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Karakiliç GD, Borman P, Kocaoğlu S, Büyük F, Bakirci EŞ. Hypothyroidism and autoimmune thyroid disorders in rheumatoıd arthritis: relationship wıth disease activity. Rom J Intern Med 2024; 62:160-167. [PMID: 38281120 DOI: 10.2478/rjim-2024-0002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Indexed: 01/29/2024]
Abstract
Background and aims: Thyroid function abnormalities and thyroid autoantibodies have previously been described in rheumatoid arthirits (RA) with limited data. In some studies, a relationship was found between thyroid autoantibodies and RA disease activity. However, there are not strong studies in the literature indicating the relationship between thyroid diseases and RA. The aim of this study was to determine the frequency of hypothyroidism and to investigate the relationship between thyroid hormone levels, autoantibodies and disease activity in patients with rheumatoid arthritis (RA). Methods : 1017 patients with the diagnosis of RA were recruited. This observational study was conducted between January 2014 and July 2015. Demographic variables were recorded. Anti-nuclear antibodies (ANA), anti-cyclic citrulli-nated peptide antibody (anti-CCP), Rheumatoid Factor (RF), C reactive protein (CRP), Erythrocyte Sedimentation Rate (ESR), thyroid stimulating hormone (TSH), triiodothyronine (T3), thyroxine (T4), anti-microsomal antibody (anti-TPO )and anti-thyroglobulin antibody (anti-TG) were determined. Visual analog score and Disease Activiy Score 28 (DAS-28) ESR and DAS-28 CRP were recorded. The relationship between thyroid hormone levels and thyroid antibodies and disease activity parameters were determined. Results: 98 (%9,7) patients had hypothyroidism and 61 (%6) patients had hyperthyroidism. 210 (20,7%) patients with RA was positive for TPOAb and 165(16,3%) for anti-TG. Positive correlation was detected between anti-TPO positivity and anti-CCP levels (p:0.005, r:0,274). In anti-TG antibody positive patients, there was a significant positive correlation of thyroid hormone levels with CRP and DAS 28-CRP (p:0.01, r:0,120; p:0.01, r:0,169). Conclusion: Thyroid autoantibodies were found to be positive in 16-21% of patients with RA. Though hypothyroidism is not very frequent in RA patients, autoimmune thyroid disease is quite common, which may be related to disease activity.
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Affiliation(s)
| | - Pinar Borman
- 2Department of Physical Medicine and Rehabilitation, Ankara City Hospital, Ankara, Turkey
| | - Seher Kocaoğlu
- 3Department of Physical Medicine and Rehabilitation, Ankara Training and Research Hospital, Ankara, Turkey
| | - Ferda Büyük
- 1Department of Physical Medicine and Rehabilitation, Yozgat City Hospital, Yozgat, Turkey
| | - Esra Şahingöz Bakirci
- 1Department of Physical Medicine and Rehabilitation, Yozgat City Hospital, Yozgat, Turkey
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Bilir EE, Borman P, Merve Ata A, Alemdaroğlu E, Bodur H, Yanık B, Yurdakul F, Kesikburun B, Güler T, Başkan B, Akkuş S, Uzun O, Yaşar E. Clinical properties and rehabilitation needs of earthquake survivors in a subacute rehabilitation setting. ULUS TRAVMA ACIL CER 2024; 30:297-304. [PMID: 38634844 PMCID: PMC11065973 DOI: 10.14744/tjtes.2024.27553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 04/02/2024] [Accepted: 04/03/2024] [Indexed: 04/19/2024]
Abstract
BACKGROUND This descriptive analysis examines the victims of the February 6, 2023, earthquakes in Kahramanmaraş and Elbistan, Türkiye. It aims to detail the injury profiles related to neuro-musculoskeletal trauma, assess the rehabilitation needs of patients, and propose a comprehensive rehabilitation approach. METHODS The study included patients injured in the Kahramanmaraş-centered earthquake on February 6, 2023, who were transported to our hospital based on their rehabilitation needs. Data from patients treated at our hospital were recorded retrospectively. This included demographic information, accompanying pathologies, laboratory findings, rehabilitation programs, and treatments received during their hospital stay. Statistical analyses were conducted to examine the data. RESULTS A total of 141 patients with musculoskeletal injuries were admitted due to injuries sustained from the earthquake. The mean age of the participants was 39.76 years, with a slight female predominance (56.7%). The majority of patients sustained injuries while trapped under debris (90.1%), with an average duration of 10 hours under rubble. Fractures were the most common form of injury (53.2%), predominantly affecting the lower extremities. Peripheral nerve injuries were present in 41.1% of patients, and amputations were observed in 30.5%. Complications included compartment syndrome (46.1%), crush syndrome (36.2%), and various infections. Pain was prevalent among patients, with somatic pain being the most reported type. Individualized rehabilitation programs were implemented, incorporating physical therapy, wound care, pain management, and psychosocial support. CONCLUSION This study highlights the critical rehabilitation needs of earthquake survivors and emphasizes the importance of early and comprehensive rehabilitation interventions. Multidisciplinary rehabilitation programs were crucial in addressing medical issues, functional limitations, and psychological challenges faced by the survivors. The findings contribute to a deeper understanding of earthquake-related injuries and underscore the significance of well-coordinated rehabilitation strategies in disaster responses.
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Affiliation(s)
- Emine Esra Bilir
- Departmant of Physical Medicine and Rehabilitation, Ankara Bilkent City Hospital, Ankara-Türkiye
| | - Pinar Borman
- Department of Physical Medicine and Rehabilitation, Univercity of Health Sciences Gulhane Faculty of Medicine, Ankara City Hospital, Ankara-Türkiye
| | - Ayşe Merve Ata
- Departmant of Physical Medicine and Rehabilitation, Ankara Bilkent City Hospital, Ankara-Türkiye
| | - Ebru Alemdaroğlu
- Department of Physical Medicine and Rehabilitation, Univercity of Health Sciences Gulhane Faculty of Medicine, Ankara City Hospital, Ankara-Türkiye
| | - Hatice Bodur
- Departmant of Physical Medicine and Rehabilitation, Yıldırım Beyazıt Univercity, Ankara Bilkent City Hospital, Ankara-Türkiye
| | - Burcu Yanık
- Departmant of Physical Medicine and Rehabilitation, Ankara Bilkent City Hospital, Ankara-Türkiye
| | - Fatma Yurdakul
- Department of Physical Medicine and Rehabilitation, Univercity of Health Sciences Gulhane Faculty of Medicine, Ankara City Hospital, Ankara-Türkiye
| | - Bilge Kesikburun
- Department of Physical Medicine and Rehabilitation, Univercity of Health Sciences Gulhane Faculty of Medicine, Ankara City Hospital, Ankara-Türkiye
| | - Tuba Güler
- Department of Physical Medicine and Rehabilitation, Univercity of Health Sciences Gulhane Faculty of Medicine, Ankara City Hospital, Ankara-Türkiye
| | - Bedriye Başkan
- Departmant of Physical Medicine and Rehabilitation, Ankara Bilkent City Hospital, Ankara-Türkiye
| | - Selami Akkuş
- Departmant of Physical Medicine and Rehabilitation, Yıldırım Beyazıt Univercity, Ankara Bilkent City Hospital, Ankara-Türkiye
| | - Oznur Uzun
- Departmant of Physical Medicine and Rehabilitation, Sincan Doctor Nafiz Körfez State Hospital, Ankara-Türkiye
| | - Evren Yaşar
- Department of Physical Medicine and Rehabilitation, Univercity of Health Sciences Gulhane Faculty of Medicine, Ankara City Hospital, Ankara-Türkiye
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Cagliyan Turk A, Erden E, Eker Buyuksireci D, Umaroglu M, Borman P. Prevalence of Fibromyalgia Syndrome in Women with Lipedema and Its Effect on Anxiety, Depression, and Quality of Life. Lymphat Res Biol 2024; 22:2-7. [PMID: 38127646 DOI: 10.1089/lrb.2023.0038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2023] Open
Abstract
Background/Aim: The aim of this study was to determine the frequency of fibromyalgia syndrome (FMS) in patients with lipedema and to evaluate the effects of FMS on anxiety, depression, and quality of life (QoL) in this patient group. Methods: Patients with lipedema were invited to participate in a Survey-Monkey questionnaire (according to inclusion and exclusion criteria) that was announced on the facebook page of the lipedema patient community. The demographic and clinical properties, including age, body mass index (BMI), education, marital status, and types and stage of lipedema, were collected. Presence of fibromyalgia was assessed by the questions based on American College of Rheumatology 2016 FMS diagnostic criteria. The Hospital Anxiety and Depression Scale and Short Form-12 (SF-12) were used to assess the anxiety and depression, and QoL respectively. The demographic and clinical characteristics, as well as anxiety/depression level and QoL of lipedema patients were evaluated in regard to the presence (Group 1) and absence (Group 2) of FMS. Results: A total of 354 participants with a mean age of 43.18 ± 9.53 years and BMI of 30.61 ± 6.86 were included. The majority of them were married and had university education. Most of the patients had types 1, 2 and commonly stages 1 and 2 lipedema. One hundred twenty-four patients (35%) satisfied FMS criteria. The demographic characteristics except pain intensity were similar between the groups. The mean anxiety and depression scores of Group 1 were significantly higher compared with Group 2 (13.11 ± 4.2 vs. 9.87 ± 4.65, 10.23 ± 3.79 vs. 8.26 ± 4.15, respectively, p < 0.001). The mental and physical subgroup scores of SF-12 (35.37 ± 8.59 vs. 42.55 ± 10.15, 35.27 ± 8.49 vs. 40.38 ± 11.36, respectively) were significantly lower in Group 1 than in Group 2 (p < 0.001). Conclusion: More than every 3 lipedema patient may have FMS. This comorbidity may increase depression and anxiety, and impair QoL. Therefore, FMS must be kept in mind especially in the assessment of painful lipedema patients to decrease anxiety/depression and enhance the QoL of them.
