French law: what about a reasoned reimbursement of serum vitamin D assays?

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TitreFrench law: what about a reasoned reimbursement of serum vitamin D assays?
Type de publicationJournal Article
Year of Publication2016
AuteursSouberbielle J-C, Benhamou CLaurent, Cortet B, Rousiere M, Roux C, Abitbol V, Annweiler C, Audran M, Bacchetta J, Bataille P, Beauchet O, Bardet R, Benachi A, Berenbaum F, Blain H, Borson-Chazot F, Breuil V, Briot K, Brunet P, Carel J-C, Caron P, Chabre O, Chanson P, Chapurlat R, Cochat P, Coutant R, Christin-Maitre S, Cohen-Solal M, Combe C, Cormier C, Courbebaisse M, Debrus G, Delemer B, Deschenes G, Duquenne M, Duval G, Fardellone P, Fouque D, Friedlander G, Gauvain J-B, Groussin L, Guggenbuhl P, Houillier P, Hannedouche T, Jacot W, Javier R-M, Jean G, Jeandel C, Joly D, Kamenicky P, Knebelmann B, Lafage-Proust M-H, Le Bouc Y, Legrand E, Levy-Wei F, Linglart A, Machet L, Maheu E, Mallet E, Marcelli C, Mares P, Mariat C, Maruani G, Maugars Y, Montagnon F, Moulin B, Orcel P, Partouche H, Personne V, Pierrot-Deseilligny C, Polak M, Pouteil-Noble C, Prie D, Raynaud-Simon A, Rolland Y, Sadoul J-Louis, Salle B, Sault C, Schott A-Marie, Sermet-Gaudelus I, Soubrier M, Tack I, Thervet E, Tostivint I, Touraine P, Tremollieres F, Urena-Torres P, Viard J-P, Wemeau J-L, Weryha G, Winer N, Young J, Thomas T
JournalGERIATRIE ET PSYCHOLOGIE NEUROPSYCHIATRIE DE VIEILLISSEMENT
Volume14
Pagination377-382
Date PublishedDEC
Type of ArticleReview
ISSN2115-8789
Mots-clésAssay, calcium phosphorus evaluation, Chronic kidney disease, Clinical practice, France, osteomalacia, Osteoporosis, Recommendation, Reimbursement, rickets, Vitamin D
Résumé

The number of serum 25-hydroxyvitamin D (25OHD) assays has increased tenfold in France in less than 10 years, sometimes for invalidated reasons. In 2013, the French National Authority for Health (Haute autorite de sante, or HAS) limited the indications for serum 25OHD measurements to rickets/osteomalacia, older adults with recurrent falls, monitoring of kidney transplant in adults, and surgical treatment of obesity in adults. Our aim here was to note that other indications for serum 25OHD measurements are supported by previous literature and by a number of national and international recommendations, in particular the following: any situation of bone fragility, any chronic renal failure <45 mL/min/1.73m(2), any situation of malabsorption, clinical signs consistent with vitamin D deficiency or vitamin D overload, and calcium phosphorus evaluation. We suggest that the measurement of serum 25OHD concentration should remain reimbursed as part of these extended indications.
DOI10.1684/pnv.2016.0631