Vitamin D Screening in Crohn's Disease: a current practice survey

Method

A web-based survey was distributed via email by the BSG communications team to members of the IBD section (n=985). Results: Respondents n=64,, 83% thought that vitamin D levels should be checked routinely in patients with CD. Screening practice: most often annually and in those with small bowel CD (55%) or a history of previous surgery related to CD (56%).

Treatments: Increased sunlight exposure (mean = 21, SD = 15 +215) and dietary advice (mean = 22, SD = 14 +196) were most often recommended for those with mild/moderate deficiency. Oral supplementation (mean = 14,SD = 13 +167) was most often recommended for those with moderate/severe deficiency. Factors most likely to influence practice: better clinical evidence (n = 25), clear guidance (n= 23), patient request( n = 23).

Conclusion: There continues to be a need for well conducted RCTs, in patients with identified vitamin D deficiency, to inform clinical practice and national guidance.