Evaluation of perceptions, knowledge and compliance with guidelines in real-life practice: A survey on the under-treatment of hypercholesterolemia
Yıl: 2019 Cilt: 47 Sayı: 7 Sayfa Aralığı: 599 - 608 Metin Dili: İngilizce DOI: 10.5543/tkda.2019.39293 İndeks Tarihi: 06-06-2020
Evaluation of perceptions, knowledge and compliance with guidelines in real-life practice: A survey on the under-treatment of hypercholesterolemia
Öz: Objective: Few studies have directly assessed suboptimal management of dyslipidemia in Turkey. This study was conducted to assess patients’ understanding and perceptions of high cholesterol as well as physicians’ knowledge and awareness of lipid management strategies.Methods: This was a multicenter, observational study (ClinicalTrials.gov identifier: NCT02608645). Consecutive patients admitted to the participating cardiology clinics who were at least 18 years of age and who had been classified in a secondary prevention (SP) group or a high-risk primary prevention (PP) group were enrolled. The study population included 1868 patients from 40 sites in Turkey. Two-thirds (67.5%) of the patients in the SP group had been prescribed a statin, whereas only 30.1% of thePP group patients received statin therapy (p<0.001).Results: It was determined that 18% of the SP patients and 10.6% of the PP patients had a low-density lipoprotein cholesterol level at the recommended level (p<0.001). A patient survey revealed that almost half of the patients in the PP and in the SP groups were aware that their cholesterol levels were high. Negative information about statin treatment disseminated by media programs was the most common reason (9.4%) givenfor treatment discontinuation.Conclusion: Perceptions, knowledge and compliance with the guidelines for PP and SP patients in real-life practice have increased, but it remains far below the desired level. Patients and physicians should have more information about the treatmentof hyperlipidemia. More accurate media programming could help to prevent the dissemination of misinformation
Anahtar Kelime: Dislipidemi kılavuzuna uyumun, bilgi ve hasta algı düzeylerinin gerçek yaşamda saptanması
Öz: Amaç: Türkiye’de dislipideminin suboptimal yönetimini az sayıda çalışma doğrudan değerlendirmiştir. Bu çalışma, hastaların yüksek kolesterol algısını ve lipit yönetim stratejileri ile ilgili olarak hekimlerin kolesterol hakkındaki bilgi ve farkındalığını değerlendirmek amacıyla yapıldı.Yöntemler: Çalışma gözlemsel ve çok merkezli bir çalışmadır (ClinicalTrials.gov identifier: NCT02608645). En az 18 yaşında olan, kardiyoloji kliniklerine başvuran ikincil korunma (SK) grubunda ve çok yüksek, yüksek riskli birincil korunma (PK) grubundaki ardışık hastalar çalışmaya alındı. Çalışma popülasyonu, Türkiye’de 40 bölgeden 1868 hasta içermektedir. SK grubunda hastaların üçte ikisine (%67.5) statin verildi, PK hastalarının sadece %30.1’ine statin tedavisi verildi (p<0.001).Bulgular: Düşük yoğunluklu lipoprotein kolesterol (LDL-C) düzeyi önerilen düzeyde olan hastaların oranı PK’da %10.6, SK’da %18 idi (p<0.001). Hastaya özgü anket, PK ve SK gruplarındaki hastaların neredeyse yarısının kolesterol seviyelerinin yüksek olduğunu bildiğini ortaya