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    A POPULATION-BASED STUDY: THE APPROPRIATENESS OF DRUG USE IN THE ELDERLY ACCORDING TO BEERS CRITERIA
    (Gunes Kitabevi Ltd Sti, 2018) Cibik, Birol; Şahin, Erkan Melih; Kilincarslan, Mehmet Goktug
    Introduction: The elderly population has the highest rates of drug use and is more sensitive to drug effects. Inappropriate drug use can cause unwanted effects in such a population. We aimed to evaluate inappropriate drug use in the elderly population according to Beers criteria. Materials and Method: This cross-sectional, descriptive study used a simple systematic method to select individuals aged. 65 years residing in Kepez district of Canakkale. All medicines used by participants were identified and evaluated according to Beers criteria. Results: The mean age of the participants was 74.1 +/- 6.5 (65-91) years. In our study, 95.7% of the participants had at least one chronic illness and 84.5% had at least three chronic illnesses. The mean total number of drugs used was 5.0 +/- 3.2 (0-15). According to Beers criteria, inappropriate drug use was detected in 35 (30%) instances. Non-steroidal anti-inflammatory drugs were the most frequent inappropriately used drugs in the study population [n=13 (11.2%)]. Conclusion: In this study, the rates of inappropriate drug use (35; 30%) were lower than those previously reported. Our findings underline the importance of adhering to guidelines for rational drug use in prescribing medications to elderly.
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    Development of Valid and Reliable Scale of Vaccine Hesitancy in Turkish Language
    (Duzce Univ, Fac Medicine, 2020) Kilincarslan, Mehmet Goktug; Sarigul, Banu; Toraman, Cetin; Şahin, Erkan Melih
    Objective: Anti-vaccine movement has been increasing in recent years, leading to poor health outcomes. There are some scales to measure the vaccine hesitancy but most of them have limitation and may not be proper for Turkey. The aim of this study is to develop a Turkish scale of vaccine hesitancy. Methods: Two cross sectional studies were conducted. Purposive sampling method was used to reach participants in hospital and its surroundings. Study1: Explanatory factor analysis involved 315 participants, whose 61.3% were female mean age was 33.3 +/- 11.6 years. The draft scale with 36 items were applied face to face. Study 2: Confirmatory factor analysis involved 214 participants for the long form and 200 for short form. Of the participants, 62.0% was female and the mean age was 33.9 +/- 11.3 for short form. Of the participants, 65.4% was female and the mean age was 34.5 +/- 11.4 for the long form. Goodness of fit indexes of both forms were compared with literature. Results: The long form with 21 items in 4 factors and the short form with 12 items in 3 factors were selected as they best explained the data. Explained variance by long form and short form were 57.4% and 65.3% respectively. Cronbach Alpha values for long form and short form were 0.905 and 0.855, respectively. Conclusions: It is important to understand vaccine hesitancy at local levels because differences in sociocultural structure have major effect. In this study, two forms reliable vaccine hesitancy scale were presented in Turkish as first in literature.
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    Prevalence and associated factors of inappropriate repeat test
    (Oxford Univ Press, 2019) Kilincarslan, Mehmet Goktug; Şahin, Erkan Melih; Korkmazer, Basak
    Background The rate of laboratory test utilisation has been increasing unsustainably. Evaluating inappropriately repeated laboratory tests is promising because objective criteria are available to measure the rates while causes can be manipulated easily. In this study, we aimed to evaluate the prevalence, associated factors and financial burden of inappropriate repeat tests. Methods A cross-sectional study was conducted on the results of 26 types of laboratory tests recorded in a laboratory database of a tertiary hospital between 1 July 2014 and 30 June 2017. Minimum retest intervals were determined from the literature for each type of tests. If the time interval between the two tests was shorter than the minimum retest interval, then the later test was accepted an inappropriate repeat test. Binary logistic regression was performed after univariate analyses. Results Of a total of 673 794 tests, 109 370 (16.2%) were inappropriate repeat tests. Male gender, being >= 65 years old, being an inpatient, high-volume test and surgical clinic as the test-requesting clinic were associated with inappropriate repeat tests. Also, it was determined that US$66 761.3 had been wasted on inappropriate repeat tests for 3 years. Discussion There are several factors that increase the rate of inappropriate repeat tests. They should be considered during health policy making or planning interventions to reduce inappropriate repeat tests.