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Affiliation(s)
- Ayla Cagliyan Turk
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Hitit University, Corum, Turkey
| | - Ender Erden
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Hitit University, Corum, Turkey
| | - Dilek Eker Buyuksireci
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Hitit University, Corum, Turkey
| | - Mutlu Umaroglu
- Institutional Big Data Management Coordination Office, Middle East Technical University, Ankara, Turkey
| | - Pinar Borman
- Department of Physical Medicine and Rehabilitation, Ankara City Hospital, University of Health Sciences, Ankara, Turkey
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Burian EA, Franks PJ, Borman P, Quéré I, Karlsmark T, Keeley V, Sugama J, Cestari M, Moffatt CJ. Factors associated with cellulitis in lymphoedema of the arm - an international cross-sectional study (LIMPRINT). BMC Infect Dis 2024; 24:102. [PMID: 38238718 PMCID: PMC10797905 DOI: 10.1186/s12879-023-08839-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Accepted: 11/22/2023] [Indexed: 01/22/2024] Open
Abstract
BACKGROUND Lymphoedema is a globally neglected health care problem and a common complication following breast cancer treatment. Lymphoedema is a well-known predisposing factor for cellulitis, but few have investigated the risk factors for cellulitis in this patient cohort on an international level. The aim of this study was to identify the frequency of cellulitis in patients with lymphoedema of the arm, including potential risk factors for cellulitis. METHODS An international, multi-centre, cross-sectional study including patients with clinically assessed arm lymphoedema. The primary outcome was the incidence of cellulitis located to the arm with lymphoedema within the last 12 months, and its potential associated risk factors. The secondary outcome was life-time prevalence of cellulitis. Adults with clinically-assessed arm lymphoedema/chronic oedema (all causes) and able to give informed consent were included. End-of-life-patients or those judged as not in the patient's best interest were excluded. Both univariable and multivariable analysis were performed. RESULTS A total of 2160 patients were included from Australia, Denmark, France, Ireland, Italy, Japan, Turkey and United Kingdom. Secondary lymphoedema was present in 98% of the patients; 95% of these were judged as related to cancer or its treatment. The lifetime prevalence of cellulitis was 22% and 1-year incidence 11%. Following multivariable analysis, factors associated with recent cellulitis were longer swelling duration and having poorly controlled lymphoedema. Compared to having lymphoedema less than 1 year, the risk increased with duration: 1-2 years (OR 2.15), 2-5 years (OR 2.86), 5-10 years (OR 3.15). Patients with well-controlled lymphoedema had a 46% lower risk of cellulitis (OR 0.54, 95% CI 0.39-0.73, p < 0.001). More advanced stages of lymphoedema were associated with cellulitis even after adjustment for swelling duration and control of swelling by logistic regression (stage II OR 5.44, stage III OR 9.13, p = 0.002), demonstrated in a subgroup analysis. CONCLUSION Patients with advanced arm lymphoedema are at particular risk of developing cellulitis. Prevention of lymphoedema progression is crucial. The results lend towards a positive effect of having well-treated lymphoedema on the frequency of cellulitis.
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Affiliation(s)
- Ewa Anna Burian
- Department of Dermato-Venereology & Wound Healing Centre, Bispebjerg Hospital, Bispebjerg Bakke 23, Copenhagen, 2400, Denmark.
| | - Peter J Franks
- Centre for Research and Implementation of Clinical Practice, London, UK
| | - Pinar Borman
- Medical Faculty, Department of Physical Medicine and Rehabilitation, Ankara Medipol University, Ankara, Turkey
| | - Isabelle Quéré
- CHU Montpellier, University of Montpellier, IDESP, Montpellier, France
| | - Tonny Karlsmark
- Department of Dermato-Venereology & Wound Healing Centre, Bispebjerg Hospital, Bispebjerg Bakke 23, Copenhagen, 2400, Denmark
| | - Vaughan Keeley
- Lymphoedema Department, University Hospitals of Derby and Burton NHS Trust, Derby and University of Nottingham Medical School, Nottingham, UK
| | - Junko Sugama
- Research Centre for Implementation Nursing Science Initiative, Research Promotion Headquarters, Fujita Health University, Aichi, Japan
| | | | - Christine J Moffatt
- Department of Dermato-Venereology & Wound Healing Centre, Bispebjerg Hospital, Bispebjerg Bakke 23, Copenhagen, 2400, Denmark
- Nottingham University Hospitals NHS Trust, Nottingham, UK
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Karasimav O, Borman P, Dalyan M, Yalcin E, Eliuz ZB, Koc SS, Turhan S. Static and Dynamic Imbalance in Patients with Breast Cancer-Related Lymphedema. Lymphat Res Biol 2023; 21:601-607. [PMID: 37196199 DOI: 10.1089/lrb.2023.0012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/19/2023] Open
Abstract
Background: Breast cancer-related lymphedema (BCRL) was associated with postural imbalance, but the immature knowledge introduced debate about which component of the balance was affected by BCRL in the literature. The aim of this study was to determine the static and dynamic balance of patients with BCRL in comparison with healthy subjects. Methods and Results: This case-control designed study recruited 30 BCRL patients and 30 healthy individuals. The demographic and clinical variables of the subjects were recorded. The static balance stability parameters on four conditions (eyes opened-stable ground, eyes closed-stable ground, eyes opened-unstable ground, eyes closed-unstable ground) and dynamic stability of all participants were evaluated. The values of both stable ground conditions were similar between the groups (p < 0.05). However, values of both eyes opened-unstable ground (p = 0.032) and eyes closed-unstable ground (p = 0.034) conditions were significantly impaired in BCRL in comparison with controls. Besides, comparison of sway area of the opened versus closed eyes conditions on unstable ground (p = 0.036), and movement speed while correcting the center of pressure on unstable ground (with opened and closed eyes, p = 0.014 and p = 0.004 respectively) revealed increased values in the BCRL group. Likewise, the dynamic stability was significantly disrupted in the BCRL group (p = 0.043). Conclusion: Closing eyes did not affect the postural balance in patients with BCRL, whereas the deterioration of ground altered the balance significantly in the BCRL group compared with healthy subjects. We suggest the inclusion of balance exercises and guidance for selection of correct shoes and insoles in routine lymphedema rehabilitation program.
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Affiliation(s)
- Ozlem Karasimav
- Department of Sports Medicine, Sports Health and Rehabilitation Laboratory, Ankara City Hospital, Physical Medicine and Rehabilitation Hospital, Ankara, Turkey
| | - Pinar Borman
- Department of Physical Medicine and Rehabilitation, Lymphedema Clinic and Laboratory, Ankara City Hospital, Physical Medicine and Rehabilitation Hospital, Ankara, Turkey
| | - Meltem Dalyan
- Department of Physical Medicine and Rehabilitation, Lymphedema Clinic and Laboratory, Ankara City Hospital, Physical Medicine and Rehabilitation Hospital, Ankara, Turkey
| | - Elif Yalcin
- Department of Physical Medicine and Rehabilitation, Posture and Gait Analysis Laboratory, Ankara City Hospital, Physical Medicine and Rehabilitation Hospital, Ankara, Turkey
| | - Zahide Betul Eliuz
- Department of Physical Medicine and Rehabilitation, Posture and Gait Analysis Laboratory, Ankara City Hospital, Physical Medicine and Rehabilitation Hospital, Ankara, Turkey
| | - Saadet Selin Koc
- Department of Sports Medicine, Sports Health and Rehabilitation Laboratory, Ankara City Hospital, Physical Medicine and Rehabilitation Hospital, Ankara, Turkey
| | - Seren Turhan
- Department of Sports Medicine, Sports Health and Rehabilitation Laboratory, Ankara City Hospital, Physical Medicine and Rehabilitation Hospital, Ankara, Turkey
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Esen Özdemir E, Borman P, Mete Civelek G, Umaroğlu MM. YouTube as a Source of Information on Lipedema: Property, Quality, and Reliability Assessment. Lymphat Res Biol 2023; 21:403-409. [PMID: 36927077 DOI: 10.1089/lrb.2022.0028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2023] Open
Abstract
Background/Aim: YouTube provides information on several health-conditions including lipedema. The aim of this study was to investigate the properties, quality, and quantity of YouTube videos on lipedema. Methods: We explored YouTube using the key word lipedema and the initial top 50 videos were included to review. The properties comprising informers, target, and domains of videos covering number of views, likes, dislikes, duration, viewing rate (VR), and video power index (VPI) were recorded. A modified DISCERN tool and global quality scale (GQS) were used to assess the reliability and quality of videos, respectively. Results: The top 50 videos had a mean of 35,805 views, 282 likes, 12 dislikes, and 30 comments. The mean VPI (96.4) and VR (63.8%) were high. The videos were generally uploaded by health professionals for patient/public and health professional targets with the same ratio (50%). The majority of video contents was related to general information (68%) followed by surgical treatment (62%). Only a small ratio of their content (22%) was about nonsurgical management. The reliability and quality of the videos were intermediate to low. The median DISCERN and GQS scores were higher in the videos uploaded by health professional group compared with nonhealth professionals, but the number of views, VPI, and VR were similar between the groups with regard to the source. Conclusion: YouTube videos on lipedema are mostly provided by health professionals targeting both public/patients and health care providers but the content is limited and the quality and reliability of them were low to intermediate. Therefore, the lipedema specialists are suggested to work together to create up-to-date, high-quality, accessible online educational content to meet the needs of both patients/public and the health professionals. In addition, control mechanisms and careful peer reviewing of the videos informed by nonhealth professionals are warranted to avoid misleading information.
