- Preoperative Vitamin D Supplementation is a Cost-Effective Intervention in Arthroscopic Rotator Cuff Repair
- 5+ VitaminDWiki pages having ROTATOR CUFF in title
25 Items in both categories: "Cost savings with Vitamin D" and "Trauma & Surgery" - VitaminDWiki – Trauma and surgery category contains
- Cost savings with Vitamin D contains
38 Items in both categories: "Loading Dose" and "Trauma & Surgery" - Loading doses should be completed 3+ days before any surgery
Preoperative Vitamin D Supplementation is a Cost-Effective Intervention in Arthroscopic Rotator Cuff Repair
J Shoulder Elbow Surg. 2023 Jun 10 doi: 10.1016/j.jse.2023.05.007 $28 PDF
Dhiraj Patel 1, Gregory Roy 2, Nathan Endres 2, Chason Ziino 2Background: This study investigates the potential role of preoperative 25(OH)D supplementation as a cost-effective strategy to decrease revision rotator cuff repair (RCR) rates and lower the total healthcare burden from patients undergoing primary arthroscopic RCR. Previous literature has emphasized the importance of vitamin D on bone health maintenance, soft tissue healing, and outcomes in RCR. Inadequate preoperative vitamin D levels may increase revision RCR rates following primary arthroscopic RCR. Although 25(OH)D deficiency is common in RCR patients, serum screening is not routinely performed.
Methods: A cost-estimation model was developed to determine the cost-effectiveness of both preoperative selective and nonselective 25(OH)D supplementation in RCR patients in order to reduce revision RCR rates. Prevalence and surgical cost data was obtained from published literature through systematic reviews. Cost of serum 25(OH)D assay and supplementation were obtained from public-use data. Mean, lower and upper bounds of one year cost-savings were calculated for both the selective and nonselective supplementation scenarios.
Results: Preoperative 25(OH)D screening and subsequent selective 25(OH)D supplementation was calculated to result in a mean cost-savings of $6,099,341 (range: $-2,993,000 - $15,191,683) per 250,000 primary arthroscopic RCR cases.
$24 per procedure (just those who were deficient)
Nonselective 25(OH)D supplementation of all arthroscopic RCR patients was calculated to result in a mean cost-savings of $11,584,742 (range: $2,492,401 - $20,677,085) per 250,000 primary arthroscopic RCR cases. Univariate adjustment projects that selective supplementation is a cost-effective strategy in clinical contexts where the cost of revision RCR exceeds $14,824.69 and prevalence of 25(OH)D deficiency exceeds 6.67%. Additionally, nonselective supplementation is a cost-effective strategy in clinical scenarios where revision RCR cost ≥ $4,216.06 and prevalence of 25(OH)D deficiency ≥ 1.93%.
$46 per procedure (Vitamin D given to everyone, no testing)
Conclusions: This cost-predictive model promotes the role of preoperative 25(OH)D supplementation as a cost-effective mechanism to reduce revision RCR rates and lower the overall healthcare burden from arthroscopic RCR. Nonselective supplementation appears to be more cost-effective than selective supplementation, likely due to the lower cost of 25(OH)D supplementation compared to serum assays.
The reduced pain and returning to work/life sooner is probably worth much more than $46
5+ VitaminDWiki pages having ROTATOR CUFF in title
This list is automatically updated
Items found: 6Note
A friend was going to have rotator cuff surgery in 2013
I suggested that he get a Vitamin D loading dose before his surgery - which he did
His doctor reported that the subsequent surgery had the fastest recovery he had ever seen.
