Quality of life and COVID-19 phobia of cancer patients receiving chemotherapy in a state hospital during pandemic: a cross sectional study

Objective: COVID-19 pandemic has become a global public health problem and led to phobia among people. There is also no doubt that the COVID-19 pandemic had a great impact on the quality of people's lives. The goal of this study was to assess the factors that might be affecting the quality of life and COVID-19 phobia of the cancer patients receiving chemotherapy. Materials and Methods: This cross-sectional study was conducted between November 2021 and April 2022 in an outpatient chemotherapy unit within a state hospital in Istanbul. Participants' data was gathered by a questionnaire that had 3 components: participants' characteristics, the COVID-19 phobia scale, and the WHOQOL-BREF scale. Results: The results showed that perceived economic status, education level, having comorbidities, having a caregiver and whom the caregiver had an impact on the Quality of Life, and people who have an acquaintance who died due to COVID-19 had higher COVID-19 phobia total score. Furthermore, it was seen that as the age or COVID-19 phobia total score increased, each component of the Quality of Life score decreased. Conclusions: Quality of life and COVID-19 phobia of cancer patients were observed to be inversely proportional in chemotherapy receiving patients in a state hospital in Istanbul

The Effect of Traumatic Experiences on Disease in Patients with Fibromyalgia Syndrome

Ankarali, Handan Camdeviren/0000-0002-3613-0523WOS: 000441304600002Amaç: Kompleks ve çok boyutlu bir klinik sendrom olan Fibromiyalji sendromunda (FMS),birçok somatik ve psikolojik yakınmalar olduğu için, hastanın yaşadığı travmatik olayları; romatolojik ve psikiyatrik hastalarla karşılaştırarak, travmanın hastalığa ne kadar etkisi olduğunu araştırmak istedik. Gereç ve Yöntem: Çalışmaya 111 FMS hastası ile kontrol grubu olarak 209 osteoartrit (OA), 60 romatoid artrit (RA) ve 59 depresyonlu hasta alınmıştır. Çalışmada veri toplamak için sosyodemografik bilgi formu, Çocukluk Çağı Travma Ölçeği (ÇÇTÖ), Disosiyatif Yaşantılar Ölçeği (DYÖ), Stresle Başa Çıkma Tarzları Ölçeği (SBÇTÖ), Travmatik Yaşantılar Ölçeği (TYÖ) ve Beck Anksiyete Ölçeği (BAÖ) kullanılmıştır. Bulgular: FMS, OA, RA hastalarının ÇÇTÖ ve DYÖ puanları, depresyonlu hastalardan anlamlı derecede düşük bulunmuştur. FMS, OA, RA hastaları arasında ise anlamlı fark saptanmamıştır. FMS, OA ve RA hastalarının benzer şekilde stresle başa çıkma yollarını yoğun kullandıkları, buna karşın depresyonlu hastaların ise stresle başa çıkma yollarının tamamını daha az kullandıkları görülmüştür. TYÖ puanları açısından gruplar arasında anlamlı fark bulunmamıştır. Ancak ölçeğin her bir sorusuna verilen „evet‟ cevapları karşılaştırıldığında;„duygusal ihmal, vücutça istismar ve cinsel tacize uğrama‟sıklığı depresyonlu hastalarda daha fazla saptanmıştır. FMS ve depresyonlu hastalarda anksiyete oranı yüksek ve benzer görülmüştür. Sonuç: Travma hem fonksiyonel hem de organik kökenli ağrılara yol açabilir. Fonksiyonel ağrıları olan FMS hastalarının travma durumları, dissosiyatif yaşantı özellikleri depresyonlu hastalardan farklı ancak organik etkenli ağrıları olan OA ve RA hastaları ile benzerdir. Travmaya bağlı stresle başa çıkma yolarını FMS, OA ve RA hastalarının sık kullandıkları, depresyonlu hastaların ise daha az kullandığı görülmektedir.Objective: The aim of this study is to examine the relationship between FMS patients' traumatic experiences of patients with Osteoarthritis (OA), Rheumatoid Arthritis (RA) and Depression. Methods: Patients with fibromyalgia (n = 120), osteoarthritis (n = 224), rheumatoid arthritis (n = 61) and depression (n = 59) who were agree to participate in the study were included in the study. A total of 6 scales performed including childhood trauma, dissociative experiences, stress-coping style, traumatic experiences checklist (TEC), Beck Anxiety Scale (BAS) and socio-demographic information form to achieve the aim of the study. Results: The scores of childhood trauma and dissociative experiences of FMS, OA, RA groups were significantly lower than the patients with depression. There was no significant difference between the FMS, OA and RA groups in terms of these characteristics. Moreover, it was found that patients with depression used less stress coping methods differed from the other groups which used similar stress coping styles. There was no significant difference between all groups in terms of traumatic experiences checklist results. However, when each "yes" answers of TEC were compared, it was found that frequency of physical and sexual abuse, and emotional neglect in patients with depression were higher than other groups. Anxiety levels of FMS and patients with depression were both similar and high. Conclusion: Trauma can lead to both functional and organic pain. Traumatic experiences, dissociative behaviors of FMS patients, who have functional pain, were lower than patients with depression. However, these characteristics of patients with FMS were similar with OA and RA patients, who have organic pain