koydu. Medya programlarındaki statin tedavisi ile ilgili olumsuz bilgiler (%9.4) tedavinin kesilmesinin en yaygın nedeniydi.Sonuç: Gerçek yaşam pratiğinde birincil ve ikincil korunma ile ilgili algı, bilgi ve uyum artmıştır, ancak istenen seviyelerin çok altındadır. Hastalar ve hekimler hiperlipideminin tedavisi hakkında daha fazla bilgi sahibi olmalıdır. Ayrıca, medya programlarını kontrollerinin sağlanması, hastaların yanlış bilgilendirilmesini önleyebilir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA | doğan v, basaran o, ÖZLEK B, ÇELİK O, ÖZLEK E, ÇİL C, özdemir i, RENCÜZOĞULLARI İ, ÖZPAMUK KARADENİZ F, BEKAR L, AKTAŞ M, RESULZADE M, KALÇIK M, aksan g, Çinier G, HALLİ AKAY K, MERT K, BİTEKER M, Kayikcioglu M (2019). Evaluation of perceptions, knowledge and compliance with guidelines in real-life practice: A survey on the under-treatment of hypercholesterolemia. , 599 - 608. 10.5543/tkda.2019.39293 |
Chicago | doğan volkan,basaran ozcan,ÖZLEK BÜLENT,ÇELİK OĞUZHAN,ÖZLEK EDA,ÇİL CEM,özdemir ibrahim halil,RENCÜZOĞULLARI İbrahim,ÖZPAMUK KARADENİZ FATMA,BEKAR Lütfü,AKTAŞ Müjdat,RESULZADE Mübariz murat,KALÇIK Macit,aksan gökhan,Çinier Göksel,HALLİ AKAY Kadriye,MERT Kadir Uğur,BİTEKER MURAT,Kayikcioglu Meral Evaluation of perceptions, knowledge and compliance with guidelines in real-life practice: A survey on the under-treatment of hypercholesterolemia. (2019): 599 - 608. 10.5543/tkda.2019.39293 |
MLA | doğan volkan,basaran ozcan,ÖZLEK BÜLENT,ÇELİK OĞUZHAN,ÖZLEK EDA,ÇİL CEM,özdemir ibrahim halil,RENCÜZOĞULLARI İbrahim,ÖZPAMUK KARADENİZ FATMA,BEKAR Lütfü,AKTAŞ Müjdat,RESULZADE Mübariz murat,KALÇIK Macit,aksan gökhan,Çinier Göksel,HALLİ AKAY Kadriye,MERT Kadir Uğur,BİTEKER MURAT,Kayikcioglu Meral Evaluation of perceptions, knowledge and compliance with guidelines in real-life practice: A survey on the under-treatment of hypercholesterolemia. , 2019, ss.599 - 608. 10.5543/tkda.2019.39293 |
AMA | doğan v,basaran o,ÖZLEK B,ÇELİK O,ÖZLEK E,ÇİL C,özdemir i,RENCÜZOĞULLARI İ,ÖZPAMUK KARADENİZ F,BEKAR L,AKTAŞ M,RESULZADE M,KALÇIK M,aksan g,Çinier G,HALLİ AKAY K,MERT K,BİTEKER M,Kayikcioglu M Evaluation of perceptions, knowledge and compliance with guidelines in real-life practice: A survey on the under-treatment of hypercholesterolemia. . 2019; 599 - 608. 10.5543/tkda.2019.39293 |
Vancouver | doğan v,basaran o,ÖZLEK B,ÇELİK O,ÖZLEK E,ÇİL C,özdemir i,RENCÜZOĞULLARI İ,ÖZPAMUK KARADENİZ F,BEKAR L,AKTAŞ M,RESULZADE M,KALÇIK M,aksan g,Çinier G,HALLİ AKAY K,MERT K,BİTEKER M,Kayikcioglu M Evaluation of perceptions, knowledge and compliance with guidelines in real-life practice: A survey on the under-treatment of hypercholesterolemia. . 2019; 599 - 608. 10.5543/tkda.2019.39293 |
IEEE | doğan v,basaran o,ÖZLEK B,ÇELİK O,ÖZLEK E,ÇİL C,özdemir i,RENCÜZOĞULLARI İ,ÖZPAMUK KARADENİZ F,BEKAR L,AKTAŞ M,RESULZADE M,KALÇIK M,aksan g,Çinier G,HALLİ AKAY K,MERT K,BİTEKER M,Kayikcioglu M "Evaluation of perceptions, knowledge and compliance with guidelines in real-life practice: A survey on the under-treatment of hypercholesterolemia." , ss.599 - 608, 2019. 10.5543/tkda.2019.39293 |