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Affiliation(s)
- Elif Esen Özdemir
- Department of Physical Medicine and Rehabilitation, Ankara City Hospital, University of Health Sciences Faculty of Medicine, Ankara, Turkey
| | - Pinar Borman
- Department of Physical Medicine and Rehabilitation, Ankara City Hospital, University of Health Sciences Faculty of Medicine, Ankara, Turkey
| | - Gül Mete Civelek
- Department of Physical Medicine and Rehabilitation, Ankara City Hospital, University of Health Sciences Faculty of Medicine, Ankara, Turkey
| | - Mümtaz Mutlu Umaroğlu
- Institutional Data Management Coordination Office, Middle East Technical University, Ankara, Turkey
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Sahbaz Pirincci C, Cihan E, Borman P, Dalyan M. Does Fear of Movement Affect Fatigue and Quality of Life in Lower Extremity Lymphedema? Lymphat Res Biol 2022. [PMID: 36580543 DOI: 10.1089/lrb.2022.0050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Background: The aim of our study was to determine the causes of lower extremity kinesiophobia (whether it is biological or psychological) in individuals with lower limb lymphedema (LLL), and to compare the changes in fatigue and activities of daily living with healthy individuals. Methods: The study included 74 unilateral LLL patients (study group) and 74 individuals (control subjects). Causes of fear of movement were assessed with the Causes of Fear of Movement questionnaire; fatigue, with the Functional Assessment of Chronic Disease Treatment-Fatigue Questionnaire; and quality of life (QoL) with the Lymphedema Quality of Life Questionnaire-Leg. Results: One hundred forty-eight participants were included in the study, 74 of whom were in the study group and 74 in the control group. 63.5% of the lymphedema patients had primary lymphedema and 36.5% had secondary lymphedema. Fear of movement total score and QoL scores was higher in LLL group than control group. Total fear of movement score and biological subparameter score of fear of movement, fatigue, and some subparameters of QoL scores were found to be higher in primary LLL patients compared with secondary LLL. Conclusion: Fear of movement is common and QoL is impaired in patients with secondary LLL, more significant in primary LLL.
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Affiliation(s)
- Cansu Sahbaz Pirincci
- Gulhane Faculty of Physiotherapy and Rehabilitation, University of Health Sciences, Ankara, Turkey
| | - Emine Cihan
- Vocational School of Health Science Physiotherapy, Selcuk University, Konya Turkey
| | - Pinar Borman
- Ankara City Hospital, Rehabilitation Hospital, University of Health Sciences, Ankara, Turkey
| | - Meltem Dalyan
- Ankara City Hospital, Rehabilitation Hospital, University of Health Sciences, Ankara, Turkey
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Yaman A, Borman P, Ozdemir O, Umaroglu MM. Clinical awareness and knowledge of breast cancer-related lymphedema among a group of psychiatrists in Turkey - An online survey. Niger J Clin Pract 2022; 25:1654-1659. [PMID: 36308235 DOI: 10.4103/njcp.njcp_1698_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
BACKGROUND The point-of-view and role of physiatrists are important in the clinical care of breast-cancer-related-lymphedema (BCRL) patients to set up management and rehabilitation strategies. AIM The aim of this study was to determine the awareness and knowledge of BCRL among a group of physiatrists regarding its causes, symptoms, treatment, and management in Turkey. SUBJECTS AND METHODS The participants were asked to answer a 10-min web survey, including 19 questions. In addition to their demographical and logistic properties, the questionnaire elicited data on the knowledge, education, and awareness of the physiatrists on the diagnosis and treatment of BCRL. RESULTS In total, 127 female and 44 male physiatrists completed the survey. Also, 71% of the participants were aged between 31 and 50 years, mostly working in metropoles and tertiary hospitals for more than 5 years. Further, 63.7% of the participants expressed that they had knowledge about BCRL; however, detailed knowledge of lymphedema treatment was low, as 67.9% of the physiatrists reported that they had no comprehensive information about complete-decongestive-therapy. Nearly half of the participants did not believe that once lymphedema has clinically manifested, a patient can eventually be treated for BCRL. Also, 87% of the participants had attended less than two educational events related to BCRL in the past 5 years. In all, 94.7% of the physicians determined a great need for education and awareness of the current literature about BCRL. CONCLUSION The awareness and knowledge of lymphedema is moderate but detailed information, knowledge, and education about lymphedema and its treatment are low among a group of physiatrists. With the growing number of breast cancer survivors, physiatrists' awareness and education about BCRL are crucial to improve the quality of care of patients.
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Affiliation(s)
- Aysegul Yaman
- Department of Physical and Rehabilitation Medicine, GulhaneTraining and Research Hospital, Ankara, Turkey
| | - Pinar Borman
- Department of Physical and Rehabilitation Medicine, University of Health Sciences, Ankara City Hospital, Rehabilitation Hospital, Unit of Lymphedema, Ankara, Turkey
| | - Oya Ozdemir
- Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School; Hacettepe University, Research and Application Center for the Diagnosis and Treatment of Lymphedema, Ankara, Turkey
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Borman P, Yaman A, Denizli M, Yüzer A, Terzioğlu F. Complex decongestive therapy in a patient with poliomyelitis, bilateral lymphoedema and a deep wound: a case study. J Wound Care 2022; 31:792-798. [PMID: 36113540 DOI: 10.12968/jowc.2022.31.9.792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVE The aim of this case report is to describe the results of complex decongestive therapy (CDT) in a patient with poliomyelitis and bilateral lymphoedema, and to emphasise the effect of CDT on wound healing. METHOD A 48-year-old female patient was given CDT for bilateral grade 3 lymphoedema in the lower extremities and a deep wound on the right foot. She had been diagnosed with poliomyelitis sequela and mobilised with a wheelchair for 26 years. The lymphoedema on both legs and the wound on the right foot sole had been present for five years and eight months, respectively. Detailed wound care had been performed previously upon the green, malodorous infected wound, without healing. The patient received skin care education, manual lymphatic drainage, multilayer bandaging and exercises for 4 weeks in a total of 20 sessions. The improvement was assessed by limb volumes prior to and at the end of the treatments. RESULTS The right and left lower limb volumes were decreased significantly at the end of treatments (3042cm³ (R) and 3165cm³ (L) before versus 2702cm3 (R) and 2401cm3 (L) afterward). The wound size decreased considerably and the green malodorous flow ceased. The patient continued self-massage and self-bandaging after hospital discharge. The control follow-up, one month later, revealed a completely healed wound with maintained volume. CONCLUSION In conclusion CDT for a duration of 4 weeks in a female patient with poliomyelitis, bilateral lymphoedema and an infectious hard-to-heal wound, improved both the lymphoedema and wound healing.
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Affiliation(s)
- Pinar Borman
- University of Health Sciences Ankara City Hospital, Rehabilitation Hospital, Unit of Lymphedema, Ankara, Turkey
| | - Ayşegül Yaman
- Gulhane Education and Research Hospital Department of PMR, Ankara, Turkey
| | - Merve Denizli
- Hendek State Hospital, Department of PMR, Sakarya, Turkey
| | - Ayşe Yüzer
- Kastamonu University Health Sciences Faculty Department of PMR, Kastamonu, Turkey
| | - Füsun Terzioğlu
- Kocaeli Health and Technical University Faculty of Health Sciences, Vice Rector, İzmit, Turkey
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10
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Borman P, Westerhoff J, Winchester N, Knox C, Kok J, Raaymakers B, Fast M. PO-1718 Visual biofeedback on the Unity MR-linac as driver for treatment efficiency. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)03682-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Borman P, Uijtewaal P, de Muinck Keizer D, Woodhead P, Raaymakers B, de Boer H, Fast M. MO-0468 First demonstration of 3D cine-MRI guided MLC-tracking for extremely hypofractionated prostate SBRT. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)02362-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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van Bochove A, Keijnemans K, Borman P, van Lier A, Fast M. PD-0074 Improving spatial fidelity and image quality of mid-position MRI for lung radiotherapy. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)02744-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Uijtewaal P, Borman P, Woodhead P, de Vries W, Münger P, Nilsson G, Hackett S, Verhoeff J, Raaymakers B, Fast M. PO-1524 A virtual HexaMotion platform for the MR-linac: time-resolved MLC tracking dosimetry. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)03488-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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14
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Bahat G, Catikkas NM, Yavuz DG, Borman P, Guzel R, Bozkurt ME, Reginster JY. The current situation in the approach to osteoporosis in older adults in Turkey: areas in need of improvement with a model for other populations. J Clin Densitom 2022. [DOI: 10.1016/j.jocd.2022.02.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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15
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Uijtewaal P, Borman P, Woodhead P, Kontaxis C, Hackett S, Verhoeff J, Raaymakers B, Fast M. OC-0616 First VMAT delivery with MLC-tracking for single and multi fraction lung SBRT on a Unity MR-linac. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)06972-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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16
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Borman P, Bruijnen T, Schakel T, Raaymakers B. PH-0650 Real-time multi-resolution image reconstruction for MR-guided prostate radiotherapy. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)07382-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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17
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Borman P, Koyuncu EG, Yaman A, Calp E, Koç F, Sargut R, Karahan S. The Comparative Efficacy of Conventional Short-Stretch Multilayer Bandages and Velcro Adjustable Compression Wraps in Active Treatment Phase of Patients with Lower Limb Lymphedema. Lymphat Res Biol 2020; 19:286-294. [PMID: 33270499 DOI: 10.1089/lrb.2020.0088] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Background: Compression is the most important component of complete decongestive therapy (CDT), but there is no standard best method for applying compression. The aim of this study was to evaluate the comparative efficacy of conventional multilayer short-stretch bandaging, and a velcro adjustable compression wrap with regard to volume reduction, ultrasonographic measurements, functional-status, and quality of life (QoL) in the active CDT period of patients with lower limb lymphedema. Methods and Results: The demographic and clinical variables of lower limb lymphedema patients were recorded. All patients received skin care education, manual lymphatic drainage, and supervised lyphedema exercises, and were randomly allocated to Group1 (multilayer short-stretch bandaging-Rosidal-K®) or to Group 2 (adjustable-compression-velcro-wrap-Circaid Reduction-kit®) for a duration of 3 weeks with 15 sessions. Limb volumes were assessed by perometer. Ultrasonographic measurements included subcutaneous soft tissue thickness. The functional disability and QoL were evaluated by the Lower Extremity Functional Scale and LYMQOL-Leg (Lymphedema Quality of Life Questionnaire-Leg), respectively, at baseline, after CDT, and at first-month follow-up. Thirty-six patients (10 male and 26 female) with mean age of 51.6 ± 11.7 years were included. Fourteen patients had primary and 22 patients had secondary lymphedema. The median duration of lymphedema was 68 months. Significant improvements in volumes and ultrasonographic measurments were observed in both groups at the end of therapies, and improvements sustained up to a month. Appearance, symptoms, and overall QoL-subscores were improved only in Group 2. Conclusion: In conclusion, adjustable compression velcro-wrap performed as a part of CDT can greatly reduce the volume similiar to conventional multilayer bandages, as well as improve the QoL. It can be a comfortable alternative to the conventional multilayer bandages in the active treatment phase of the CDT.
