Evidence map›Paper›PMID 25939935›Full record

ArticleMayo Clinic proceedings2015

Changing Incidence of Serum 25-Hydroxyvitamin D Values Above 50 ng/mL: A 10-Year Population-Based Study.

Daniel V Dudenkov, Barbara P Yawn, Sara S Oberhelman, Philip R Fischer, Ravinder J Singh, Stephen S Cha, Julie A Maxson, Stephanie M Quigg, Tom D Thacher

Abstract read
In one paragraph

Article in Mayo Clinic proceedings, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Guideline
  6. Trial
  7. Article
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  11. Effective counseling for children's bone health.Journal of the Pediatric Orthopaedic Society of North America · 2024
    Article
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  13. Article
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  15. The clinician's guide to prevention and treatment of osteoporosis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Article
  16. Hypervitaminosis D and nephrocalcinosis: too much of a good thing?Pediatric nephrology (Berlin, Germany) · 2022
    Article
  17. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Daniel V DudenkovDepartment of Internal Medicine, Mayo Clinic, Rochester, MN. Electronic address: dudenkov.daniel@mayo.edu.
Barbara P YawnOlmsted Medical Center, Rochester, MN.
Sara S OberhelmanDepartment of Family Medicine, Mayo Clinic, Rochester, MN.
Philip R FischerDepartment of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN.
Ravinder J SinghDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
Stephen S ChaDepartment of Health Science Research, Mayo Clinic, Rochester, MN.
Julie A MaxsonDepartment of Family Medicine, Mayo Clinic, Rochester, MN.
Stephanie M QuiggDepartment of Family Medicine, Mayo Clinic, Rochester, MN.
Tom D ThacherDepartment of Family Medicine, Mayo Clinic, Rochester, MN.

Funding

Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
Rochester Epidemiology ProjectR01AG034676 · NIA · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A, ST SAUVER, JENNIFER LYNN · 2010 to 2019
$9.5M
NCATS NIH HHS UL1 TR000135NIA NIH HHS R01 AG034676NIA NIH HHS R01-AG034676
6 · The paper itself

Abstract

objectiveTo determine the incidence trend of 25-hydroxyvitamin D (25(OH)D) values above 50 ng/mL and associated toxicity. PATIENTS AND

methodsWe conducted a retrospective population-based study in Olmsted County, Minnesota, in the 10-year period from January 1, 2002, through December 31, 2011, by using the Rochester Epidemiology Project. Individuals were eligible if they resided in Olmsted County during the study period and had a measured 25(OH)D value above 50 ng/mL. The date of the first 25(OH)D value above 50 ng/mL was considered the index date for incidence determination. Hypercalcemia, the primary vitamin D toxicity, was considered potentially associated with the 25(OH)D concentration if it was measured within 3 months of the 25(OH)D measurement, and such cases had a medical record review.

resultsOf 20,308 total 25(OH)D measurements, 1714 (8.4%), 123 (0.6%), and 37 (0.2%) unique persons had 25(OH)D values above 50, 80 and above, and 100 ng/mL and above, respectively. The age- and sex-adjusted incidence of 25(OH)D values above 50 ng/mL increased from 9 to 233 cases per 100,000 person-years from 2002 to 2011 (P<.001), respectively, and was greatest in persons aged 65 years and older (P<.001) and in women (P<.001). Serum 25(OH)D values were not significantly related to serum calcium values (P=.20) or with the risk of hypercalcemia (P=.24). A medical record review identified 4 cases (0.2%) in whom 25(OH)D values above 50 ng/mL were temporally associated with hypercalcemia, but only 1 case had clinical toxicity associated with the highest observed 25(OH)D value of 364 ng/mL.

conclusionThe incidence of 25(OH)D values above 50 ng/mL increased significantly between 2002 and 2011 without a corresponding increase in acute clinical toxicity.

Indexed as

AdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleHumansHypercalcemiaIncidenceInfantMaleMiddle AgedRetrospective StudiesTime FactorsVitamin D25-hydroxyvitamin DVitamin D

Identifiers

PMID25939935
PMCPMC4437692

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.