title: Primary care pediatrician knowledge of nutritional rickets.
abstract: OBJECTIVE
  The purpose of this study is to determine primary care pediatricians' level of awareness in the diagnosis and management of rickets. The information will be useful in assessing the need for provider education related to appropriate advice regarding vitamin D supplementation for infants.
  
  
  METHODS
  A one-page questionnaire was sent to a sample of 510 pediatricians in states surrounding the Great Lakes. These physicians were chosen depending based on practice listings from local telephone directories. Results were analyzed using the Chi-squared (chi2) test.
  
  
  RESULTS
  Of the 248 respondents, 43% (n = 105) had encountered at least one actual or suspected case of rickets in the past five years. Sixty-nine percent of respondents chose vitamin D deficiency rickets-specific diagnostic tests, 24% chose rickets-specific tests, and 7% chose tests that are not specific to diagnosing rickets. Ninety-four percent of respondents chose treatments specific to vitamin D deficiency rickets, while 6% chose treatments not specific to rickets.
  
  
  CONCLUSIONS
  Most primary care pediatricians from major metropolitan areas in the Great Lakes region are aware of the appropriate methods to diagnose and treat vitamin D-deficiency rickets. However, educational interventions are still necessary for both physicians and parents to promote widespread use of vitamin D supplementation in all breastfed infants.
authors.affiliation: tjoiner@umich.edu
authors.forename: Terence A
authors.initials: TA
authors.lastname: Joiner
authors.forename: Anne E
authors.initials: AE
authors.lastname: Cowan
authors.forename: Sonja M
authors.initials: SM
authors.lastname: Stringer
authors.forename: Jabar
authors.initials: J
authors.lastname: Akbar
mesh_terms: D000328:Adult; D016009:Chi-Square Distribution; D002983:Clinical Competence; D005260:Female; D006114:Great Lakes Region; D006801:Humans; D007223:Infant; D019359:Knowledge; D008297:Male; D008875:Middle Aged; D010372:Pediatrics / Q000592:standards*; D011320:Primary Health Care / Q000592:standards*; D012279:Rickets / Q000175:diagnosis / Q000188:drug therapy; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014807:Vitamin D / Q000008:administration & dosage
chemical_list: D014807:Vitamin D