Quality of life in fibromyalgia, osteoarthritis and rheumatoid arthritis patients: Comparison of different scales

Aim of the work: To compare fibromyalgia syndrome (FMS), osteoarthritis (OA) and rheumatoid arthritis (RA) patients in terms of their measured quality of life (QoL). Patients and methods: Fifty-nine FMS patients, 165 OA and 57 with RA were assessed. QoL Short Form (SF) scales, World Health Organization QoL (WHOQoL) Brief and Quick-Dash scales were measured. Covariance analysis was used for group comparisons. Results: The mean age of FMS patients was 40.4 ± 10.9 years; OA was 54.5 ± 15.7 years and RA 46.9 ± 15 years (p < 0.001) mostly were females. The disease duration in FMS was 4 ± 3.6 years; in OA was 6 ± 4.8 years and 5.1 ± 4.3 years in RA. After effects of age, gender and educational level on scores were eliminated, at least one SF scale was found to be significantly higher in FMS and OA in terms of Physical and Role function, General health, Vitality, Social function, Emotional role, mean of Mental health subscale in addition to the physical (PCS) and mental (MCS) summary scales. The Quick-Dash score was higher in the RA group. Physical sub-dimension scores of WHOQoL Brief scale were significantly lower in RA group. In addition, social relations sub-dimension score was found to be higher in OA than RA group. MCS scores of SF-36, SF-12 and SF-6D were found higher than PCS scores in the three diseases. PCS score was found significantly higher only in FMS group. Conclusions: RA patients had worse QoL than FMS and OA according to PCS and MCS. SF-12 and SF-6D can be used instead of SF-36 or WHOQoL Brief scales for faster results. Keywords: SF-36, SF-12, SF-8, SF-6D, Quality of life, Rheumatic disease

Is routine coracoplasty necessary in isolated subscapularis tears?

WOS:000475356700008PubMed ID: 31291858Objectives: This study aims to investigate the effect of simultaneous coracoplasty on postoperative clinical outcomes of patients undergoing shoulder arthroscopy due to the tear of the isolated subscapularis. Patients and methods: The study included 53 patients (16 males, 37 females; mean age 55.8 years; range, 44 to 70 years) who underwent arthroscopic repair for isolated subscapularis tear (type 2 and type 3) with anterior shoulder pain and tenderness. All patients had a coracohumeral distance of less than 7 mm on the preoperative magnetic resonance images and a minimum follow-up period of two years. Patients were divided into two groups as group 1 including patients who underwent coracoplasty and group 2 including those who did not undergo coracoplasty. Patients were evaluated pre- and postoperatively by the University of California Los Angeles (UCLA) shoulder score and the simple shoulder test (SST) score. Results: There were no significant differences between the groups in terms of age, gender and follow-up time (p0.05). The preoperative mean UCLA score was 19.65 for group 1 and 20.45 for group 2. The postoperative mean UCLA scores were 27.92 and 29.00, respectively. The preoperative mean SST score was 4.9 for group 1 and 5.1 for group 2. The postoperative mean SST scores were 10.0 and 9.5, respectively. Functional scores increased significantly in both groups postoperatively when compared to the preoperative values (p0.01). However, there was no statistically significant difference in terms of the increase in UCLA and SST scores between the two groups (p0.05). Conclusion: We believe that concomitant coracoplasty during arthroscopic repair may not be a necessary routine in the treatment of isolated subscapularis tears.Amaç: Bu çalışmada izole subskapularis yırtığı nedeniyle omuz artroskopisi uygulanan hastalarda eş zamanlı korakoplastinin ameliyat sonrası klinik sonuçlara etkisi araştırıldı.Hastalar ve yöntemler: Çalışmaya anterior omuz ağrısı ve hassasiyeti olan, izole subskapularis yırtığı (tip 2 ve tip 3) nedeniyle artroskopik tamir uygulanan 53 hasta (16 erkek, 37 kadın; ort. yaş 55.8 yıl; dağılım, 44-70 yıl) dahil edildi. Tüm hastaların ameliyat öncesi manyetik rezonans görüntülerinde korakohumeral mesafesi 7 mm’den azdı ve takip süreleri en az iki yıldı. Hastalar korakoplasti uygulanan hastaları içeren grup 1 ve korakoplasti uygulanmayanları içeren grup 2 olmak üzere iki gruba ayrıldı. Hastalar ameliyat öncesi ve sonrasında UCLA (University of California Los Angeles) omuz skoru ve basit omuz testi (BOT) skoru ile değerlendirildi. Bulgular: İki grup arasında yaş, cinsiyet ve takip süresi açısından anlamlı farklılık yoktu (p0.05). Ameliyat öncesi ortalama UCLA skoru grup 1’de 19.65, grup 2’de 20.45 idi. Ameliyat sonrası ortalama UCLA skoru sırasıyla 27.92 ve 29.00 idi. Ameliyat öncesi ortalama BOT skoru grup 1’de 4.9, grup 2’de 5.1 idi. Ameliyat sonrası BOT skoru sırasıyla 10.0 ve 9.5 idi. Ameliyat öncesi değerler ile karşılaştırıldığında, her iki grupta ameliyat sonrasında fonksiyonel skorlar anlamlı olarak arttı (p0.01). Ancak iki grup arasında UCLA ve BOT skorlarındaki artış açısından istatistiksel olarak anlamlı farklılık yoktu (p0.05). Sonuç: İzole subskapularis yırtıklarının tedavisinde artroskopik tamir sırasında eş zamanlı korakoplastinin gerekli bir rutin olmadığını düşünüyoruz

