Purohit Shaligram, Srivastava Sudhir, Shankarkumar Aruna, Raj Aditya, Dalal Bhavik, Marathe Nandan, Shende Chetan
Department of Orthopedics, MS (ORTHO), 6th Floor, Multistorey Building, Seth G.S Medical College and King Edward Memorial Hospital, Parel, Mumbai, 400012 India.
ICMR, King Edward Memorial Hospital, Parel, Mumbai, 400012 India.
Indian J Orthop. 2020 May 14;54(Suppl 1):183-187. doi: 10.1007/s43465-020-00134-2. eCollection 2020 Sep.
Vitamin D deficiency is a widely prevalent condition with patients in both symptomatic and asymptomatic spectrum. With the lack of routine screening there exists an unknown population of Indian Orthopaedic surgeons who are deficient in Vitamin D and lead to an unexplained loss of quality of work and increased susceptibility to various other diseases. The easiest access to resources for supplementation is available to this group of treating physicians however its use for their personal cure is rarely recognised. This study aims to highlight this endemic disease and to find out its correlation with other parameters.
It is a prospective observational study including 150 practicing orthopaedic surgeons from entire India who visited our centre during 3 months duration for various educational meetings. Venous sample was collected after due informed consent and analysed at a single laboratory for 25-OH Cholecalciferol levels by a chemiluminescent assay. All the samples were analysed and a questionnaire was sent to the participants via google forms regarding various parameters under study.
The mean serum Vitamin D levels were 18.6 ± 9.67 ng/ml in the sample studied. 17 out of 150 participants (11.3%) were found to have sufficient serum levels of 25(OH) Cholecalciferol. 105 participants (70%) were having deficient levels and 28 (18.7%) had insufficient levels of Vitamin D. Overall 88.7% participants had Vitamin D deficiency among the sample studied.
This widespread prevalence of Vitamin D deficiency warrants frequent screening and routine supplementation of Vitamin D in orthopaedic surgeons thereby providing a low cost solution to improve the troublesome situation among healthcare providers.
维生素D缺乏是一种广泛存在的情况，患者涵盖有症状和无症状范围。由于缺乏常规筛查，印度骨科医生中存在一群维生素D缺乏的人，他们的工作质量莫名下降，且易患各种其他疾病。然而，这群治疗医生最容易获得补充资源，但其用于自身治疗的情况却很少被认可。本研究旨在突出这种地方病，并找出其与其他参数的相关性。
这是一项前瞻性观察性研究，纳入了来自印度各地的150名执业骨科医生，他们在3个月内到我们中心参加各种学术会议。在获得充分知情同意后采集静脉样本，并在单一实验室通过化学发光法分析25-羟基胆钙化醇水平。对所有样本进行分析，并通过谷歌表单向参与者发送一份关于所研究各种参数的问卷。
在所研究的样本中，血清维生素D平均水平为18.6±9.67 ng/ml。150名参与者中有17名（11.3%）血清25(OH)胆钙化醇水平充足。105名参与者（70%）维生素D水平不足，28名（18.7%）维生素D水平缺乏。在所研究的样本中，总体88.7%的参与者存在维生素D缺乏。
维生素D缺乏的广泛流行促使对骨科医生进行频繁筛查和常规补充维生素D，从而提供一种低成本解决方案，以改善医疗服务提供者中这种棘手的状况。
