Evidence-based Guidelines on Medication Therapy for Children with Vitamin D Deficiency: A Systematic Review_Chinese Journal of Evidence-Based Medicine

Authors：

 ZHAOLi-ping ^1,2 , CHENJi ¹ , YANGTing ¹ ,  ZHOUYing ¹ , CUIYi-min ¹ , ZHANGLing-li ^3,4 , ZENGLi-nan ^3,4 , LIYou-ping ⁵

1. Department of Pharmacy, Peking University First Hospital, Beijing 100034, China;
2. Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmaceutical Sciences, Peking University Health Science Center, Beijing 100191, China;
3. Department of Pharmacy, West China Second University Hospital, Sichuan University, Chengdu 610041, China;
4. Evidence-Based Pharmacy Center, West China Second University Hospital, Sichuan University, Chengdu 610041, China;
5. Chinese Evidence-based Medicine Center, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

ZHOUYing, Email: zhouying0321@126.com

Keywords：

Children; Vitamin D deficiency; Evidence-based guideline; Systematic review

DOI：

10.7507/1672-2531.20150047

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Objective To systematically review the quality of evidence-based guidelines (EBGs) on medication therapy for children with vitamin D deficiency, and to compare differences and similarities of the drugs recommended, in order to provide guidance for clinical practice. Methods Databases such as the TRIP, PubMed, EMbase, CNKI, VIP, WanFang Data, CBM, National Guideline Clearinghouse and Guidelines International Network were searched to collect EBGs on medication therapy for children with vitamin D deficiency. The methodological quality of the guideline was evaluated according to the AGREE Ⅱ instrument, and the differences between recommendations were compared. Results A total of 9 EBGs were included. Among them, 3 guidelines were developed by America, 1 by Europe, 1 by France, 1 by China, 1 by Poland, 1 by Canadian and 1 guideline was by Australia and New Zealand. Seven guidelines were developed specially for children, while others were for people of different ages. According to the AGREE Ⅱ instrument, only "Scope and purpose" and "clarity and presentation" were scored more than 60%. The recommendations of different guidelines were of large different. Conclusion The quality of included guidelines concerning children with vitamin D deficiency is vary. Although only the America 2011 guideline is of high quality, the strength of recommendation is not high. Thus, the development of national guidelines is urgently needed.

Citation： ZHAOLi-ping, CHENJi, YANGTing, ZHOUYing, CUIYi-min, ZHANGLing-li, ZENGLi-nan, LIYou-ping. Evidence-based Guidelines on Medication Therapy for Children with Vitamin D Deficiency: A Systematic Review. Chinese Journal of Evidence-Based Medicine, 2015, 15(3): 270-275. doi: 10.7507/1672-2531.20150047 Copy

1.	中华医学会儿科学分会儿童保健学组, 《中华儿科杂志》编辑委员会. 儿童微量营养素缺乏防治建议. 中华儿科杂志, 2010, 48(7):502-509.
2.	李卫国, 李宇宁, 张秀敏. AGREEⅡ评价9个儿童青少年维生素D临床实践指南及推荐意见共识和差异. 中国循证儿科杂志, 2012, 7(5):372-379.
3.	Braegger C, Campoy C, Colomb V, et al. Vitamin D in the healthy European paediatric population. J Pediatr Gastroenterol Nutr, 2013, 56(6):692-701.
4.	Paxton GA, Teale GR, Nowson CA, et al. Vitamin D and health in pregnancy, infants, children and adolescents in Australia and New Zealand:a position statement. Med J Aust, 2013, 198(3):142-143.
5.	Society for Adolescent Health and Medicine. Recommended Vitamin D Intake and Management of Low Vitamin D Status in Adolescents:A Position Statement of the Society for Adolescent Health and Medicine. J Adolesc Health, 2013, 52(6):801-803.
6.	Vidailhet M, Mallet E, Bocquet A, et al. Vitamin D:Still a topical matter in children and adolescents. A position paper by the Committee on Nutrition of the French Society of Paediatrics. Arch Pediatr, 2012, 19(3):316-328.
7.	Brouwers MC, Kho ME, Browman GP, et al. AGREE Ⅱ:advancing guideline development, reporting and evaluation in health care. CMAJ, 2010, 182(18):E839-E842.
8.	AGREE Next Steps Consortium. The AGREE Ⅱ Instrument, 2009. Available at:http://www.agreetrust.org/resource-centre/agree-ii/.
9.	Holick MF, Binkley NC, Bischoff-Ferrari HA, et al. Evaluation, treatment, and prevention of vitamin D deficiency:an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab, 2011, 96(7):1911-1930.
10.	Charzewska J, Chlebna-Sokół D, Chybicka A, et al. Prophylaxis of vitamin D deficiency-Polish Recommendations 2009. Ginekol Pol, 2010, 81(2):149-153.
11.	Wagner CL, Greer FR, American Academy of Pediatrics Section on Breastfeeding, et al. Prevention of rickets and vitamin D deficiency in infants, children, and adolescents. Pediatrics, 2008, 122(5):1142-1152.
12.	Canadian Paediatric Society. Vitamin D supplementation:Recommendations for Canadian mothers and infants. Paediatr Child Health, 2007, 12(7):583-598.
13.	《中华儿科杂志》编辑委员会, 中华医学会儿科学分会儿童保健学组, 全国询楼病防治科研协作组. 维生素D缺乏性拘楼病防治建议. 中华儿科杂志, 2008, 46(3):190-191.

