Hayrullah YAZAR, Ömer Emre ÖZ, Elif Yıldız KÖSE

Biyokimya Laboratuvarında Yeni Uygulamalar ve Klinisyenlerin Farkındalığı

Çalışmamızın amacı, biyokimya laboratuvarımızda yeni uygulanan ve hastane otomasyonu tarafından klinisyenlere sunulan bazı parametrelerin farkındalık tespitinin yapılmasıdır. Yapılan araştırmada klinisyenlere anket üzerinden HOMA-IR, eGFR ve dCa hakkında, çeşitli bilgiler soruldu. Elde edilen veriler, istatistiksel açıdan değerlendirildi ve klinisyenlerin farkındalığı ölçüldü. Anket çalışmamıza değişik kliniklerden 100 doktor katıldı. Araştırmaya katılan kişilerin ünvanlara göre dağılımı; 28 uzman doktor, 16 akademisyen ve 56 asistan şeklinde oldu. Branşlara göre dağılım, dahili 65 ve cerrahi 35 hekim şeklinde idi. Klinisyenlerin ünvanlarına göre HOMA-IR den haberdar olma dağılımları anlamlı farklılık gösterdi (p=0.007). En çok haberi olan klinisyenlerin öğretim üyeleri (%75), en az haberi olanların ise asistanlar oduğu görüldü (%33.9). Öte yandan haberdar olan hekimlerin sadece %21’i HOMA-IR’yi kullanmakta idi. eGFR için durum şu şekildedir; 91 hekim haberdar, 9 hekim habersiz idi. eGFR kullanan hekim sayısı 67 iken, 33 hekim kullanmadığını ifade etti. Katılımcıların %74’ü eGFR’nin işe yaradığını, %11’i işe yaramadığını ve %15’i ise fikri olmadığını ifade etti. İstatistiksel açıdan anlamlı çıkan bu durumda dikkat çeken detay ise, cerrahi branşlarda görülen eGFR işe yarama oranının, HOMA-IR’ye göre oldukça yüksek çıkmasıdır (p<0,001). dCa araştırmamızda ise, katılımcıların %84’ü önemli olduğunu ifade etmişlerdir. Sonuç olarak yapılan çalışmamız göstermektedir ki; biyokimya laboratuvarında yeni uygulamalardan klinisyenler haberdar, ama kullanma noktasında yeterince aktif değillerdir.

Anahtar Kelimeler:

HOMA-IR, eGFR, dCa, klinisyen, otomasyon

New Applications in Biochemistry Laboratory And Awareness Of Clinicians

The aim of our study is to assess the awareness of clinicians on the parameters that are newly applied in our biochemistry laboratory and presented to clinicians by hospital automation. The researchers were asked about various questions on HOMA-IR, eGFR and corrected Ca (cCa) through the questionnaire. The data obtained was evaluated statistically and the awareness of clinicians was measured. 100 physicians from different clinics participated in the survey. Distribution of the doctors participating in the research according to their titles was as follows; 16 academician, 28 specialists and 56 assistant. The distribution according to departments was 65 internal medicine physcians and 35 surgeons. The distributions of awareness of the HOMA-IR were found to be significantly different according to the titles of the clinicians (p = 0.007). The faculty members were found to be the best among the clinicians in terms of their awareness of the HOMA-IR (75%), and the worst being the residents (33.9%). On the other hand; only 21% of the informed physicians use HOMA-IR. The situation for eGFR is as follows; 91 physicians were informed, 9 physicians were unaware. While the number of physicians using eGFR was 67, 33 physicians stated that they did not use it. 74% of the participants stated to find the EGFR useful, 11% did not agree and 15% hesitated. The statistically significant detail is that the rate of eGFR seen in the surgical branches is higher than the HOMA-IR gore (p<0.001). In our study of cCa, 84% of the participants stated that they were important. As a result, our study shows that; clinicians are aware of new applications in the biochemistry laboratory, but they are not seem to be as active in using them.

Keywords:

HOMA-IR, eGFR, cCa, clinicians, automation,

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