Vitamin D-Related Information Exposure, Attitudes, and Practices Among Prostate and Breast Cancer Survivors in Poland: Implications for Patient-Physician Communication.
Mikołajczyk A, Kaczmarczyk K, Mikołajczyk M • Nutrients • 2026
Among breast and prostate cancer survivors in Poland, vitamin D supplementation was common but physician-directed testing and supplementation were rare, and patient-physician communication about supplement use was poor, with most patients not informing their physicians about supplement intake.
Key Findings
Results
More than half of cancer survivors reported vitamin D supplementation between diagnosis and survey completion.
52% of respondents reported vitamin D supplementation between cancer diagnosis and survey completion
The cross-sectional survey included 145 breast and prostate cancer survivors
Mean age of participants was 62.2 ± 9.9 years
An original, validated questionnaire was used to collect data
Results
Nearly two-thirds of cancer survivors reported using supplements other than vitamin D in relation to their cancer.
Nearly 65% of respondents declared using supplements other than vitamin D in relation to their cancer
Only 7.5% of other supplement users stated that their oncology care physicians knew about their supplement intake
The most common reason for not informing physicians was that the physician did not ask about the issue
Results
Physician-directed vitamin D supplementation and serum 25(OH)D testing were rare among cancer survivors.
Only 17.3% of respondents had been instructed by their physician to take vitamin D
Only 5.5% of respondents had been ordered by their physician to have their serum 25(OH)D levels tested
These findings suggest a substantial gap between patient practice and physician guidance regarding vitamin D
Results
The vast majority of cancer survivors perceived a need for physicians to routinely order vitamin D level tests for cancer patients.
94% of respondents perceived the need for physicians to routinely order vitamin D level tests for patients diagnosed with cancer
This contrasts sharply with the 5.5% who had actually been ordered such testing by their physician
Only 39.5% of vitamin D users stated that their oncology care physicians knew about their supplement intake
Results
Patient-physician communication about supplement use was poor, with the most common barrier being that physicians did not ask about supplement intake.
Only 39.5% of vitamin D users stated their oncology care physicians knew about their vitamin D supplement intake
Only 7.5% of other supplement users stated their oncology care physicians knew about their supplement intake
The most common reason patients did not inform their physician about taking vitamin D and/or other supplements was that the physician did not ask about this issue
Results
Women demonstrated greater health information exposure and better communication skills with physicians than men across almost all aspects analysed.
Almost all aspects analysed showed greater health information exposure among women than among men
Better communication skills with physicians were also observed among women compared to men
The study included both breast cancer and prostate cancer survivors, allowing for sex-based comparisons
Mikołajczyk A, Kaczmarczyk K, Mikołajczyk M. (2026). Vitamin D-Related Information Exposure, Attitudes, and Practices Among Prostate and Breast Cancer Survivors in Poland: Implications for Patient-Physician Communication.. Nutrients. https://doi.org/10.3390/nu18030427