1. 中华医学会儿科学分会儿童保健学组, 《中华儿科杂志》编辑委员会. 儿童微量营养素缺乏防治建议. 中华儿科杂志, 2010, 48(7):502-509.
2. 李卫国, 李宇宁, 张秀敏. AGREEⅡ评价9个儿童青少年维生素D临床实践指南及推荐意见共识和差异. 中国循证儿科杂志, 2012, 7(5):372-379.
3. Braegger C, Campoy C, Colomb V, et al. Vitamin D in the healthy European paediatric population. J Pediatr Gastroenterol Nutr, 2013, 56(6):692-701.
4. Paxton GA, Teale GR, Nowson CA, et al. Vitamin D and health in pregnancy, infants, children and adolescents in Australia and New Zealand:a position statement. Med J Aust, 2013, 198(3):142-143.
5. Society for Adolescent Health and Medicine. Recommended Vitamin D Intake and Management of Low Vitamin D Status in Adolescents:A Position Statement of the Society for Adolescent Health and Medicine. J Adolesc Health, 2013, 52(6):801-803.
6. Vidailhet M, Mallet E, Bocquet A, et al. Vitamin D:Still a topical matter in children and adolescents. A position paper by the Committee on Nutrition of the French Society of Paediatrics. Arch Pediatr, 2012, 19(3):316-328.
7. Brouwers MC, Kho ME, Browman GP, et al. AGREE Ⅱ:advancing guideline development, reporting and evaluation in health care. CMAJ, 2010, 182(18):E839-E842.
8. AGREE Next Steps Consortium. The AGREE Ⅱ Instrument, 2009. Available at:http://www.agreetrust.org/resource-centre/agree-ii/.
9. Holick MF, Binkley NC, Bischoff-Ferrari HA, et al. Evaluation, treatment, and prevention of vitamin D deficiency:an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab, 2011, 96(7):1911-1930.
10. Charzewska J, Chlebna-Sokół D, Chybicka A, et al. Prophylaxis of vitamin D deficiency-Polish Recommendations 2009. Ginekol Pol, 2010, 81(2):149-153.
11. Wagner CL, Greer FR, American Academy of Pediatrics Section on Breastfeeding, et al. Prevention of rickets and vitamin D deficiency in infants, children, and adolescents. Pediatrics, 2008, 122(5):1142-1152.
12. Canadian Paediatric Society. Vitamin D supplementation:Recommendations for Canadian mothers and infants. Paediatr Child Health, 2007, 12(7):583-598.
13. 《中华儿科杂志》编辑委员会, 中华医学会儿科学分会儿童保健学组, 全国询楼病防治科研协作组. 维生素D缺乏性拘楼病防治建议. 中华儿科杂志, 2008, 46(3):190-191.

Chinese Journal of Evidence-Based Medicine

Evidence-based Guidelines on Medication Therapy for Children with Vitamin D Deficiency: A Systematic Review

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