25 Items in both categories: "Cost savings with Vitamin D" and "Trauma & Surgery" - 400,000 IU of Vitamin D before surgery should cost-effectively reduce infection after knee replacement – May 2020
- Rotator Cuff repair using Vitamin D lowers medical cost by 46 dollars – June 2023
- Vitamin D is needed before most surgeries – many studies and RCTs
- 10 fewer days of ICU Mechanical Ventilation 300,000 IU injection of vitamin D – RCT March 2019
- Heart attack ICU costs cut in half by Vitamin D – Oct 2018
- Trauma with fracture – 2 weeks longer hospital stay if less than 10 ng vitamin D – Jan 2018
- ICU cost reduced by at least 27,000 dollars if get high dose vitamin D in first week - April 2017
- Vitamin D and Glutamine reduced Trauma Center deaths by half – Matthews March 2017
- Chance of dying in hospital cut in half by just 10 ng higher level of Vitamin D – April 2016
- Hospital ICU added high dose vitamin D - malpractice lawsuit costs dropped from 26 million dollars to ZERO - Oct 2016
- 18 fewer hospital days if given 500,000 IU of vitamin D while ventilated in ICU – RCT June 2016
- ICU death rate reduced 3X when a vitamin D injection changed the PTH – Nov 2015
- Children stayed in ICU 3.5 days longer if low vitamin D – Dec 2015
- Heart Attack ICU costs reduced $37,000 by $20 of Vitamin D – Nov 2015
- Surgical outcomes are better for higher levels of Vitamin D – systematic review May 2015
- Shorter time in ICU if have higher level of vitamin D – April 2012
- Spinal fusion patients often low on vitamin D - Nov 2011
- Staph infection reduced 50 percent when have more than 30 ng of vitamin D – Aug 2011
- Sepsis is both prevented and treated by Vitamin D - many studies
- MRSA inpatient cost 2X higher if less than 20 ng vitamin D – June 2011
- 540000 IU before ICU raised vitamin D by 25 ng in 2 days – March 2011
- ICU time is 2X more likely to be longer than 2 days if vitamin D less than 20 ng – Mar 2011
- Virtually all veterans in ICU had vitamin D less than 32 ng – Jan 2011
- Patients low on vitamin D stay in hospital longer after thyroid removal – Dec 2010
- HMOs will save millions of dollars with vitamin D
Vitamin D is needed before most surgeries – many studies and RCTs
VitaminDWiki – Trauma and surgery category contains
Trauma and Surgery category has352 articles Large dose Vitamin D before surgery was found to help by 35 studies
Vitamin D is needed before most surgeries – many studies and RCTs
4.8 X more likely to die within 28 days of ICU if low Vitamin D - Jan 2024
Sepsis is both prevented and treated by Vitamin D - many studies
Thyroidectomy and Vitamin D - many studies
Orthopaedic surgeries need Vitamin D – many studies
Cancer - After diagnosis chemotherapy
TBI OR "Traumatic Brain Injury - 21 in title as of Sept 2022
Superbug (Clostridium difficile) Infections strongly associated with low vitamin D - many studies
Glutamine and Omega-3 have also been proven to help several traumas/surgeries
Note: Vitamin D also prevents the need for various surgeries and Omega-3 prevents many concussions/TBI
Trauma and Surgery is associated with 22 other VitaminDWiki categories
Such as loading dose 33, Mortality 23, Infant-Child 21 Intervention 19 Cardiovascular 13, Injection 13 in Sept 2022
Cost savings with Vitamin D contains
158 items include: - Vitamin D has been found to be cost-effective by many studies
- Estimated cost savings of getting most Canadians to 40 ng of Vitamin D - 2016
- Severe asthmatics willing to pay 5180 dollars for relief, Vitamin D needed costs only 45 dollars – Sept 2023
- People with extremely low vitamin D levels consume 2X more health care dollars – 2018
- Reduce 4 health problems by a quarter if increase Vitamin D to 30 ng – Saudi Arabia, Grant March 2023
- The top 10 medical expenses can all be decreased by vitamin D
- VA showed increased vitamin D associated with lower health costs - Lancet May 2012
- Diabetes prevented by 50,000 IU vitamin D monthly (Iran) – Jan 2022
- People with extremely low vitamin D levels consume 2X more health care dollars – 2018
- Giving free vitamin D to every Iranian would pay for itself by just reducing CVD – Oct 2021
- Heart attack ICU costs cut in half by Vitamin D – Oct 2018
- Medical problems are thought to be a cause of 66 percent of bankruptcies – April 2019
- Vitamin D is the 3rd most important contributor to health, following exercise and food
- 10 fewer days of ICU Mechanical Ventilation 300,000 IU injection of vitamin D – RCT March 2019
- Employers gain 10 dollars in productivity for every dollar spent on giving Vitamin D for free
- Employers should give night shift workers free vitamin D – GMB Union June 2019
- Biology of Vitamin D – 30ng min., 50ng preferred, 1000X lower cost than health problem – Feb 2019
