USPSTF Draft Recommendation: Routine Screening for Vitamin D Deficiency — Physician’s First Watch
USPSTF Draft Recommendation: Routine Screening for Vitamin D Deficiency
By Kristin J. Kelley
Evidence is insufficient to weigh the benefits and harms of screening healthy, nonpregnant adults for vitamin D deficiency in primary care settings, the U.S. Preventive Services Task Force stated on Monday in a draft recommendation.
The task force examined randomized, controlled trials and systematic reviews to evaluate the benefits and harms of vitamin D screening and early treatment (none of the trials directly assessed either). No association was found between treatment with oral vitamin D (with or without calcium) and decreased fracture risk, and the effects of treatment on the risk for falls were inconsistent. Three studies found a mortality risk reduction with supplementation, but only in older, institutionalized patients. The reporting of adverse events with vitamin D treatment was generally "suboptimal."
The USPSTF notes there is uncertainty about what levels of vitamin D would be best to improve health. Moreover, at this time, no national primary care organization recommends routine screening for vitamin D deficiency.