Medical reconciliation of dietary supplements: Don’t ask, don’t tell

• Dietary supplement (DS) use remains prevalent in hospitalized patient populations.
• Accurate medication reconciliation includes a discussion of patient DS use.
• We examine the prevalence of self-reported DS use and clinician inquiry into DS use.
• We report on the factors associated with inpatient DS chart documentation.

ObjectiveTo explore inpatient reconciliation of dietary supplement (DS) use and determine characteristics associated with DS documentation.MethodsWe 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.ResultsSixty 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.ConclusionsThere 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.Practice implicationsThis study adds to literature on medical reconciliation which requires that providers inquire and document patient DS use.