title: Medical reconciliation of dietary supplements: don't ask, don't tell.
abstract: OBJECTIVE
  To explore inpatient reconciliation of dietary supplement (DS) use and determine characteristics associated with DS documentation.
  
  
  METHODS
  We analyzed DS use among 558 inpatients recruited from the Re-Engineered Discharge clinical trial to identify: (1) if patients self-reported DS and (2) if DS use was documented at admission. We examined socio-demographics for association with documentation using chi squares and t-tests. Logistic regression was performed to assess adjusted associations with DS documentation.
  
  
  RESULTS
  Sixty percent reported DS use (n=333). Among users, 36% had admission DS documentation, 20% were asked about use at admission, 18% reported disclosing use to a provider, and 48% reported they would continue to use DS. Overall, 6% of participants were asked, disclosed, and had documentation of DS. Logistic regression revealed increased age associated with lower odds of DS documentation. Identifying as Hispanic or African American reduces DS documentation odds compared to those identifying as white.
  
  
  CONCLUSIONS
  There is lack of consistent DS medical reconciliation in the inpatient setting. While more than half of patients used DS prior to hospitalization, most were not asked about use on admission.
  
  
  CONCLUSIONS
  This study adds to literature on medical reconciliation which requires that providers inquire and document patient DS use.
authors: Department of Family Medicine, Boston University School of Medicine, Boston Medical Center, Boston, USA. Electronic address: Paula.gardiner@bmc.org.
authors: Paula
authors: P
authors: Gardiner
authors: Department of Family Medicine, Boston University School of Medicine, Boston Medical Center, Boston, USA.
authors: Ekaterina
authors: E
authors: Sadikova
authors: Department of Family Medicine, Boston University School of Medicine, Boston Medical Center, Boston, USA.
authors: Amanda C
authors: AC
authors: Filippelli
authors: Department of Biostatistics, Boston University School of Public Health, Boston, USA.
authors: Laura F
authors: LF
authors: White
authors: Department of Family Medicine, Boston University School of Medicine, Boston Medical Center, Boston, USA.
authors: Brian W
authors: BW
authors: Jack
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D003142:Communication; D003266:Continuity of Patient Care / Q000592:standards; D019587:Dietary Supplements; D030881:Disclosure; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007297:Inpatients; D008297:Male; D059065:Medication Reconciliation / Q000379:methods* / Q000706:statistics & numerical data; D008875:Middle Aged; D010351:Patient Discharge / Q000592:standards*; D010817:Physician-Patient Relations; D012959:Socioeconomic Factors
keywords: Adherence; Continuity of care transition and discharge planning; Patient safety
references: J Gen Intern Med. 2001 Sep;16(9):606-13
references: 11556941
references: Pediatrics. 2008 Apr;121(4):e775-81
references: 18381505
references: Int J Family Med. 2013;2013:901845
references: 23589775
references: Br J Clin Pharmacol. 2009 Jun;67(6):671-5
references: 19594536
references: Pharmacotherapy. 2007 Sep;27(9):1237-47
references: 17723077
references: J Natl Med Assoc. 2008 Nov;100(11):1341-9
references: 19024232
references: JAMA. 2008 Dec 24;300(24):2867-78
references: 19109115
references: Br J Clin Pharmacol. 2007 Sep;64(3):373-80
references: 17425631
references: Br J Clin Pharmacol. 2005 Feb;59(2):254-8
references: 15676051
references: J Clin Epidemiol. 1994 Nov;47(11):1245-51
references: 7722560
references: Ann Fam Med. 2009 Mar-Apr;7(2):139-47
references: 19273869
references: J Gen Intern Med. 2009 Mar;24(3):366-9
references: 19096896
references: J Altern Complement Med. 2008 Dec;14(10):1263-9
references: 19032071
references: Patient Educ Couns. 2012 Dec;89(3):392-8
references: 22854226
references: Altern Ther Health Med. 2009 Sep-Oct;15(5):26-34
references: 19771928
references: Evid Based Complement Alternat Med. 2008 Dec;5(4):451-6
references: 18955213
references: Eff Clin Pract. 2000 Jan-Feb;3(1):31-4
references: 10788034
references: Arch Intern Med. 2006 Oct 9;166(18):1968-74
references: 17030829
references: Maturitas. 2011 Jan;68(1):52-5
references: 20970932
references: J Am Pharm Assoc (Wash). 2000 May-Jun;40(3):359-65
references: 10853536
references: Am J Geriatr Pharmacother. 2007 Dec;5(4):345-51
references: 18179993
references: Am J Clin Oncol. 2006 Apr;29(2):178-82
references: 16601439
references: BMC Complement Altern Med. 2004 Dec 2;4:18
references: 15575960
references: J Gerontol A Biol Sci Med Sci. 2002 Apr;57(4):M223-7
references: 11909887
references: J Am Board Fam Med. 2006 Nov-Dec;19(6):566-78
references: 17090790
references: Support Care Cancer. 2011 Apr;19(4):521-9
references: 20336329
references: Phytother Res. 2006 Apr;20(4):250-5
references: 16557605
references: Ann Pharmacother. 2009 May;43(5):875-81
references: 19401475
references: Complement Ther Med. 2014 Apr;22(2):304-10
references: 24731902
references: Clin Ther. 2011 Nov;33(11):1749-58
references: 22030445
references: J Health Commun. 2012;17 Suppl 3:325-38
references: 23030580
references: J Addict Med. 2012 Mar;6(1):50-6
references: 21979821
references: Br J Clin Pharmacol. 2007 Feb;63(2):247-8
references: 17096679
references: Pharmacoepidemiol Drug Saf. 2013 Feb;22(2):145-50
references: 23097415
references: J Manag Care Pharm. 2008 Sep;14(7):626-31
references: 18774872
references: Med Sci Sports Exerc. 2013 Jan;45(1):23-8
references: 22811037
references: J Altern Complement Med. 2005 Jun;11(3):449-53
references: 15992228
references: Drugs Aging. 2009;26(5):423-36
references: 19552494
references: J Am Geriatr Soc. 2009 Jul;57(7):1197-205
references: 19515113