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Affiliation(s)
- Pinar Borman
- Ankara City Hospital, Department of Physical Medicine and Rehabilitation, Bilkent, Ankara, Turkey.,Department of Physical Medicine and Rehabilitation, Kastamonu University Medical Faculty, Kastamonu, Turkey
| | - Esra G Koyuncu
- Department of Physical Medicine and Rehabilitation, University of Hacettepe Faculty of Medicine, Ankara, Turkey
| | - Ayşegül Yaman
- Department of Physical Medicine and Rehabilitation, Gulhane Education and Research Hospital, Ankara, Turkey
| | - Emel Calp
- Department of Physical Medicine and Rehabilitation, University of Hacettepe Faculty of Medicine, Ankara, Turkey
| | - Funda Koç
- Department of Physical Medicine and Rehabilitation, University of Hacettepe Faculty of Medicine, Ankara, Turkey
| | - Rüveyda Sargut
- Department of Physical Medicine and Rehabilitation, University of Hacettepe Faculty of Medicine, Ankara, Turkey
| | - Sevilay Karahan
- Department of Biostatistics, University of Hacettepe Faculty of Medicine, Ankara, Turkey
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18
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Eyigor S, Kutsal YG, Toraman F, Durmus B, Gokkaya KO, Aydeniz A, Paker N, Borman P. Polypharmacy, Physical and Nutritional Status, and Depression in the Elderly: Do Polypharmacy Deserve Some Credits in These Problems? Exp Aging Res 2020; 47:79-91. [PMID: 33183169 DOI: 10.1080/0361073x.2020.1846949] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Background: To investigate the association of polypharmacy with physical function, nutritional status, and depression in the elderly. Method: The study included 675 people aged over 65 years from 8 centers in various geographical regions. The polypharmacy status was categorized as non-polypharmacy (0-4 drugs), polypharmacy (≥5 drugs). The subjects' physical function was assessed based on their "physical activity levels, Holden ambulation scores, gait speeds, and hand grip strengths"; their nutritional status based on the "Mini Nutritional Assessment (MNA)"; and their psychological status based on the "Center for Epidemiologic Studies Depression Scale -CES-D". Results: The presence of polypharmacy in this population was found to be 30% (n = 203). A statistically significant difference was found between the groups on the level of physical activity, Holden ambulation score, and nutrition status (p < .05). There was a statistically significant difference between the groups also on hand grip strength, MNA score, Charlson score (p < .05). Conclusion: Polypharmacy was observed to have a significant association with physical function, nutrition, and depression in the elderly aged ≥ 65 years.
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Affiliation(s)
- Sibel Eyigor
- Dept of Physical Medicine and Rehabilitation, Ege University Faculty of Medicine , Izmir, Turkey
| | - Yeşim Gökçe Kutsal
- Dept. of Physical Medicine and Rehabilitation, Hacettepe University Faculty of Medicine , Ankara, Turkey
| | - Fusun Toraman
- Dept of Physical Medicine and Rehabilitation, University of Health Sciences Antalya Education and Research Hospital , Antalya, Turkey
| | - Bekir Durmus
- Dept of Physical Therapy and Rehabilitation, Erenköy Education and Research Hospital Physical Therapy and Rehabilitation Clinic , Istanbul, Turkey
| | - Kutay Ordu Gokkaya
- Dept of Physical Therapy and Rehabilitation, Gaziler Physical Therapy and Rehabilitation Training and Research Hospital , Ankara, Turkey
| | - Ali Aydeniz
- Dept of Physical Medicine and Rehabilitation, Gaziantep University Faculty of Medicine , Gaziantep, Turkey
| | - Nurdan Paker
- Dept of Physical Therapy and Rehabilitation, Istanbul Physical Therapy and Rehabilitation Training and Research Hospital , İstanbul, Turkey
| | - Pinar Borman
- Dept. of Physical Medicine and Rehabilitation, Hacettepe University Faculty of Medicine , Ankara, Turkey
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19
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Borman P, Woodhead P, Perrin M, Barberi E, Lagendijk J, Raaymakers B, Fast M. OC-0706: First MRI-guided MLC-tracking using a deformable motion phantom. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)00728-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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20
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Borman P, Yaman A, Gokoz O. Stewart–Treves syndrome: A Rare but Aggressive Complication of Breast Cancer Related-Lymphedema. Eur J Breast Health 2020. [DOI: 10.5152/ejbh.2020.5741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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21
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Abstract
OBJECTIVE The aim of this cross sectional study was to evaluate frequency of neuropathic back pain in ankylosing spondylitis (AS) patients and to determine the relation with disease variables and occurrence of neuropathic pain. METHODS Fifty-eight AS patients who were not having any comorbid disease and/or using drugs that would cause neuropathy, were recruited to the study. Demographic properties and clinical characteristics (functional status and disease activity assessed by BASFI and BASDAI respectively, ESR, CRP) and quality of life determined by AS quality of life-QoL questionnaire, were recorded. The neuropathic property of back pain was assessed by both Leeds Assessment of Neuropathic symptoms and signs (LANSS) and Douleur Neuropathique 4 (DN4) scales. RESULTS 58 AS patients (17 female, 41 male) with a mean age of 45 ± 18 years were included. 33 patients (56.9%) and 31 patients (53.4%) were defined as having neuropathic pain depending on the LANSS (scores > 12) and DN4 (scores > 4) questionnaire scores respectively. The mean score of LANSS scale was correlated with ASQoL, BASFI, BASDAI, and DN4; and the mean score of DN4 scale was correlated with ASQoL, BASFI and LANSS. The mean levels of BASFI and ASQoL scores were significantly higher in patients having neuropathic pain than in patients not having (p < .05). CONCLUSION Neuropathic pain is common and determined in more than half of the patients with AS and related with functional status and quality of life. Diagnosis and treatment of neuropathic pain are warranted in order to increase functional ability and quality of life in patients suffering from AS.
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Affiliation(s)
- Pinar Borman
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, University of Hacettepe, Ankara, Turkey
| | - Ferda Kaygisiz
- Ankara Training and Research Hospital Clinic of Physical Medicine and Rehabilitation, Ankara, Turkey
| | - Ayşegül Yaman
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, University of Hacettepe, Ankara, Turkey
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22
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Beyazova M, Doğan A, Kutsal YG, Karahan S, Arslan Ş, Gökkaya KO, Toraman F, Dinçer N, Hizmetli S, Şenel K, Yazgan P, Ortancil Ö, İrdesel J, Özyemişçi-Taşkiran Ö, Borman P, Okumuş M, Ceceli E, Evcik D, Ay S, Öztop P, Turhan N, Eskiyurt N, Günaydin R, Eyigör S, Altindağ Ö, Aydeniz A. Environmental characteristics of older people attending physical medicine and rehabilitation outpatient clinics. Cent Eur J Public Health 2020; 28:33-39. [PMID: 32228814 DOI: 10.21101/cejph.a5194] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2017] [Accepted: 01/30/2020] [Indexed: 11/15/2022]
Abstract
OBJECTIVE A residential environment refers to the physical and social characteristics in a neighbourhood. The physical characteristics include interior housing qualities, exterior neighbourhood characteristics, and the accessibility of essential facilities and services outside the neighbourhood. Older adults especially may be vulnerable to the negative impacts of the residential environment. The aim of this study is to elucidate the problems ageing people face in their neighbourhoods, buildings and public areas. METHODS The study group consisted of a total of 1,001 people over the age of 65 who were admitted to physical medicine and rehabilitation clinics in Turkey and consented to participate. A questionnaire covering demographic, social and environmental information was used. RESULTS Of the study group, 58.6% was living in an apartment building, but only 23.6% of these buildings had an elevator, and the stairs were inconvenient in 46.7% of the buildings. Only 49% of the elderly people went for a walk regularly. The most frequent complaint about the hospitals, community health centres and other public areas was the inappropriate restroom conditions. Eighty-six percent of the study group were not members of an organization, a foundation or a group, and 73.6% did not have personal hobbies. CONCLUSIONS The layouts of buildings and surroundings are inappropriate for older people, and the opportunities for them to participate in social activities are limited. Health and social programmes and governmental and local policies for older people are needed, and public awareness about this issue should be raised.
