Yıl 2019, Cilt 12 , Sayı 3, Sayfalar 395 - 400 2019-09-30

Unnecessary free PSA test requests and assessment of the effectiveness of preventive activities
Gereksiz serbest PSA test istemleri ve önleyici faaliyetlerin etkinliğinin değerlendirilmesi

Nergiz Zorbozan [1] , İlker Akarken [2] , Gökçe Filiz Atikeler [3]


Objective: The aim of our work is to determine unnecessary fPSA test requests according to the European Association of Urology, European Society for Radiotherapy & Oncology guideline (EAPS-ESTRO-SIOG) and to assess the effectiveness of preventive actions we have made due to unnecessary test order.

Methods: According to the guidelines of EAPS-ESTRO-SIOG, the use of fPSA/tPSA ratio is considered clinically insignificant in patients with tPSA >10ng/mL or <4ng/mL. Measurement uncertainty for tPSA was calculated as±15.49% in our laboratory. The limit values(4 and 10 ng/mL)were expanded according to the uncertainty value. fPSA tests ordered in patients with tPSA levels <3.38 and >11.54 ng/mL were considered unnecessary. In addition, if the patient did not have a tPSA test previously performed in another laboratory, the requested fPSA tests in patients without tPSA test in our laboratory was evaluated as unnecessary. An informational message has been added to the hospital information system regarding the guideline recommendation for the fPSA. Unnecessary fPSA tests in the six-month term before and after adding the information note were evaluated.

Results: The number of unnecessary fPSA test significantly decreased in the six-month term after the addition of information note(p<0.05). The fPSA test was not requested without the tPSA test in 6 month period after the addition of the information note.

Conclusion: It is important to use the rules and algorithms mentioned in the guidelines when ordering the test. The results of our study suggest that the addition of an informative message according to the guideline recommendation to the hospital information system can reduce the unnecessary test order.

Amaç: Çalışmamızın amacı, Prostat Kanseri Avrupa Üroloji Derneği - Avrupa Teropotik Radyoloji ve Onkoloji Derneği - Uluslararası Geriatrik Onkoloji Derneği kılavuzuna (EAPS-ESTRO-SIOG) kılavuzuna göre gereksiz istenen fPSA testlerini belirlemek ve gereksiz test istemleri için yaptığımız önleyici faaliyetlerin etkinliğini değerlendirmektir.

Gereç Yöntem: EAPS-ESTRO-SIOG kılavuzuna gore tPSA seviyesi >10 veya <4 ng/mL olan hastalarda fPSA/tPSA oranının kullanımı klinik olarak önemsiz kabul edilmektedir. Laboratuvarımızda tPSA için ölçüm belirsizliği ±% 15,49 olarak hesaplandı. Belirsizlik değerine göre sınır değerler (4 ve 10 ng / mL) genişletildi. tPSA düzeyi <3,38 ve> 11,54 ng/mL olan hastalarda yapılan fPSA test istemleri gereksiz istem kabul edildi. Daha önce başka bir laboratuvarda tPSA testi çalışılmamış hastalarda tPSA testi olmadan yapılan fPSA test istemleri gereksiz olarak değerlendirildi. Hastane bilgi sistemine fPSA test istemi ile ilgili rehber önerilerini içeren bilgilendirme mesajı eklendi. Bilgi mesajı eklemeden önceki ve sonraki 6 aylık dönemde istenen gereksiz fPSA testleri değerlendirildi.

Bulgular: Bilgi mesajı eklendikten sonraki 6 aylık dönemde gereksiz istenen fPSA test sayısı anlamlı olarak azaldı(p <0.05). Bilgilendirme mesajının eklenmesinden sonraki 6 aylık dönemde tPSA test istemi olmadan fPSA test istemi yapılmadı.

Sonuç: Test istemleri yapılırken kılavuzda belirtilen kuralların ve algoritmaların kullanılması oldukça önemlidir. Çalışmamızın sonuçları hastane bilgi sistemine kılavuz önerilerine göre bilgilendirme mesajı eklenmesinin gereksiz test istemlerini azaltabileceğini göstermektedir.

