| アブストラクト | Vitamin D has attracted considerable interest in recent years, with a marked increase in diagnosis of vitamin D deficiency seen among children in clinical practice in the UK. The economic implications of this change in diagnostic behaviour have not been explored. We performed a cohort study to examine longitudinal trends in healthcare expenditure arising from vitamin D testing and prescribing for children in primary care in England, using the electronic healthcare records of 722,525 children aged 0-17 years held in The Health Improvement Network database. Combined costs of vitamin D tests and prescriptions increased from pound1647 per 100,000 person-years in 2008 (95% CI, pound934 to pound3007) to pound28,913 per 100,000 person-years in 2014 (95% CI, pound26,361 to pound31,739). The total cost of vitamin D prescriptions and tests for children in primary care at the national level in England in 2014 was estimated to be pound4.31 million (95% CI, pound2.96- pound6.48 million). CONCLUSION: There has been a marked increase in healthcare expenditure on vitamin D tests and prescriptions for children in primary care over the past decade. Future research should explore the drivers for this change in diagnostic behaviour and the reasons prompting investigation of vitamin D status in clinical practice. What is Known: * Vitamin D deficiency has attracted considerable interest in recent years, with a marked increase in diagnosis seen in children. * The economic implications of this change in diagnostic behaviour have not been explored. What is New: * There has been a large increase in healthcare expenditure on vitamin D tests and prescriptions for children in primary care in England over the past decade (> 15 fold between 2008 and 2013). * Screening of vitamin D status in children without specific risk factors or clinical features of deficiency may represent avoidable healthcare expenditure. |
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| ジャーナル名 | European journal of pediatrics |
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| Pubmed追加日 | 2017/8/15 |
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| 投稿者 | Basatemur, Emre; Hunter, Rachael; Horsfall, Laura; Sutcliffe, Alastair; Rait, Greta |
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| 組織名 | Population, Policy and Practice Programme, UCL Institute of Child Health, 30;Guilford Street, London, WC1N 1EH, UK. emre.basatemur@ucl.ac.uk.;Research Department of Primary Care and Population Health, University College;London (Royal Free Campus), London, UK.;Guilford Street, London, WC1N 1EH, UK. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/28803270/ |
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