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Affiliation(s)
- Mehmet Beyazova
- Darussafaka Physical Medicine and Rehabilitation Centre, Istanbul, Turkey
| | - Asuman Doğan
- Department of Physical Medicine and Rehabilitation, Ankara PMR Education and Research Hospital, Ankara, Turkey
| | - Yeşim Gökçe Kutsal
- Department of Physical Medicine and Rehabilitation, School of Medicine, Hacettepe University, Ankara, Turkey
| | - Sevilay Karahan
- Department of Statistics, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Şule Arslan
- Department of Physical Medicine and Rehabilitation, Acibadem Atakent Hospital, Istanbul, Turkey
| | - Kutay Ordu Gökkaya
- Department of Physical Medicine and Rehabilitation, Ankara PMR Education and Research Hospital, Ankara, Turkey
| | - Füsun Toraman
- Department of Physical Medicine and Rehabilitation, Antalya Ataturk Education and Research Hospital, Antalya, Turkey
| | - Nilay Dinçer
- Department of Physical Medicine and Rehabilitation, Meram Medical School, Necmettin Erbakan University, Konya, Turkey
| | - Sami Hizmetli
- Department of Physical Medicine and Rehabilitation, School of Medicine, Cumhuriyet University, Sivas, Turkey
| | - Kazim Şenel
- Department of Physical Medicine and Rehabilitation, Medical Faculty, Ataturk University, Erzurum, Turkey
| | - Pelin Yazgan
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Harran University, Sanliurfa, Turkey
| | - Özgür Ortancil
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Zonguldak Bulent Ecevit University, Zonguldak, Turkey
| | - Jale İrdesel
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Uludag University, Bursa, Turkey
| | | | - Pinar Borman
- Department of Physical Medicine and Rehabilitation, School of Medicine, Hacettepe University, Ankara, Turkey
| | - Müesser Okumuş
- Department of Physical Medicine and Rehabilitation, Ankara Education and Research Hospital, Ministry of Health, Ankara, Turkey
| | - Esma Ceceli
- Department of Physical Medicine and Rehabilitation, Ankara Education and Research Hospital, Ministry of Health, Ankara, Turkey
| | - Deniz Evcik
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Ufuk University, Ankara, Turkey
| | - Saime Ay
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Ufuk University, Ankara, Turkey
| | - Pinar Öztop
- Department of Physical Medicine and Rehabilitation, School of Medicine, Baskent University, Istanbul, Turkey
| | - Nur Turhan
- Department of Physical Medicine and Rehabilitation, Bayindir Hospital, Icerenkoy Istanbul, Turkey
| | - Nurten Eskiyurt
- Department of Physical Medicine and Rehabilitation, School of Medicine, Istanbul University, Istanbul, Turkey
| | - Rezzan Günaydin
- Department of Physical Medicine and Rehabilitation, Izmir Training and Research Hospital, Izmir, Turkey
| | - Sibel Eyigör
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Ege University, Izmir, Turkey
| | - Özlem Altindağ
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey
| | - Ali Aydeniz
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey
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23
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Keeley V, Franks P, Quere I, Mercier G, Michelini S, Cestari M, Borman P, Hughes A, Clark K, Lisle J, Benson M, Noerregaard S, Karlsmark T, Murray S, Moffatt C. LIMPRINT in Specialist Lymphedema Services in United Kingdom, France, Italy, and Turkey. Lymphat Res Biol 2020; 17:141-146. [PMID: 30995195 PMCID: PMC6639110 DOI: 10.1089/lrb.2019.0021] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Background: There is no standardized international model for specialist lymphedema services, which covers the types of lymphedema treated and the treatments provided. The aim of this study was to provide a profile of patients attending specialist lymphedema services in different countries to explore similarities and differences. Methods and Results: The LIMPRINT core tool was used in specialist lymphedema services in the United Kingdom, France, Italy, and Turkey. Services in Turkey saw a slightly younger age group, with a higher proportion of female patients reflecting a particular focus on breast cancer-related lymphedema. There were higher levels of obesity and restricted mobility in patients in the United Kingdom compared with other countries. Italy and France saw the highest percentage of patients with primary lymphedema. Diabetes was a common comorbidity in the United Kingdom and Turkey. The United Kingdom saw the largest number of patients with lower limb lymphedema. Conclusions: The results show a wide range of complexity of patients treated in specialist lymphedema services. Some of the differences between countries may reflect different stages in the evolution of specialist lymphedema services, rather than a true difference in prevalence, with those with "younger" services treating a high proportion of patients with cancer and those with more established services treating a wider range of different types of lymphedema, including more elderly people with multiple comorbidities.
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Affiliation(s)
- Vaughan Keeley
- 1 Lymphoedema Service, Royal Derby Hospital, Derby, United Kingdom.,2 School of Health Sciences and Medicine, University of Nottingham, Nottingham, United Kingdom
| | - Peter Franks
- 3 Centre for Research & Implementation of Clinical Practice, London, United Kingdom
| | - Isabelle Quere
- 4 Montpellier Medecine Vasculaire, EA2992, Universite Montpellier I, CHU Saint Eloi, Montpellier, France
| | - Gregoire Mercier
- 4 Montpellier Medecine Vasculaire, EA2992, Universite Montpellier I, CHU Saint Eloi, Montpellier, France
| | - Sandro Michelini
- 5 Dipartimento di Medicina Fisica e Riabilitativa, Ospedale San Giovanni Battista-ACISMOM, Roma, Italy
| | | | - Pinar Borman
- 7 Department of Physical Medicine and Rehabilitation (PMR), University of Hacettepe Faculty of Medicine, Ankara, Turkey.,8 Hacettepe University Lymphedema Research and Practice Center, Ankara, Turkey
| | - Andrew Hughes
- 9 St. Oswalds Hospice, Newcastle Upon Tyne, United Kingdom
| | - Kath Clark
- 9 St. Oswalds Hospice, Newcastle Upon Tyne, United Kingdom
| | - Jill Lisle
- 9 St. Oswalds Hospice, Newcastle Upon Tyne, United Kingdom
| | | | - Susan Noerregaard
- 11 Copenhagen Wound Healing and Lymphoedema Centre, Bispebjerg Hospital, Kobehavn, Denmark
| | - Tonny Karlsmark
- 11 Copenhagen Wound Healing and Lymphoedema Centre, Bispebjerg Hospital, Kobehavn, Denmark
| | - Susie Murray
- 3 Centre for Research & Implementation of Clinical Practice, London, United Kingdom
| | - Christine Moffatt
- 4 Montpellier Medecine Vasculaire, EA2992, Universite Montpellier I, CHU Saint Eloi, Montpellier, France.,11 Copenhagen Wound Healing and Lymphoedema Centre, Bispebjerg Hospital, Kobehavn, Denmark.,12 School of Social Sciences, Nottingham Trent University, Nottingham, United Kingdom
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24
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Borman P, Yaman A, Denizli M, Karahan S. The Reliability and Validity of Lymphedema Quality of Life Questionnaire-Leg in Turkish Patients with Lower Limb Lymphedema. Lymphat Res Biol 2019; 18:42-48. [PMID: 31135275 DOI: 10.1089/lrb.2018.0048] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Background: Accurate information on quality of life (QoL) outcomes among patients with lower limb lymphedema (LLL) is substantially needed to capture lymphedema-specific impairments and make clinical decisions for the management of this suffering condition. No specific instrument for QoL in patients with LLL has been translated to Turkish and validated. This study aims to adapt the Lymphedema Quality of Life Questionnaire-leg (LYMQOL-Leg) to Turkish and to test its reliability and validity in patients with LLL. Methods and Results: The Turkish-LYMQOL-Leg was obtained using forward-backward translation and administered to 138 patients with LLL, along with Short Form 36 (SF-36), and Lower Extremity Functional Scale (LEFS), between May 2015 and October 2017. A test-retest interval of 7 days was used to assess the reliability. Descriptive analysis was applied for demographic variables and validation studies were conducted by means of construct validity using Spearman's rank correlation coefficient. Internal consistency and test-retest reliability were assessed using Cronbach's α and intraclass correlation coefficient (ICC), respectively. All patients with LLL completed the questionnaires. The mean age and lymphedema duration were 52.01 ± 14.73 years and 95.6 ± 108.6 months, respectively. Internal consistency and test-retest reliability of the Turkish-LYMQOL-Leg were good with Cronbach's α (0.85-0.90) and test-retest ICC (0.68-0.85). External construct validity was highly confirmed by expected correlations with comparator scales SF-36 and LEFS (p < 0.01). Conclusion: The Turkish version of the LYMQOL-Leg is a valid and reliable tool for evaluating QoL in patients with LLL that can readily be applied as an outcome measure both in clinical practice and research studies.
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Affiliation(s)
- Pinar Borman
- Department of Physical Medicine and Rehabilitation, University of Hacettepe, Faculty of Medicine, Ankara, Turkey.,University of Hacettepe Lymphedema Practice and Research Center, Ankara, Turkey
| | - Ayşegül Yaman
- Department of Physical Medicine and Rehabilitation, University of Hacettepe, Faculty of Medicine, Ankara, Turkey
| | - Merve Denizli
- Department of Physical Medicine and Rehabilitation, University of Hacettepe, Faculty of Medicine, Ankara, Turkey
| | - Sevilay Karahan
- Department of Biostatistics, University of Hacettepe, Faculty of Medicine, Ankara, Turkey
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25
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Borman P, Moffatt C, Murray S, Yaman A, Denizli M, Dalyan M, Unsal-Delialioğlu S, Eyigör S, Ayhan F, Duyur Çakıt B, Vural S, Özdemir O, Kurt E, Çelik EC, Cerrahoğlu L, Kepekçi M, Terzioğlu F, Donmez AA. LIMPRINT Study: The Turkish Experience. Lymphat Res Biol 2019; 17:202-210. [PMID: 30995192 PMCID: PMC6639105 DOI: 10.1089/lrb.2019.0015] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Background: Lymphedema and chronic edema is a major health care problem in both developed and nondeveloped countries The Lymphoedema Impact and Prevelance - International (LIMPRINT) study is an international health service-based study to determine the prevalence and functional impact in adult populations of member countries of the International Lymphoedema Framework (ILF). Methods and Results: A total of 1051 patients from eight centers in Turkey were recruited using the LIMPRINT study protocol. Data were collected using the core and module tools that assess the demographic and clinical properties as well as disability and quality of life (QoL). Most of the Turkish patients were recruited from specialist lymphedema services and were found to be women, housewives, and having secondary lymphedema because of cancer treatment. The duration of lymphedema was commonly <5 years and most of them had International Society of Lymphology (ISL) grade 2 lymphedema. Cellulitis, infection, and wounds were uncommon. The majority of patients did not get any treatment or advice before. Most of the patients had impaired QoL and decreased functionality, but psychological support was neglected. Although most had social health security access to lymphedema centers, nevertheless access seemed difficult because of distance and cost. Conclusion: The study has shown the current status and characteristics of lymphedema patients, treatment conditions, the unmet need for the diagnosis and treatment, as well as burden of the disease in both patients and families in Turkey. National health policies are needed for the prevention, diagnosis, and treatment in Turkey that utilize this informative data.