Evaluation of the Charlson Comorbidity Index and Laboratory Parameters as Independent Early Mortality Predictors in Covid 19 Patients

Betül Cavu&scedil;o&gbreve;lu Türker,1 Fatih Türker,2 Süleyman Ahbab,2 Emre Hoca,2 Ay&scedil;e Oznur Urvas&inodot;zo&gbreve;lu,2 Seher Irem Cetin,2 Hayriye Esra Atao&gbreve;lu2 1University of Health Sciences, Taksim Health Training and Research Hospital, Internal Medicine Clinic, &Idot;stanbul, Turkey; 2University of Health Sciences, Haseki Health Training and Research Hospital, Internal Medicine Clinic, &Idot;stanbul, TurkeyCorrespondence: Fatih Türker, University of Health Sciences, Haseki Health Training and Research Hospital, Internal Medicine Clinic, Aksaray, Dr. Adnan Ad&inodot;var Cd. No: 9, Fatih, &Idot;stanbul, 34130, Turkey, Tel +905364721656, Fax +90 212 453 20 00, Email [email protected]: Purpose: Various parameters have been proposed to predict the outcome of patients with coronavirus disease. The aim of this study was to evaluate the utility of the age-adjusted CCI score and biochemical parameters for predicting outcomes for COVID-19 patients on admission.Patients and methods: A total of 511 patients were included in the study. Only swab or serological tests positive patients were included. The clinical characteristics of the patients were compared between survival and non-survival COVID-19 inpatients. Hemoglobin, platelet, sedimentation, creatinine, AST, ALT, LDH, CK, albumin, ferritin, lymphocyte, neutrophil, CRP (1– 5;5– 10;10– 20 × upper limit), procalcitonin (5– 10;10– 20; > 20 × upper limit), D Dimer (> 2 × upper limit), age, gender, chronic diseases and CCI scores were compared between the two groups.Results: 68 patients died and 443 patients survived. Mean age was 74.3± 7.3 years in survival group and 76.7± 8.0 in nonsurvival group. Age, male sex, ischemic heart disease (CHD), chronic kidney disease and active malignancy was statistically higher in non-survivor group. The biochemical parameters was compared in survival and nonsurvival group. CCI score, AST, LDH, CK, Ferritin, CRP are significantly higher and albumin, lymphocyte levels are significantly lower in nonsurvival group. D-dimer and procalcitonin levels are significantly higher in nonsurvival group. CCI score and neutrophil, creatinine, ALT, AST, d-dimer and procalcitonin elevations were correlated. Low albumin and lymphocyte levels were correlated with the CCI score. There was no significant correlation between ferritin, sedimentation, CRP levels and CCI score. A multivariate logistic regression analysis indicated that anaemia, elevated CRP (> 10– 20 × upper limit), procalcitonin (> 5– 10 × upper limit), ALT, AST levels and higher CCI score were independent risk factors for mortality in COVID-19 patients.Conclusion: Anaemia, elevated CRP, procalcitonin levels, ALT, AST levels and higher CCI score were found independent risk factors for mortality in COVID-19 patients.Keywords: CCI score, laboratory parameters, mortality, COVID 1