sj-docx-1-imj-10.1177_10815589241232366 – Supplemental material for Compliance with guideline recommendations in the management of patients with hospitalized community-acquired pneumonia

Supplemental material, sj-docx-1-imj-10.1177_10815589241232366 for Compliance with guideline recommendations in the management of patients with hospitalized community-acquired pneumonia by Pinar Bakir Ekinci, Emre Kara, Gulcin Telli Dizman, Sefa Metin, Ahmet Cagkan Inkaya, Kutay Demirkan, Lutfi Coplu and Serhat Unal in Journal of Investigative Medicine</p

Impact and incremental cost-effectiveness ratios of vaccination strategies.

<p>Impact and incremental cost-effectiveness ratios of vaccination strategies.</p

Disease and vaccine parameters used in the economic model.

<p>Disease and vaccine parameters used in the economic model.</p

Cost-effectiveness acceptability curves.

<p>Cost-effectiveness acceptiblity curves for 2+4 months infant vaccination (solid line), vaccination of pregnant women (dotted line) and vaccination of pregnant women + infant vaccination (dashed line). The grey vertical line indicates the 3x GDP per capita threshold (61,821 TL per QALY gained).</p

Univariate sensitivity analysis for infant vaccination at 2 and 4 months of age.

<p>The parameters are varied 25% in both ways (dark bars: 25% increase, light bars: 25% decrease). GP: general practitioner, ICER: incremental cost-effectiveness ratio, RSV: respiratory syncytial virus.</p

Cost parameters used in the economic model.

<p>Cost parameters used in the economic model.</p

Turkish doctors’ cohort: healthy despite low screening

<p><b>Objectives</b>: We aimed to determine the prevalence of chronic diseases and unhealthy lifestyle behaviors of Turkish doctors as compared with the general population and the frequency of compliance with preventive clinical practices among doctors.</p> <p><b>Methods</b>: This was an observational, prospective cohort study that enrolled graduates between 1975 and 2004 from six medical schools in Turkey. Data on demographics, disease conditions, and unhealthy lifestyle behaviors were gathered. Preventive care practices were analyzed with regards to age and gender.</p> <p><b>Results</b>: A total of 7228 doctors participated in the study. Comparison with the national data revealed higher hyperlipidemia and coronary artery disease rates. While 54.5% of the doctors had a doctor visit in the last 12 months, only 31.5% of those over 40 years of age reported a recent blood pressure measurement. Colon cancer screening rate over 50 years of age with any of the acceptable methods was only 3%. One-fourth of the female doctors over 40 years of age underwent mammography within the last two years. Only 7.1% of the doctors over 65 years of age and 10% of the doctors having an indication for a chronic disease had a pneumococcal vaccine, while nearly one-fifth had no hepatitis B vaccine.</p> <p><b>Conclusion</b>: In this cohort of mainly middle-aged Turkish doctors, the age-standardized rates of chronic diseases were lower than the rates in the general population except for the rates of hyperlipidemia and coronary artery disease. However, doctors did show quite low rates of receipt of screening practices. These results might provoke questions about how to use Turkish doctors’ health behaviors to further improve doctors’ and, relatedly, patients’ health.</p