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Affiliation(s)
- Pinar Borman
- Department of Physical Medicine and Rehabilitation (PMR), University of Hacettepe Faculty of Medicine, Ankara, Turkey
- Lymphedema Research and Practice Center, Hacettepe University, Ankara, Turkey
| | - Christine Moffatt
- Department of Nursing, School of Social Sciences, Nottingham Trent University, Nottingham, United Kingdom
| | | | - Aysegul Yaman
- Department of Physical Medicine and Rehabilitation (PMR), University of Hacettepe Faculty of Medicine, Ankara, Turkey
| | - Merve Denizli
- Department of Physical Medicine and Rehabilitation (PMR), University of Hacettepe Faculty of Medicine, Ankara, Turkey
| | - Meltem Dalyan
- Department of Physical Medicine and Rehabilitation (PMR), Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey
| | - Sibel Unsal-Delialioğlu
- Department of Physical Medicine and Rehabilitation (PMR), Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey
| | - Sibel Eyigör
- Department of Physical Medicine and Rehabilitation (PMR), Faculty of Medicine, University of Ege, İzmir, Turkey
| | - Figen Ayhan
- Department of Physical Medicine and Rehabilitation (PMR), Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey
| | - Burcu Duyur Çakıt
- Department of Physical Medicine and Rehabilitation (PMR), Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey
| | - Secil Vural
- Department of Physical Medicine and Rehabilitation (PMR), Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey
| | - Oya Özdemir
- Department of Physical Medicine and Rehabilitation (PMR), University of Hacettepe Faculty of Medicine, Ankara, Turkey
- Lymphedema Research and Practice Center, Hacettepe University, Ankara, Turkey
| | - Eda Kurt
- Department of Physical Medicine and Rehabilitation (PMR), Faculty of Medicine, University of Ahi Evran, Kırşehir, Turkey
| | - Evrim Coşkun Çelik
- Department of Physical Medicine and Rehabilitation (PMR), İstanbul Training and Research Hospital, İstanbul, Turkey
| | - Lale Cerrahoğlu
- Department of Physical Medicine and Rehabilitation (PMR), Faculty of Medicine, University of Celal Bayar, Manisa, Turkey
| | - Müge Kepekçi
- Department of Physical Medicine and Rehabilitation (PMR), Kanuni Sultan Süleyman Training and Research Hospital, İstanbul, Turkey
| | - Fusun Terzioğlu
- Department of Nursing, Faculty of Health Science, Atılım University, Ankara, Turkey
| | - Ayşe Arikan Donmez
- Lymphedema Research and Practice Center, Hacettepe University, Ankara, Turkey
- Department of Internal Medicine Nursing, University of Hacettepe Faculty of Nursing, Ankara, Turkey
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26
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Borman P, Yaman A, Calp E. An unusual coexistence of lymphedema with myotonic dystropy: The effect of complex decongestive therapy. J Back Musculoskelet Rehabil 2017; 31:411-413. [PMID: 29171975 DOI: 10.3233/bmr-150512] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
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27
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Taser B, Ayhan FF, Borman P. The importance of quality of life for work outcomes in patients with ankylosing spondylitis - a cross-sectional study. Acta Reumatol Port 2017; 42:300-309. [PMID: 29342474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
AIMS Work impairment is one of the most important exploration and one of the aims of rheumatologists. We aimed to determine the risk factors for employment state and predictive factors of work outcomes using multi-dimensional measures in patients with ankylosing spondylitis (AS) in this comprehensive study. METHODS One hundred patients with AS (31 females and 69 males) were included into this study. Demographic properties, local factors, disease activity (BASDAI), functionality (BASFI), spinal mobility (BASMI), radiologic stage (BASRI), quality of life (AS-QoL), cardiopulmonary involvement, exercise stress test and work outcomes were investigated and compared in employed and un-employed patients. The work instability scale (AS-WIS) and work productivity activity impairment scale (WPAI:SpA) were selected as work outcomes. The predictive factors were analyzed using multiple stepwise linear regressions. MAJOR RESULTS Thirty-two patients (mean age: 42,6±11.7) were unemployed and the risk factors for unemployment state were female sex, lower annual income level, and older age. Work disability was detected only in 5% of patients. Decreased chest mobility (beta: -0.398, p: <0.001), low annual income level (beta:-0.291, p:<0.001), higher co-morbidities (beta:0.237, p:0.004), poorer AS-QoL (beta:0.238, p:0,012) and poorer AS-WIS score (beta:0.289, p: 0,004) were the predictors of work impairment. The predictive factors for work instability were higher work impairment (beta:0.533, p<0.001) and poorer AS-QoL (beta: 0.426, p<0.001) scores. CONCLUSIONS Employment state mainly depends on contextual factors including male sex, higher income, and younger age. Socioeconomic factors as well as clinical data such as QoL were predictive for work productivity. Poorer AS-QoL was also a predictive factor for work instability.We suggested effective interventions to improve clinical and economic status in patients with AS.
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Affiliation(s)
- Burcu Taser
- Ankara Training and Research Hospital, Ankara, Turkey
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Borman P, Gökçe-Kutsal Y, Terzioğlu F, Okumuş M, Ceceli E, Karahan S, Şenel K, Gökkaya KO, Doğan A, Eskiyurt N, Günaydin R, Eyigör S, Şahin N, Şahin M. A Multicenter Pilot Study of Burden Among Caregivers of Geriatric Rehabilitation Patients With Neuromusculoskeletal Diseases. Rehabil Nurs 2016; 42:199-209. [PMID: 27080048 DOI: 10.1002/rnj.272] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE In this study, we aimed to describe the sociodemographic characteristics of caregivers of patients in a geriatric unit and to clarify the relationship between caregiver burden and specific clinical variables in the patients and the characteristics of the caregivers. DESIGN Cross-sectional multicenter study. METHODS One hundred twenty-three patients and 123 caregiver dyads, with mean ages of 72.5 ± 7.7 years and 51 ± 14.7 years, respectively, were included. The functional, psychological, and cognitive statuses of the patients were determined, and the sociodemographic characteristics of the caregivers as well as the type and duration of caregiving were recorded. Caregivers completed the Caregiver Burden Inventory (CBI) to measure the perceived burden of care. Most patients were female and generally lived with their family. FINDINGS Most of the caregivers were family members (90%), female (73.2%), primary school graduates (52.8%), and first-degree relatives (73.1%). The average CBI score was 33, and the highest CBI subscores were for time, developmental, and physical burdens. Caregiver burden correlated with the patient's ambulatory, psychological, and cognitive status and with the caregiver's age, gender, income level, and duration of caregiving. CONCLUSIONS We have highlighted the relationship between caregiver and patient characteristics in a cohort of elderly Turkish patients with neurological and musculoskeletal disorders. In particular, we have highlighted the heavy caregiver burden in a developing country. CLINICAL RELEVANCE Our results may guide the nurses to understand the requirements of caregivers and to help them find suitable resources that would meet their needs to cope with their burden.
