2018-10-17T19:08:34","date_gmt":"2018-10-17T17:08:34","guid":{"rendered":"https:\/\/choosingwiselyitaly.org\/raccomandazione-prof\/do-not-perform-population-screening-for-25oh-vitamin-d-deficiency\/"},"modified":"2025-04-17T16:19:53","modified_gmt":"2025-04-17T14:19:53","slug":"do-not-use-the-determination-of-25oh-vitamin-d-25oh-d-as-a-routine-or-screening-test-to-determine-the-status-of-hypovitaminosis-without-a-specific-clinical-indication","status":"publish","type":"raccomandazione-prof","link":"https:\/\/choosingwiselyitaly.org\/en\/raccomandazione-prof\/do-not-use-the-determination-of-25oh-vitamin-d-25oh-d-as-a-routine-or-screening-test-to-determine-the-status-of-hypovitaminosis-without-a-specific-clinical-indication\/","title":{"rendered":"Do not use the determination of 25OH vitamin D (25OH-D) as a routine or screening test to determine the status of hypovitaminosis without a specific clinical indication."},"content":{"rendered":"<p>According to documents produced by international and national regulatory bodies the measurement of 25OH-D should be reserved for:<br \/>\n&#8211; a small number of patients with persistent symptoms of profound asthenia, myalgias, diffuse or localised bone pain suspicious for osteomalacia or with predisposition to unmotivated falls (NHS 2018, NIH 2022);<br \/>\n&#8211; patients with established bone pathology such as osteoporosis, osteomalacia, Paget&#8217;s disease, osteogenesis imperfecta candidates for remineralisation therapy, patients in whom malabsorption is suspected, patients chronically taking drugs interfering with vitamin D metabolism, patients with elevated parathormone.<\/p>\n","protected":false},"featured_media":3022,"template":"","meta":{"_edit_lock":["1744899456:2"],"_edit_last":["2"],"_wpml_media_duplicate":["0"],"_wpml_media_featured":["0"],"_yst_prominent_words_version":["1"],"_thumbnail_id":["3022"],"_wpml_word_count":["{\"total\":297,\"to_translate\":{\"it\":297}}"],"_yoast_wpseo_primary_eta":[""],"_yoast_wpseo_primary_disciplina":["124"],"_yoast_wpseo_primary_tipologia":[""],"wpcf-pacchetto":["SIPMeL #2"],"wpcf-bibliografia":["1. US Preventive Services Task Force; Krist AH, Davidson KW, Mangione CM, et al. Screening for vitamin D deficiency in adults: US Preventive Services Task Force Recommendation Statement. JAMA 2021;325:1436-42. DOI: 10.1001\/jama.2021.3069.\r\n2. NHS Prevention, Investigation and Treatment of Vitamin D Deficiency and Insufficiency in Adults.  2022: 1-8. https:\/\/surreyccg.res-systems.net\/ PADFormularyV1\/Content\/Documents\/2\/Vit_D_guidelines_22v1.3.pdf (last accessed March 2024).\r\n3. LeBoff MS, Chou SH, Ratliff KA, et al. Supplemental Vitamin D and incident fractures in midlife and older adults. N Engl J Med 2022;387:299-309. DOI: 10.1056\/NEJMoa2202106. \r\n4. Manson JE, Brannon PM, Rosen CJ, et al. Vitamin D deficiency - is there really a pandemic? N Engl J Med 2016;375:1817-20. DOI: 10.1056\/NEJMp1608005. \r\n5. AIFA. Nota 96 per la prescrizione di farmaci a base di vitamina D 2023 https:\/\/www.aifa.gov.it\/documents\/20142\/1728113\/nota-96.pdf (last accessed March 2024)."],"wpcf-posizione-prof":["5"],"wpcf-collegare":["N"],"wpcf-link-intercheck-prof":["N"],"wpcf-area-ordinamento":["Laboratory Medicine"],"_yoast_wpseo_content_score":["90"],"_yoast_wpseo_focuskeywords":["[]"],"_yoast_wpseo_keywordsynonyms":["[\"\"]"],"_wpml_location_migration_done":["1"],"_layouts_template":["layout-for-raccomandazioni-professionista"],"_wp_page_template":["default"],"cmplz_hide_cookiebanner":[""],"wpcf-parole-chiave-prof":[""],"wpcf-pdfpdf-prosfessionista":["https:\/\/choosingwiselyitaly.org\/wp-content\/uploads\/2018\/10\/Scheda-SIPMeL-gruppo-endocrinologia-2024-english-ok-2.pdf"],"_wpv_contains_gutenberg_views":[""],"_wp_old_slug":["do-not-perform-population-screening-for-25oh-vitamin-d-deficiency"],"_et_dynamic_cached_shortcodes":["a:4:{i:0;s:13:\"et_pb_section\";i:1;s:9:\"et_pb_row\";i:2;s:12:\"et_pb_column\";i:50;s:10:\"et_pb_text\";}"],"_et_dynamic_cached_attributes":["a:0:{}"],"et_enqueued_post_fonts":["a:3:{s:6:\"family\";a:1:{s:15:\"et-gf-work-sans\";s:136:\"Work+Sans:100,200,300,regular,500,600,700,800,900,100italic,200italic,300italic,italic,500italic,600italic,700italic,800italic,900italic\";}s:6:\"subset\";a:2:{i:0;s:5:\"latin\";i:1;s:9:\"latin-ext\";}s:9:\"cache_key\";s:75:\"{\"gph\":-1,\"divi\":\"4.27.6\",\"wp\":\"6.8.5\",\"enable_all_character_sets\":\"false\"}\";}"]},"eta":[{"term_id":96,"name":"Adult","slug":"adult","term_group":0,"term_taxonomy_id":96,"taxonomy":"eta","description":"","parent":0,"count":272,"filter":"raw"},{"term_id":97,"name":"Geriatric","slug":"geriatric","term_group":0,"term_taxonomy_id":97,"taxonomy":"eta","description":"","parent":0,"count":242,"filter":"raw"},{"term_id":95,"name":"Pediatric","slug":"pediatric","term_group":0,"term_taxonomy_id":95,"taxonomy":"eta","description":"","parent":0,"count":172,"filter":"raw"}],"disciplina":[124],"tipologia":"Laboratory tests","class_list":["post-2916","raccomandazione-prof","type-raccomandazione-prof","status-publish","has-post-thumbnail","hentry","eta-adult","eta-geriatric","eta-pediatric","disciplina-laboratory-medicine","tipologia-laboratory-tests"],"_links":{"self":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/raccomandazione-prof\/2916","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/raccomandazione-prof"}],"about":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/types\/raccomandazione-prof"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/media\/3022"}],"wp:attachment":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/media?parent=2916"}],"wp:term":[{"taxonomy":"eta","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/eta?post=2916"},{"taxonomy":"disciplina","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/disciplina?post=2916"},{"taxonomy":"tipologia","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/tipologia?post=2916"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}