- Dutch Vitamin D cost-effectivity Calculations (they prescribe 100,000 IU for Multiple Sclerosis) – Jan 2022
- Vitamin D is needed before most surgeries – many studies and RCTs
- 10 fewer days of ICU Mechanical Ventilation 300,000 IU injection of vitamin D – RCT March 2019
- ICU cost reduced by at least 27,000 dollars if get high dose vitamin D in first week - April 2017
- If you cannot readily get medical treatment, consider Alternative Med such as vitamin D
38 Items in both categories: "Loading Dose" and "Trauma & Surgery" - Surgery complications cut in half by 300,000 IU of vitamin D 2 weeks before (hip and knee) – RCT May 2024
- Some ICU patients got 540,000 IU of Vitamin D: good responders lived longer than controls or poor responders – RCT June 2024
- Large dose Vitamin D before surgery was found to help by 35 studies
- Vitamin D is needed before most surgeries – many studies and RCTs
- Half as much AFIB after bypass if 600,000 IU of vitamin D before surgery – RCT April 2022
- ICU mortality reduced by non-oral vitamin D – meta-analysis May 2021
- Taking Vitamin D just before and after surgery helps (open-heart in this case) – RCT Feb 2021
- Half as many problems if take Vitamin D (300,000 IU) before thyroidectomy – RCT Jan 2021
- Fewer days in hospital if 300,000 IU of vitamin D before brain surgery - RCT Feb 2021
- ICU Vitamin D injection (300,000 IU) helped - RCT Feb 2021
- Those getting an injection of 300,000 IU Vitamin D got out of the ICU a week sooner – RCT Dec 2020
- ICU patients greatly helped by Vitamin D loading doses – if gut-friendly – Oct 2020
- Fewer days in ICU after 300,000 IU of vitamin D, but not 540,000 – meta-analysis Aug 2020
- 3X less Septic Shock in children with sepsis getting 150,000 IU of Vitamin D - RCT June 2020
- 100,000 IU daily of Vitamin D for 5 days increased Hemoglobin in Mechanically Ventilated adults – RCT Jan 2018
- Traumatic Brain Injury – 120,000 IU of Vitamin D resulted in 3 fewer days on ventilators – RCT March 2020
- Hip surgery with multiple doses of 50,000 IU of vitamin D weekly both before and after – RCT 2023
- Use of Vitamin D in a trauma surgery - Dr. Matthews on Facebook – Jan 2020
- Surgeries often deplete Vitamin D - 300,000 IU resulted in little response – Nov 2018
- 10 fewer days of ICU Mechanical Ventilation 300,000 IU injection of vitamin D – RCT March 2019
- Intensive Care (ICU) helped by Vitamin D – review of past and on-going studies – Dec 2018
- ICU adults getting 540,000 IU of Vitamin D were 2X more likely to be alive 30 days later – RCT June 2019
- Traumatic Brain Injury recovery helped by injection of 100,000 IU of Vitamin D – March 2019
- Rapidly restore Vitamin D levels with 10,000 IU per kg for children in ICU – RCT 2024
- Esophageal Cancer surgery helped by 300,000 IU of Vitamin D – RCT Sept 2018
- Severe sepsis may be prevented by 400,000 IU of vitamin D – RCT 2023
- Critically ill children – randomized clinical trial to give single doses of up to 400,000 IU of vitamin D – 2019
- Vitamin D loading doses reduce ICU mortality by 30 percent – meta-analysis April 2017
- Hospital ICU added high dose vitamin D - malpractice lawsuit costs dropped from 26 million dollars to ZERO - Oct 2016
- Children in Intensive Care need Vitamin D loading dose of 10000 IU per kg (nearing a consensus) - Oct 2016
- Vitamin D Loading dose - 20,000 IU daily is not enough if obese, etc. (Cancer) great table and chart – Oct 2016
- Rapid Normalization of Vitamin D in Critically Ill Children (10,000 IU per kg) – clinical trial
- VITdAL-ICU - AMA RCT Sept 2014
- Critically ill need vitamin D – how much and which test to use is TBD – Nov 2014
- ICU survival increased with vitamin D single 540K IU loading dose - JAMA Sept 2014
- 540000 IU before ICU raised vitamin D by 25 ng in 2 days – March 2011
- Hip surgery followed by 100000 IU then 1000 IU of vitamin D daily – June 2010
- 600,000 IU intramuscular D3 helped BMD after pancreatic surgery – June 2010
Loading doses should be completed 3+ days before any surgery
Total loading doses range from 100,000 IU to 400,000 IU for average adult
The dose size given in this study is behind a $$ paywall
Smaller dose if younger, Larger dose if overweight/obese
Doctors recommend loading spanning from a single session to several weeks
Much faster: Nanoemulsion Vitamin D swished in mouth - 2 hours to get to the blood
Much slower and expensive: Injection)) - 10 days to get from muscle to bloodstream
Note: Surgeries can drop the vitamin D levels by halfRotator Cuff repair using Vitamin D lowers medical cost by 46 dollars – June 2023Printer Friendly Follow this page for updates2437 visitors, last modified 26 Oct, 2023, This page is in the following categories (# of items in each category)