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Affiliation(s)
- Pinar Borman
- 1 Department of Physical Medicine and Rehabilitation, Medical Faculty, Hacettepe University, Ankara, Turkey2 Faculty of Nursing, Hacettepe University, Ankara, Turkey3 Department of Physical Medicine and Rehabilitation, Medical Faculty, Kirikkale University, Kirikkale, Turkey4 Department of Bio-Statistics, Medical Faculty, Hacettepe University, Ankara, Turkey5 Department of Physical Medicine and Rehabilitation, Medical Faculty, Erzurum University, Erzurum, Turkey6 Clinic of Physical Medicine and Rehabilitation, Ankara Rehabilitation Training and Research Hospital, Ankara, Turkey7 Department of Physical Medicine and Rehabilitation, Medical Faculty, Istanbul University, Istanbul, Turkey8 Department of Physical Medicine and Rehabilitation, Medical Faculty, Ordu University, Ordu, Turkey9 Department of Physical Medicine and Rehabilitation, Medical Faculty, Ege University, Izmir, Turkey10 Department of Physical Medicine and Rehabilitation, Medical Faculty, Balikesir University, Balikesir, Turkey
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Ayhan F, Gümrük S, Ceceli E, Borman P, Karagöz A. THU0486 The Predictor for Disease Specific-Quality of Life in Patients with HIP and Knee Osteoarthritis: Mental Health. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.4912] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Borman P, Crijns S, Bos C, Moonen C, Raaymakers B. SU-E-J-02: Towards Real-Time PRFS Thermometry Using Simultaneous MultiSlice Acquisitions. Med Phys 2015. [DOI: 10.1118/1.4924090] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Eyigor S, Kutsal YG, Duran E, Huner B, Paker N, Durmus B, Sahin N, Civelek GM, Gokkaya K, Doğan A, Günaydın R, Toraman F, Cakir T, Evcik D, Aydeniz A, Yildirim AG, Borman P, Okumus M, Ceceli E. Frailty prevalence and related factors in the older adult-FrailTURK Project. Age (Dordr) 2015; 37:9791. [PMID: 25948502 PMCID: PMC4422824 DOI: 10.1007/s11357-015-9791-z] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2014] [Accepted: 04/30/2015] [Indexed: 06/04/2023]
Abstract
Frailty is one of the geriatric syndromes and has an important relationship with mortality and morbidity. The aim of this study is to present the characteristics, prevalence, and related factors of frailty in older adults in our country. The study included 1126 individuals over 65 years of age from 13 centers. Frailty was evaluated using the Fried Frailty criteria, and patients were grouped as "frail," "pre-frail," and "non-frail." Nutritional status was assessed with "Mini Nutritional Test," psychological status with the "Center for Epidemiological Studies Depression Scale-CES-D," and additional diseases with the "Charlson Comorbidity index." Approximately 66.5 % of the participants were between 65 and 74 years of age and 65.7 % were women. Some 39.2 and 43.3 % of the participants were rated as frail and pre-frail, respectively. The multinomial logistic regression analysis was used to determine the factors associated with frailty. It was observed that age, female gender, low education level, being a housewife, living with the family, being sedentary, presence of an additional disease, using 4 or more drugs/day, avoiding to go outside, at least one visit to any emergency department within the past year, hospitalization within the past year, non-functional ambulation, and malnutrition increased the risk of frailty (p < 0.05). Establishing the factors associated with frailty is highly important for both clinical practice and national economy. This is the first study on this subject in our country and will provide guidance in determining treatment strategies.
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Affiliation(s)
- S Eyigor
- Physical Therapy and Rehabilitation Department, Faculty of Medicine, Ege University, 35100, Bornova, Izmir, Turkey,
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Borman P, Demir G, Kaygısız F, Okumuş M. LETTER TO THE EDITOR Subcutaneous (SC) Methotrexate (MTX) is Better and Well-Tolerable than Oral MTX in Rheumatoid Arthritis Patients, Switched from Oral to SC Administration Due to Gastrointestinal Side Effects. Open Rheumatol J 2014; 8:18-9. [PMID: 25232363 PMCID: PMC4157341 DOI: 10.2174/1874312901408010018] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2014] [Revised: 07/11/2014] [Accepted: 08/08/2014] [Indexed: 11/22/2022] Open
Affiliation(s)
- Pinar Borman
- University of Hacettepe Faculty of Medicine, Dept of Physical Medicine and Rehabilitation, Sihhiye, Ankara, Turkey
| | - Gülseren Demir
- Ankara Training and Research Hospital, Clinic of Physical Medicine and Rehabilitation, Cebeci, Ankara, Turkey
| | - Ferda Kaygısız
- Ankara Training and Research Hospital, Clinic of Physical Medicine and Rehabilitation, Cebeci, Ankara, Turkey
| | - Muyesser Okumuş
- Ankara Training and Research Hospital, Clinic of Physical Medicine and Rehabilitation, Cebeci, Ankara, Turkey
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Borman P, Demir G, Okumus M. AB0473 Is Subcutaneous Methotrexate is Better than Oral Methotrexate in the Treatment of Rheumatoid Arthritis?: Table 1. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.1690] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Okumus M, Elcim O, Surmelioglu O, Ceceli E, Tuncay F, Borman P. AB1227 The comparative efficacy of physiotherapy, injection and pharmacotherapy in patients with temporomandibular joint dysfunction. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2012-eular.1225] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Okumus M, Ceceli E, Tasbas O, Kocaoglu S, Akdogan S, Borman P. Educational status and knowledge level of pre- and postmenopausal women about osteoporosis and risk factors: a cross-sectional study in a group of Turkish female subjects. J Back Musculoskelet Rehabil 2013; 26:337-43. [PMID: 23893150 DOI: 10.3233/bmr-130389] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Most women are unaware of the risk factors for osteoporosis (OP). In an effort to prevent the development of OP, women need to have a raised awareness on this issue. The aims of this study were to determine any differences in the level of awareness and knowledge about OP between pre- and postmenopausal women. METHODS Three hundred and six women who presented to the outpatient clinic of the Physical Medicine and Rehabilitation Department were included into the study. Demographic characteristics of the subjects were recorded. The participants were interviewed via an OP awareness questionnaire, which was designed to determine their knowledge of OP and risk factors. RESULTS The mean ages of the 126 pre- and 180 postmenopausal women were 41.3 ± 5.9 and 58.9 ± 8.1 years, respectively. Thirty-two percent of premenopausal and 51% of postmenopausal women had heard about OP (p< 0.001), but the mean scores of OP knowledge according to the OP questionnaire were not different between the groups (p> 0.05). Both pre- and postmenopausal women with a higher level of education demonstrated better knowledge of OP based on their awareness questionnaire score (p< 0.001). CONCLUSION Although half of the pre- and postmenopausal women reported having some awareness of OP, their level of knowledge was poor, particularly with regard to the risk factors associated with the condition and its complications. Having information about the risks of OP and a better understanding of the health beliefs of those at risk are important, as both may play a major role in influencing an individual's OP-preventing behaviors.
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Affiliation(s)
- M Okumus
- Department of Physical Medicine and Rehabilitation, Ankara Training and Research Hospital, Ankara, Turkey.
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Kaygisiz F, Borman P, Tuncay F, Okumus M, Erdem R. AB0172 Assessment of disease activity in rheumatoid arthritis by routine assessment of rheumatoid arthritis disease activity index (radai) and its relation with disease activity score 28 (das28), clinical disease activity index (cdai) and simplified disease acti. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.2495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Kaygisiz F, Borman P, Okumus M, Erdem R. FRI0126 Evaluation of cervical pain and dysfunction in patients with rheumatoid arthritis. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.1253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Akdogan S, Ayhan F, Borman P. THU0354 Attentional impairment in chronic central and peripheral pain: Controlled study. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.2319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Evcik D, Ataman S, Rezvani A, Paker N, Birtane M, Kaya T, Borman P, Bodur H. AB0873 The evaluation of extraarticular manifestations of ankylosing spondylitis in turkish population patients. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Borman P, Ayhan F, Tuncay F, Sahin M. Foot problems in a group of patients with rheumatoid arthritis: an unmet need for foot care. Open Rheumatol J 2012; 6:290-5. [PMID: 23066434 PMCID: PMC3468872 DOI: 10.2174/1874312901206010290] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2012] [Revised: 08/30/2012] [Accepted: 09/02/2012] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVES The aim of this study was to evaluate the foot involvement in a group of RA patients in regard to symptoms, type and frequency of deformities, location, radiological changes, and foot care. PATIENTS AND METHODS A randomized selected 100 rheumatoid arthritis (RA) patients were recruited to the study. Data about foot symptoms, duration and location of foot pain, pain intensity, access to services related to foot, treatment, orthoses and assistive devices, and usefulness of therapies were determined by the questionnaire. Radiological changes were assessed according to modified Larsen scoring system. The scores of disease activity scale of 28 joints and Health Assessment Questionnaire indicating the functional status of RA patients were collected from patient files. RESULTS A total of 100 RA patients (90 female, 10 male) with a mean age of 52.5 ±10.9 years were enrolled to the study. Eighty-nine of the 100 patients had experienced foot complaints/symptoms in the past or currently. Foot pain and foot symptoms were reported as the first site of involvement in 14 patients. Thirty-six patients had ankle pain and the most common sites of the foot symptoms were ankle (36%) and forefoot (30%) followed by hindfoot (17%) and midfoot (7%) currently. Forty-nine of the patients described that they had difficulty in performing their foot care. Insoles and orthopedic shoes were prescribed in 39 patients, but only 14 of them continued to use them. The main reasons for not wearing them were; 17 not helpful (43%), 5 made foot pain worse (12.8%), and 3 did not fit (7.6%). Foot symptoms were reported to be decreased in 24 % of the subjects after the medical treatment and 6 patients indicated that they had underwent foot surgery. Current foot pain was significantly associated with higher body mass index and longer disease duration, and duration of morning stiffness. The radiological scores did not correlate with duration of foot symptoms and current foot pain (p>0.05) but the total number of foot deformities was found to be correlated with Larsen scores (p<0.05). CONCLUSION In our study, foot involvement and foot symptoms were seen frequently in RA but there is an unmet need for provision and monitoring of foot care in patients suffering from this chronic disease.