ISNAD | doğan, volkan vd. "Evaluation of perceptions, knowledge and compliance with guidelines in real-life practice: A survey on the under-treatment of hypercholesterolemia". (2019), 599-608. https://doi.org/10.5543/tkda.2019.39293 |
APA | doğan v, basaran o, ÖZLEK B, ÇELİK O, ÖZLEK E, ÇİL C, özdemir i, RENCÜZOĞULLARI İ, ÖZPAMUK KARADENİZ F, BEKAR L, AKTAŞ M, RESULZADE M, KALÇIK M, aksan g, Çinier G, HALLİ AKAY K, MERT K, BİTEKER M, Kayikcioglu M (2019). Evaluation of perceptions, knowledge and compliance with guidelines in real-life practice: A survey on the under-treatment of hypercholesterolemia. Türk Kardiyoloji Derneği Arşivi, 47(7), 599 - 608. 10.5543/tkda.2019.39293 |
Chicago | doğan volkan,basaran ozcan,ÖZLEK BÜLENT,ÇELİK OĞUZHAN,ÖZLEK EDA,ÇİL CEM,özdemir ibrahim halil,RENCÜZOĞULLARI İbrahim,ÖZPAMUK KARADENİZ FATMA,BEKAR Lütfü,AKTAŞ Müjdat,RESULZADE Mübariz murat,KALÇIK Macit,aksan gökhan,Çinier Göksel,HALLİ AKAY Kadriye,MERT Kadir Uğur,BİTEKER MURAT,Kayikcioglu Meral Evaluation of perceptions, knowledge and compliance with guidelines in real-life practice: A survey on the under-treatment of hypercholesterolemia. Türk Kardiyoloji Derneği Arşivi 47, no.7 (2019): 599 - 608. 10.5543/tkda.2019.39293 |
MLA | doğan volkan,basaran ozcan,ÖZLEK BÜLENT,ÇELİK OĞUZHAN,ÖZLEK EDA,ÇİL CEM,özdemir ibrahim halil,RENCÜZOĞULLARI İbrahim,ÖZPAMUK KARADENİZ FATMA,BEKAR Lütfü,AKTAŞ Müjdat,RESULZADE Mübariz murat,KALÇIK Macit,aksan gökhan,Çinier Göksel,HALLİ AKAY Kadriye,MERT Kadir Uğur,BİTEKER MURAT,Kayikcioglu Meral Evaluation of perceptions, knowledge and compliance with guidelines in real-life practice: A survey on the under-treatment of hypercholesterolemia. Türk Kardiyoloji Derneği Arşivi, vol.47, no.7, 2019, ss.599 - 608. 10.5543/tkda.2019.39293 |
AMA | doğan v,basaran o,ÖZLEK B,ÇELİK O,ÖZLEK E,ÇİL C,özdemir i,RENCÜZOĞULLARI İ,ÖZPAMUK KARADENİZ F,BEKAR L,AKTAŞ M,RESULZADE M,KALÇIK M,aksan g,Çinier G,HALLİ AKAY K,MERT K,BİTEKER M,Kayikcioglu M Evaluation of perceptions, knowledge and compliance with guidelines in real-life practice: A survey on the under-treatment of hypercholesterolemia. Türk Kardiyoloji Derneği Arşivi. 2019; 47(7): 599 - 608. 10.5543/tkda.2019.39293 |
Vancouver | doğan v,basaran o,ÖZLEK B,ÇELİK O,ÖZLEK E,ÇİL C,özdemir i,RENCÜZOĞULLARI İ,ÖZPAMUK KARADENİZ F,BEKAR L,AKTAŞ M,RESULZADE M,KALÇIK M,aksan g,Çinier G,HALLİ AKAY K,MERT K,BİTEKER M,Kayikcioglu M Evaluation of perceptions, knowledge and compliance with guidelines in real-life practice: A survey on the under-treatment of hypercholesterolemia. Türk Kardiyoloji Derneği Arşivi. 2019; 47(7): 599 - 608. 10.5543/tkda.2019.39293 |
IEEE | doğan v,basaran o,ÖZLEK B,ÇELİK O,ÖZLEK E,ÇİL C,özdemir i,RENCÜZOĞULLARI İ,ÖZPAMUK KARADENİZ F,BEKAR L,AKTAŞ M,RESULZADE M,KALÇIK M,aksan g,Çinier G,HALLİ AKAY K,MERT K,BİTEKER M,Kayikcioglu M "Evaluation of perceptions, knowledge and compliance with guidelines in real-life practice: A survey on the under-treatment of hypercholesterolemia." Türk Kardiyoloji Derneği Arşivi, 47, ss.599 - 608, 2019. 10.5543/tkda.2019.39293 |
ISNAD | doğan, volkan vd. "Evaluation of perceptions, knowledge and compliance with guidelines in real-life practice: A survey on the under-treatment of hypercholesterolemia". Türk Kardiyoloji Derneği Arşivi 47/7 (2019), 599-608. https://doi.org/10.5543/tkda.2019.39293 |