Sheth Binoti, Akil Prabhakar S, Pawar Pankaj, Ganwir Himanshu, Panchal Sameer, Jain Akash
Department of Orthopaedics, Lokmanya Tilak Municipal Medical College and Hospital, 1st floor College Building, LTMC Hospital, Dr Babasaheb Ambedkar Rd, RB2 Central Railway Quarters, Sion West, Sion, Mumbai, Maharashtra, 400022, India.
Department of Orthopaedics, KEM Hospital, 6th floor Department of Orthopaedics, MS Building, Acharya Donde Marg, Parel East, Parel, Mumbai, Maharashtra, 400012, India.
J Clin Orthop Trauma. 2021 Feb 24;16:292-298. doi: 10.1016/j.jcot.2021.02.015. eCollection 2021 May.
Orthopaedic surgeons prefer calcium supplement for various pathologies like fracture, osteoporosis, chronic musculoskeletal pain, yet there is no proper evidence to support the benefits of taking them regularly. The average requirement for calcium is around 500-1000 mg/day for a healthy adult, this amount of calcium is not achieved by diet, especially in developing countries like India. Despite this, the serum calcium level remains unaltered, due to the well-controlled absorption and excretion of calcium by the human body. As there is no clarity over the dose, duration and the prefered calcium salts, we constructed a survey to find the preferred dose, duration, the preferred calcium salts among orthopaedic surgeons, and to give an in-depth review of literature about dose, duration, timing, preferred calcium salt and various other calcium-related queries.
The survey included 15 pre-structured questionnaires; these questions were formatted and validated by senior surgeons and other specialists after a through a review of calcium-related literature. These questionnaires were used in a pilot study conducted within the department and were later modified and separated into 7 sections. Data were collected by both online survey (google forms) and direct interviews.
128 Orthopedic surgeons responded. The total number of response obtained was 2355. Unanswered questions were 152. From the survey, it was found that most orthopaedic surgeons prefer to prescribe calcium routinely (55.46%). The commonly used calcium salt was calcium carbonate (47.65%), followed by citrate (32.8%). 42.18% were not aware of the efficiency of prescribing calcium in divided doses. Most responded that calcium is not to be given for patients with renal stones, but literature shows that calcium prescribed reduces the recurrence of commonest kidney stones, calcium oxalate stones.
骨科医生倾向于为骨折、骨质疏松症、慢性肌肉骨骼疼痛等各种病症开具补钙药物，但尚无充分证据支持定期服用钙剂的益处。健康成年人的钙平均需求量约为每日500 - 1000毫克，而通过饮食无法达到这个钙量，尤其是在印度等发展中国家。尽管如此，由于人体对钙的吸收和排泄得到良好控制，血清钙水平仍保持不变。由于钙剂的剂量、疗程以及首选钙盐尚无明确结论，我们开展了一项调查，以了解骨科医生对钙剂的首选剂量、疗程、首选钙盐，并对关于剂量、疗程、服用时间、首选钙盐以及其他各种与钙相关问题的文献进行深入综述。
该调查包括15份预先设计好的问卷；这些问题经资深外科医生和其他专家在全面回顾钙相关文献后进行了格式编排和验证。这些问卷在科室内部进行的一项试点研究中使用，随后进行了修改并分为7个部分。数据通过在线调查（谷歌表单）和直接访谈收集。
128名骨科医生做出了回应。获得的回应总数为2355份。未回答的问题有152个。从调查中发现，大多数骨科医生倾向于常规开具钙剂（55.46%）。常用的钙盐是碳酸钙（47.65%），其次是柠檬酸盐（32.8%）。42.18%的人不知道分剂量开具钙剂的有效性。大多数人认为肾结石患者不应服用钙剂，但文献表明，开具的钙剂可降低最常见的肾结石——草酸钙结石的复发率。
