Is routine multivitamin supplementation necessary in US chronic adult hemodialysis patients? A systematic review

Bryan M. Tucker, Sami Safadi, Allon Friedman

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Because of concern that United States (US) chronic hemodialysis patients are at high risk for the development of vitamin deficiencies, the great majority of such patients are routinely supplemented with a multivitamin. This policy is supported by major US dialysis providers and nonprofit organizations. Yet routine multivitamin supplementation expands hemodialysis patients' already large pill burden, probably accounts for many millions of dollars in annual costs, and in light of previous reports may even carry with it the possibility of increased risk of adverse outcomes. An analysis of the benefits of routine multivitamin supplementation in US patients is therefore in order. We performed a systematic review of the medical literature between 1970 and 2014 using the Ovid MEDLINE database to address this question. We conclude that there is insufficient evidence to support routine multivitamin use and recommend that the decision to supplement be made on an individual basis.

Original languageEnglish
Pages (from-to)257-264
Number of pages8
JournalJournal of Renal Nutrition
Volume25
Issue number3
DOIs
StatePublished - May 1 2015

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Renal Dialysis
Nonprofit Organizations
Avitaminosis
MEDLINE
Dialysis
Databases
Costs and Cost Analysis

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Nephrology

Cite this

Is routine multivitamin supplementation necessary in US chronic adult hemodialysis patients? A systematic review. / Tucker, Bryan M.; Safadi, Sami; Friedman, Allon.

In: Journal of Renal Nutrition, Vol. 25, No. 3, 01.05.2015, p. 257-264.

Research output: Contribution to journalArticle

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