Janssen 2010.
Study characteristics | ||
Methods | Double‐blind 6‐month randomised controlled trial Outcome assessors blinded 59 of 70 completed |
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Participants | Outpatient clinic of the Department of Geriatric Medicine at the University Medical Centre, Utrecht, The Netherlands 70 women, mean age 81 years Inclusion criteria: women, > 65 years of age, able to walk and follow simple instructions, serum 25(OH)D concentration between 20 nmol/L and 50 nmol/L Exclusion criteria: treatment with vitamin D or steroids in the previous 6 months, history of hypercalcemia or renal stones, liver cirrhosis, serum creatinine > 200 μmol/L, malabsorptive bowel syndrome, primary hyperparathyroidism, uncontrolled thyroid disease, anticonvulsant drug therapy, and/or presence of any other condition that would probably interfere with the patient’s compliance (i.e. surgery planned) |
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Interventions | 1. Vitamin D3 400 IU/d and 500 mg calcium/day 2. Placebo and calcium 500 mg/day Duration of treatment 6 months 28 out of 36, and 31 out of 34 completed |
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Outcomes | Measured at 6 months 1. Number of persons sustaining new non‐vertebral fracture 2. Number of persons sustaining new hip fracture 3. Number of persons dying 4. Number of persons with gastrointestinal adverse events |
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Notes | Hennie Janssen provided details of allocation of patient with hip fracture 15 January 2013, details of allocation for patients with gastrointestinal symptoms and patient who died 9 February 2013 | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | States "randomly assigned"; no other information provided |
Allocation concealment (selection bias) | Low risk | States "Trial medication was provided by an independent hospital pharmacist who also performed the randomization. . . No person involved, i.e. subjects, investigators, or physicians who treated the subjects, had access to the randomization procedure." |