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P49 An audit of baseline vitamin D level tests for newly diagnosed paediatric haematology/oncology patients against trust guidelines

Title: P49 An audit of baseline vitamin D level tests for newly diagnosed paediatric haematology/oncology patients against trust guidelines
Authors: Samrin-Balch, Lamia; Mahmood, Salma
Publisher Information: BMJ Publishing Group Ltd
Publication Year: 2020
Collection: HighWire Press (Stanford University)
Subject Terms: Sutton Coldfield; UK
Description: Aim 100% of patients should have their vitamin D levels checked at diagnosis’ as stated in the current trust guideline for the management of vitamin D deficiency Treatment and Prevention. 100% of patients who had a baseline vitamin D level had these acted upon if necessary following the recommendations in the trust guideline. All of the patients who were given treatment had been prescribed were given an appropriate dose as stated in the trust guideline. These standards are supported by the recommendations in 2016 by Public Health England (PHE) that everyone (regardless of age and ethnicity) needs vitamin D equivalent to an average daily intake of 10 micrograms via supplementation.2 3 Method This retrospective audit was conducted using internal clinical and prescribing programmes to access patient records and medical histories to retrieve data. The inclusion criteria for patients included in this audit were all new diagnoses of malignant haematological and oncological disease over a 6 month period, from April 2018-October 2018. The data collected for these patients were: if they had been tested for Vitamin D, the date of the test and their level of total vitamin D level Serum total 25-hydroxyvitamin D concentration. Patient data from the electronic prescribing system was utilised to check if patients had been prescribed vitamin D. Once data completed, patients with vitamin D levels, assessed against trust guidelines to determine if appropriately treated. Results A total of 78 patients met the inclusion criteria, where 56% of patients were tested for vitamin D during admission. Of the 78 patient, 43 were oncology patients and 33 haematology patients.In the oncology cohort (n=15) only 35% were tested whereas 83% of haematology patients (n=28) were tested. Of the haematology cohort of patients who were tested (83%): 69% had sufficient levels of vitamin D (serum total 25-hydroxyvitamin D concentration >50 nmol/L); 11% had insufficient levels (25–50 nmol/L) and 3% were deficient ...
Document Type: text
File Description: text/html
Language: English
Relation: http://adc.bmj.com/cgi/content/short/105/9/e32-a; http://dx.doi.org/10.1136/archdischild-2020-NPPG.58
DOI: 10.1136/archdischild-2020-NPPG.58
Availability: http://adc.bmj.com/cgi/content/short/105/9/e32-a; https://doi.org/10.1136/archdischild-2020-NPPG.58
Rights: Copyright (C) 2020, BMJ Publishing Group Ltd
Accession Number: edsbas.56DC423B
Database: BASE