Adherence to Traumatic Brain Injury Guidelines in Turkey: A National Survey Study.

IF 0.9 4区医学 Q4 CLINICAL NEUROLOGY

Turkish neurosurgery Pub Date : 2024-01-01 DOI:10.5137/1019-5149.JTN.42852-22.2

Buse Sarigul, Deniz Sirinoglu, Gregory Hawryluk

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引用次数: 0

Abstract

Aim: To discuss adherence to guidelines for the management of traumatic brain injury (TBI) in Türkiye and physicians' attitudes toward standardized, evidence-based medical practice.

Material and methods: Survey questions were uploaded on the website www.surveymonkey.com and sent to the participants via e-mail or social media applications. The first 10 questions were about the participants' profiles, and the rest were purposed on presenting the physicians' viewpoint on and barriers against CPG adherence. SPSS version 17.0 for Windows was used for statistical analysis.

Results: A total of 404 physicians (neurosurgeons, 59.5%; anesthesiologists, 16.7%; and emergency medicine practitioners, 23.9%) who were involved in TBI management were included in this study. Of them, 61.7% stated that they frequently adhere to the CPG recommendations for TBI. In their own experience, most of the respondents agreed that CPGs frequently improve outcomes. They stated that they would occasionally or never adopt recommendations with weak evidence. Physicians reached a consensus on individualizing the decision-making along with the CPG recommendations.

Conclusion: Of the participants, 61% adopted the CPG recommendations. The main barriers to the implementation of the CPGs are the strength of evidence levels and the affordability of the recommendations.

查看原文本刊更多论文

土耳其脑外伤指南的遵守情况：全国调查研究。

目的：讨论土耳其对创伤性脑损伤（TBI）管理指南的遵守情况以及医生对标准化循证医疗实践的态度：调查问题上传至网站 www.surveymonkey.com，并通过电子邮件或社交媒体应用程序发送给参与者。前 10 个问题是关于参与者的基本情况，其余问题则旨在说明医生对遵守 CPG 的观点和障碍。统计分析使用的是 Windows 版 SPSS 17.0：本研究共纳入 404 名参与创伤性脑损伤治疗的医生（神经外科医生，59.5%；麻醉科医生，16.7%；急诊科医生，23.9%）。其中 61.7% 的医生表示，他们经常遵守关于创伤性脑损伤的 CPG 建议。根据他们自己的经验，大多数受访者都认为 CPG 经常能改善治疗效果。他们表示偶尔会采用或从不采用证据不足的建议。医生们在根据 CPG 建议进行个性化决策方面达成了共识：61%的参与者采纳了 CPG 建议。实施 CPG 的主要障碍是证据水平的强度和建议的可负担性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Turkish neurosurgery 医学-临床神经学

CiteScore

1.50

自引率

12.50%

发文量

126

审稿时长

2 months

期刊介绍： Turkish Neurosurgery is a peer-reviewed, multidisciplinary, open access and totally free journal directed at an audience of neurosurgery physicians and scientists. The official language of the journal is English. The journal publishes original articles in the form of clinical and basic research. Turkish Neurosurgery will only publish studies that have institutional review board (IRB) approval and have strictly observed an acceptable follow-up period. With the exception of reference presentation, Turkish Neurosurgery requires that all manuscripts be prepared in accordance with the Uniform Requirements for Manuscripts Submitted to Biomedical Journals.