Browsing by Author "Suerdem, Mecit"

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Asthma control and adherence in newly diagnosed young and elderly adult patients with asthma in Turkey
(Taylor, 2019-05-04) Gemicioğlu, Bilun; Bayram, Hasan; Cimrin, Arif; Abadoğlu, Öznur; Cilli, Aykut; Uzaslan, Esra; Günen, Hakan; Akyıldız, Levent; Suerdem, Mecit; Özlü, Tevfik; Mısırlıgil, Zeynep; UZASLAN, AYŞE ESRA; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Göğüs Hastalıkları Anabilim Dalı; AAI-1004-2021
Objective: This study aimed to evaluate the factors that affect asthma control and adherence to treatment in newly diagnosed elderly asthmatics in Turkey compared with younger patients. Methods: This real-life prospective observational cohort study was conducted at 136 centers. A web-based questionnaire was administered to the patients who were followed up for 12 months. Results: Analysis included 1037 young adult asthma patients (age <65 years) and 79 elderly asthma patients (age >= 65 years). The percentage of patients with total control in the elderly and young groups were 33.9% and 37.1% at visit 1, 20.0% and 42.1% (p = 0.012) at visit 2, and 50.0% and 49.8% at visit 3, respectively. Adherence to treatment was similar for both groups. Visit compliance was better in the elderly group than in the young group at visit 1 (72.2% vs. 60.8%, p = 0.045), visit 2 (51.9% vs. 34.9%, p = 0.002), and visit 3 (32.9% vs. 19.4%, p = 0.004). Adherence to treatment increased with asthma control in both groups (both p < 0.001) but decreased with the presence of gastritis/ulcer, gastroesophageal reflux, and coronary artery disease in the elderly. Conclusions: Asthma control and adherence to treatment were similar for the elderly and young asthma patients, though the follow-up rate was lower in young patients. The presence of gastritis/ulcer, gastroesophageal reflux and coronary artery disease had negative impacts on the adherence to treatment in elderly adult patients.
Demographic, clinical and management characteristics of newly diagnosed COPD patients in Turkey: A real-life study
(Dove Medical Press Ltd., 2020) Suerdem, Mecit; Günen, Hakan; Akyıldız, Levent; Çilli, Aykut; Özlü, Tevfik; Abadoğlu, Öznur; Bayram, Hasan; Cimrin, Arif Hikmet; Gemicioğlu, Bilun; Mısırlıgil, Zeynep; Uzaslan, Esra; Uludağ Üniversitesi/Tıp Fakültesi/Göğüs Hastalıkları Bölümü; AAI-1004-2021; 8761653500
Purpose: In order to determine the clinical and sociodemographic characteristics of newly diagnosed treatment-naïve asthma and COPD patients in Turkey, a multicenter study in 2012 was initiated . We aimed to investigate the characteristics and therapies of COPD patients in the original study in more detail. Patients and Methods: This nation-wide, multicentric, non-interventional, prospective, real-life observational cohort study was conducted in 122 centers. The newly diagnosed patients were not receiving any treatment before the recruitment. Their general characteristics, the combined GOLD 2011 COPD categories and exacerbation histories were noted. The patients were followed up with 3 voluntary visits for 1 year. Their adherence to the inhaled treatment according to GOLD 2011 was evaluated during follow-up visits. Results: The study included 776 COPD patients. Their mean age was 59.4±9.1 years, and 11.9% of the patients were female. 35.1% of the patients were in the GOLD 2011 C and D category. 12.6% are frequent exacerbators, and 52.8% had at least one comorbid condition. 71.8% overtreatment rate was detected. Their attendance rates for three follow-up visits became 55.9%, 32.9% and 18.7%, respectively. The adherence rate to the treatment was measured as 81.9%. Conclusion: Although these patients were diagnosed for the first time, the GOLD C and D categories and frequent exacerbator phenotype were found at a high rate. They were usually prescribed an overtreatment regimen. We think that newly diagnosed COPD patients should be evaluated carefully, and best effort should be made to treat these patients in accordance with the recommendations of the major COPD guidelines.
Factors affecting control and adherence to one year treatment in elderly asthmatics in Turkey
(Elsevier, 2016-02) Gemicioğlu, Bilun; Bayram, Hasan; Cimrin, Arif; Abadoğlu, Öznur; Cilli, Aykut; Günen, Hakan; Akyıldız, Levent; Suerdem, Mecit; Özlü, Tevfik; Mısırlıgil, Zeynep; Uzaslan, Esra; Uludağ Üniversitesi/Tıp Fakültesi.; AAI-1004-2021
Modification of the GOLD recommendations for chronic obstructive pulmonary disease to broaden their usage in Turkey
(Taylor & Francis, 2016-03-23) Günen, Hakan; Kılınç, Öznur; Polatlı, Mehmet; Suerdem, Mecit; Uzaslan, Esra; Uludağ Üniversitesi/Tıp Fakültesi/Göğüs Hastalıkları Anabilim Dalı.; CDI-1977-2022; 8761653500
Despite the introduction of numerous national and international COPD guidelines designed to provide clinicians with optimal evidence-based disease management strategies, COPD remains an underdiagnosed and poorly treated disease. The Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines recommend disease specific diagnosis and management strategies, and they are widely used internationally. In this short report we present the outcomes of a meeting of respiratory experts in Turkey who reviewed the GOLD guidelines and their applicability to the Turkish healthcare system. In particular, we were interested to investigate the possibility of developing a simplified version of the combined assessment model which we believe will be more acceptable to Turkish pulmonologists and will increase its use in everyday clinical practice.
Newly diagnosed asthma in the elderly: Is it really different?
(Mosby-Elsevier, 2014-02) Gemicioğlu, Bilun; Abadoğlu, Öznur; Akyıldız, Levent; Bayram, Hasan; Çilli, Aykut; Cimrin, Arif; Günen, Hakan; Mısırlıgil, Zeynep; Özlü, Tevfik; Suerdem, Mecit; Uzaslan, Esra; Uludağ Üniversitesi/Tıp Fakültesi.; AAI-1004-2021