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Birincil Dil en
Konular Tıp
Yayımlanma Tarihi Eylül 2019
Bölüm Araştırma Makalesi
Yazarlar

Orcid: 0000-0001-7298-1897
Yazar: Nergiz Zorbozan (Sorumlu Yazar)
Kurum: İZMİR KEMALPAŞA DEVLET HASTANESİ
Ülke: Turkey


Orcid: 0000-0002-2863-3112
Yazar: İlker Akarken
Kurum: MUĞLA SITKI KOÇMAN ÜNİVERSİTESİ, TIP FAKÜLTESİ
Ülke: Turkey


Orcid: 0000-0002-5496-1689
Yazar: Gökçe Filiz Atikeler
Kurum: İzmir Su Hastanesi
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 30 Eylül 2019

Bibtex @araştırma makalesi { patd535320, journal = {Pamukkale Tıp Dergisi}, issn = {}, eissn = {1308-0865}, address = {Pamukkale Üniversitesi Tıp Fakültesi Eğitim Blokları Kınıklı kampüsü 20070 Kınıklı, Denizli}, publisher = {Pamukkale Üniversitesi}, year = {2019}, volume = {12}, pages = {395 - 400}, doi = {10.31362/patd.535320}, title = {Unnecessary free PSA test requests and assessment of the effectiveness of preventive activities}, key = {cite}, author = {Zorbozan, Nergiz and Akarken, İlker and Atikeler, Gökçe Filiz} }
APA Zorbozan, N , Akarken, İ , Atikeler, G . (2019). Unnecessary free PSA test requests and assessment of the effectiveness of preventive activities. Pamukkale Tıp Dergisi , 12 (3) , 395-400 . DOI: 10.31362/patd.535320
MLA Zorbozan, N , Akarken, İ , Atikeler, G . "Unnecessary free PSA test requests and assessment of the effectiveness of preventive activities". Pamukkale Tıp Dergisi 12 (2019 ): 395-400 <https://dergipark.org.tr/tr/pub/patd/issue/48923/535320>
Chicago Zorbozan, N , Akarken, İ , Atikeler, G . "Unnecessary free PSA test requests and assessment of the effectiveness of preventive activities". Pamukkale Tıp Dergisi 12 (2019 ): 395-400
RIS TY - JOUR T1 - Unnecessary free PSA test requests and assessment of the effectiveness of preventive activities AU - Nergiz Zorbozan , İlker Akarken , Gökçe Filiz Atikeler Y1 - 2019 PY - 2019 N1 - doi: 10.31362/patd.535320 DO - 10.31362/patd.535320 T2 - Pamukkale Tıp Dergisi JF - Journal JO - JOR SP - 395 EP - 400 VL - 12 IS - 3 SN - -1308-0865 M3 - doi: 10.31362/patd.535320 UR - https://doi.org/10.31362/patd.535320 Y2 - 2019 ER -
EndNote %0 Pamukkale Tıp Dergisi Unnecessary free PSA test requests and assessment of the effectiveness of preventive activities %A Nergiz Zorbozan , İlker Akarken , Gökçe Filiz Atikeler %T Unnecessary free PSA test requests and assessment of the effectiveness of preventive activities %D 2019 %J Pamukkale Tıp Dergisi %P -1308-0865 %V 12 %N 3 %R doi: 10.31362/patd.535320 %U 10.31362/patd.535320
ISNAD Zorbozan, Nergiz , Akarken, İlker , Atikeler, Gökçe Filiz . "Unnecessary free PSA test requests and assessment of the effectiveness of preventive activities". Pamukkale Tıp Dergisi 12 / 3 (Eylül 2019): 395-400 . https://doi.org/10.31362/patd.535320
AMA Zorbozan N , Akarken İ , Atikeler G . Unnecessary free PSA test requests and assessment of the effectiveness of preventive activities. Pamukkale Tıp Dergisi. 2019; 12(3): 395-400.
Vancouver Zorbozan N , Akarken İ , Atikeler G . Unnecessary free PSA test requests and assessment of the effectiveness of preventive activities. Pamukkale Tıp Dergisi. 2019; 12(3): 400-395.