vitamin D, deficiency, total hip, cholecalciferol, osteoarthritis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Informed consent signed by patient; 2. Male and female patients aged 70 years and older; 3. If female: of non child bearing potential; 4. Diagnoses of osteoarthritis of the hip; 5. Baseline level of serum 25-OHD <100 nmol/liter; 6. For inclusion in the conservative treatment group: Patients having coxarthrosis, which will be treated conservative; 7. For inclusion in the operative group: Patients having disabling coxarthrosis and scheduled for elective total hip surgery.
Exclusion criteria
Exclusion criteria: 1. Unwillingness to cooperate with the study procedures; 2. History of an active malignancy; 3. Quetelet index (QI=weight in (kilogram)/ squire length (meters)) >40; 4. History of chronic kidney disease (glomerular filtration rate (GFR) <20ml/min, calculated with Cockcroft-Gault equations); 5. History of primary hyperparathyroidism; 6. History of sarcoidosis; 7. Serum calcium corrected for serum albumin above 2.65nmol/l.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the effect of 150,000 vs 300,000 IU cholecalciferol on serum 25-OHD on day 3, 5, 14 and after 6 weeks and 3 months in patients undergoing major orthopaedic surgery or receiving conservative treatment. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To determine the effect of 150,000 vs 300,000 IU cholecalciferol on serum calcium and PTH on day 3, 5, 14 and after 6 weeks and 3 months; 2. To determine the effect of surgery on the absorption of cholecalciferol; 3. To determine the effect of surgery on serum calcium and PTH; 4. To determine whether there is a wash-out period of the effect of cholecalciferol during 3 months of follow up, i.e. what is the time serum 25-OHD is remains above 50nmol/liter after a single oral dose of cholecalciferol; 5. To determine changes in general well being measured by SF-12; 6. To determine whether there is relapse of patients from sufficient to insufficient or deficient. | — |
Contacts
Dept internal medicine RdGG Delft