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Affiliation(s)
- Pinar Borman
- Ankara Training and Research Hospital, Clinic of Physical Medicine and Rehabilitation, Cebeci, Ankara, Turkey
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Ordu Gokkaya NK, Gokce-Kutsal Y, Borman P, Ceceli E, Dogan A, Eyigor S, Karapolat H. Pain and quality of life (QoL) in elderly: The Turkish experience. Arch Gerontol Geriatr 2012; 55:357-62. [DOI: 10.1016/j.archger.2011.10.019] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2011] [Revised: 10/25/2011] [Accepted: 10/27/2011] [Indexed: 11/29/2022]
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Gecene M, Tuncay F, Borman P, Yucel D, Senes M, KaniyeYilmaz B, Franks L, Radusky R, Feig J, Fernandez P, Cronstein B, Chan E, Kim G, Han S, Jung Y, Usmani SE, Ulici V, Beier F, Bell MJ, Veinot P, Embuldeniya G, Nyhof-Young J, Sale J, Sargeant J, Tugwell P, Brooks S, Ross S, Tonon R, Richards D, Boyle J, Knickle K, Sandhu S, Britten N, Bell E, Webster F, Cox-Dublanski M, Ntatsaki E, Watts RA, Scott DGI, Borman P, Tasbas O, Gurhan Karabulut H, Tukun A, Yorgancioglu R, Ferraz-Amaro I, Arce-Franco M, Hernandez-Hernandez V, Delgado-Frias E, Gantes M, Ramon Muniz J, Jesus Dominguez-Luis M, Herrera-Garcia A, Antonio Garcia-Dopico J, Medina L, Rodriguez-Vargas A, Diaz-Gonzalez F, Zampeli E, Protogerou A, Stamatelopoulos K, Fragiadaki K, Katsiari CG, Kyrkou K, Papamichael CM, Mavrikakis M, Nightingale P, Sfikakis PP, Zampeli E, Karanasos A, Felekos I, Aggeli C, Stefanadis C, Toutouzas K, Protogerou A, Sfikakis PP, Faezi ST, Akbarian M, Jamshidi A, Hoseynialmodarresi M, Davatchi F, San Koo B, Wook So M, Kim YG, Lee CK, Yoo B, Warrington KJ, Kermani TA, Crowson CS, Ytterberg SR, Hunder GG, Gabriel SE, Matteson EL. Best Oral Presentations (OP01-OP12). Rheumatology (Oxford) 2012. [DOI: 10.1093/rheumatology/ker437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Okumus M, Koybası M, Tuncay F, Ceceli E, Ayhan F, Yorgancioglu R, Borman P. Fibromyalgia syndrome: is it related to vitamin D deficiency in premenopausal female patients? Pain Manag Nurs 2011; 14:e156-e163. [PMID: 24315268 DOI: 10.1016/j.pmn.2011.09.006] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2011] [Revised: 09/25/2011] [Accepted: 09/26/2011] [Indexed: 11/18/2022]
Abstract
There are a number of studies that have evaluated the relationship between fibromyalgia (FM) and vitamin D deficiency with conflicting results. The aim of this study was to assess vitamin D deficiency in patients with FM and to evaluate the relationship with the common symptoms of FM and levels of serum vitamin D. Forty premenopausal female fibromyalgia patients and 40 age- and sex-matched control subjects were included in the study. The demographic characteristics of all subjects, including age, sex, and body mass index, were recorded. The number of tender points was recorded, and the intensity of the widespread pain of the subjects was measured by the visual analog scale. The activities of daily living component of the Fibromyalgia Impact Questionnaire (FIQ-ADL), was used to assess physical functional capacity. Serum vitamin D was measured in both groups, and vitamin D levels <37.5 nmol/L were accepted as vitamin D deficiency. The vitamin D levels and clinical and laboratory characteristics of the patient and control groups were comparatively analyzed. The relationship between vitamin D levels and clinical findings of the FM patients were also determined. The mean age was 41.23 ± 4.8 and 39.48 ± 4.08 years for the patient and control groups, respectively. The pain intensity, number of tender points, and FIQ-ADL scores were higher in FM patients than in control subjects. The mean levels of vitamin D in the patient and control groups were determined to be 31.97 ± 15.50 and 28.97 ± 13.31 nmol/L, respectively (p > .05). The incidence of vitamin D deficiency was similar between the patient and control groups (67.5% vs. 70%). Vitamin D levels significantly correlated with pain intensity (r = -0.653; p = .001) and FIQ-ADL scores in the FM group (r = -0.344; p = .030). In conclusion, the results of this study indicate that deficiency of vitamin D is not more common in premenopausal female patients with FM than in control subjects without FM. However, the association between pain and vitamin D levels in FM patients emphasizes that hypovitaminosis of vitamin D in the FM syndrome may have an augmenting impact on pain intensity and functional status. Future studies are needed to show the effect of vitamin D supplementation in the reduction of pain intensity and disability in patients suffering from this chronic condition.
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Affiliation(s)
- Muyesser Okumus
- Ankara Training and Research Hospital, Department of Physical Medicine and Rehabilitation, Ankara, Turkey.
| | - Mine Koybası
- Ankara Training and Research Hospital, Department of Physical Medicine and Rehabilitation, Ankara, Turkey
| | - Figen Tuncay
- Ankara Training and Research Hospital, Department of Physical Medicine and Rehabilitation, Ankara, Turkey
| | - Esma Ceceli
- Ankara Training and Research Hospital, Department of Physical Medicine and Rehabilitation, Ankara, Turkey
| | - Figen Ayhan
- Ankara Training and Research Hospital, Department of Physical Medicine and Rehabilitation, Ankara, Turkey
| | - Rezan Yorgancioglu
- Ankara Training and Research Hospital, Department of Physical Medicine and Rehabilitation, Ankara, Turkey
| | - Pinar Borman
- Ankara Training and Research Hospital, Department of Physical Medicine and Rehabilitation, Ankara, Turkey
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Borman P, Tuncay F, Köybaşi M, Ergun U, Inan L. Coexistence of ankylosing spondylitis and multiple sclerosis. Acta Neurol Belg 2011; 111:340-343. [PMID: 22368978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Ankylosing spondylitis is reported to involve not only the joints but neurologic systems as well. The association of MS and AS has rarely been reported in the literature and epidemiological studies did not prove a definite relationship between these two conditions at present. We here describe a HLA-B 27 positive AS patient with MS symptoms and review the literature on the association of two diseases.
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Affiliation(s)
- Pinar Borman
- Ankara Training and Research Hospital, Clinic of Physical Medicine and Rehabilitation, Ankara, Turkey
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Borman P, Tuncay F, Ulusoy G, Koçer U. Posterior interosseous nerve syndrome due to lipoma. Neurophysiol Clin 2010; 40:189-91. [DOI: 10.1016/j.neucli.2010.01.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2009] [Revised: 12/10/2009] [Accepted: 01/17/2010] [Indexed: 10/19/2022] Open
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Borman P, Tuncay F, Ozçakar L. Rheumatoid and gouty arthritis: two types of nodules trafficking in one patient. Acta Reumatol Port 2009; 34:683-684. [PMID: 20087276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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Borman P, Gökoğlu F, Taşbaş O, Yilmaz M, Yorgancioğlu ZR. Familial Mediterranean fever-related spondyloarthropathy. Singapore Med J 2009; 50:e116-e119. [PMID: 19352557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Familial Mediterranean fever (FMF) is an autosomal recessively-transmitted disease characterised by attacks of fever and serositis. Articular involvement is the second most common manifestation following abdominal pain. Patients with FMF are considered to have an increased risk of sacroiliitis, while the association of such abnormalities with FMF has not been accepted uniformly. We report two cases of FMF with accompanying seronegative spondyloarthropathy, a 18-year-old boy and a 29-year-old man, and review the literature for FMF-related seronegative spondyloarthropathy.
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Affiliation(s)
- P Borman
- Department of Physical Medicine and Rehabilitation, Ministry of Health Ankara Education and Research Hospital, Ankara, Turkey
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Borman P, Gokoglu F, Kocaoglu S, Yorgancioglu ZR. The autonomic dysfunction in patients with ankylosing spondylitis: a clinical and electrophysiological study. Clin Rheumatol 2008; 27:1267-73. [DOI: 10.1007/s10067-008-0906-0] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2008] [Revised: 04/08/2008] [Accepted: 04/09/2008] [Indexed: 11/29/2022]
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Gokoglu F, Borman P, Kocaoğlu S, Yorgancioğlu ZR. P142 The autonomic dysfunction in patients with rheumatoid arthritis: a clinical and electrophysiological study. Clin Neurophysiol 2008. [DOI: 10.1016/s1388-2457(08)60413-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Borman P, Babaoğlu S, Gur G, Bingol S, Bodur H. Bone mineral density and bone turnover in patients with psoriatic arthritis. Clin Rheumatol 2007; 27:443-7. [PMID: 17876648 DOI: 10.1007/s10067-007-0725-8] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2007] [Revised: 08/06/2007] [Accepted: 08/28/2007] [Indexed: 01/01/2023]
Abstract
Psoriasis is a common inflammatory skin disease, and conflicting data have been published about osteoporosis and bone turnover markers in patients with psoriatic arthritis. The aim of this study was to assess bone mineral density (BMD) and bone turnover markers in psoriatic patients with and without peripheral arthritis and to investigate the relationship between clinical parameters and markers of bone turnover. Forty-seven patients (24 women, 23 men) with psoriasis were included to the study. Demographic data and clinical characteristics were recorded. Erythrocyte sedimentation rate and C-reactive protein were assessed as disease activity parameters. BMD was determined for lumbar spine and total hip by dual X-ray absorptiometry (DXA). Serum Ca, P, alkalen phosphatase (ALP), and serum type I collagen cross-linked C telopeptide (CTX) were measured as bone turnover markers in all patients. The patients were divided into two groups according to their peripheral arthritis status. The clinical and laboratory variables, as well as bone mass status of the groups, were compared with each other. Eighteen patients had peripheral arthritis. All the female patients were premenopausal. None of the patients had radiologically assessed axial involvement. There was no significant difference between the BMD levels of psoriatic patients with and without arthropathy. One patient (5%) had osteoporosis, and nine (50%) patients had osteopenia in arthritic group, while eight (27.5%) patients had osteopenia in patients without arthritis. Serum CTX, ALP, Ca, and P levels were not significantly different in arthritic than in non-arthritic patients (p > 0.05). In patients with psoriatic arthritis, the duration of arthritis was negatively correlated with BMD values of lumbar spine and total femur and serum CTX levels, suggesting an association of increased demineralization with the duration of joint disease. In conclusion, psoriatic patients with peripheral arthritis with longer duration of joint disease may be at a risk for osteoporosis, which can require preventative treatment efforts.
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Affiliation(s)
- Pinar Borman
- Clinic of Physical Medicine and Rehabilitation II, Numune Training and Research Hospital, Samanpazari, Ankara, Turkey.
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