Risk Factors of Symptomatic Knee, Hand and Hip Osteoarthritis in a Suburban Area of Izmir City

WOS: 000340590800008Objective: To determine the risk factors of symptomatic knee, hand, and hip osteoarthritis among people aged >= 40 years in a suburban area of Izmir City, Turkey Material and Methods: A total of 522 subjects were randomly chosen with systematic randomization. All subjects fulfilled a detailed survey and had a physical examination. Any subject who met at least one of the ACR clinical criteria for knee/hand/hip osteoarthritis (OA) was considered as screening positive and was invited for x-rays. Results: We report that the symptomatic knee, hand, and hip osteoarthritis prevalence correspondingly increases with age. Symptomatic knee osteoarthritis (SKO) has a positive correlation with female gender (OR: 26.5, 95% CI: 7.6-92.3), obesity, morbid obesity (OR: 5.8, 95% CI: 2.1-16.2), and regular prayer habit (namaz) (OR: 2.6, 95% CI: 1.1-6.2). SKO and symptomatic hand osteoarthritis (SHaO) prevalence numbers are higher in the postmenopausal female group than premenopausal women (p<0.05). We determined that poorly educated people had a 1.5-times higher risk for developing SKO (p=0.649). Non-smokers had 1.5 times the risk of smokers for developing OA. Subjects lacking symptomatic knee OA were found to be significantly more active than the other groups. Conclusion: Risk factors for development of symptomatic knee, hand, and hip osteoarthritis were determined as female gender, advanced age, obesity, and being in postmenopausal stage. Low education level, being a non-smoker, having a regular prayer habit, climbing stairs, being a worker, and sedentary life were also risk factors for having knee osteoarthritis. It is an obvious issue that we need countrywide studies with larger populations to build a health policy for osteoarthritis.Ege University Faculty of MedicineEge University [09.TIP-15]This study was financially supported by Ege University Faculty of Medicine (Project no: 09.TIP-15

Prevalence of symptomatic knee, hand and hip osteoarthritis among individuals 40 years or older: a study conducted in izmir city

WOS: 000326203600003PubMed ID: 23999509Objective: This cross-sectional study was conducted to determine the prevalence of symptomatic knee, hand and hip osteoarthritis among men and women at or over 40 years of age, living in the Bayrakli Adalet district of Izmir. Methods: The study included a sample size of 522 people calculated using the Epi Info (TM) software. Demographic information, weight, height and body mass index were recorded. Patients were physically examined for evidence of osteoarthritis, such as joint tenderness, range of motion deficiency, deformity, 1st carpometacarpal joint involvement and Heberden's and/or Bouchard's nodes. One hundred and ninety-one individuals were suspected of having knee/hand/hip osteoarthritis and 152 of these were called in for radiographs. Results: The prevalence of symptomatic knee, hand and hip osteoarthritis of adults aged >= 40 years was 20.9%, 2.8% and 1.0%, respectively. Symptomatic knee and hand osteoarthritis was significantly higher among women (p<0.05). However, there was no significant difference between two genders regarding symptomatic hip osteoarthritis. Conclusion: Knee osteoarthritis is frequent in the region in which the study was conducted. An effective health policy regarding osteoarthritis can be created following further studies with larger samples representing the entire country

Prevalence of symptomatic knee, hand and hip osteoarthritis among individuals 40 years or older: a study conducted in izmir city

Objective: This cross-sectional study was conducted to determine the prevalence of symptomatic knee, hand and hip osteoarthritis among men and women at or over 40 years of age, living in the Bayrakli Adalet district of Izmir

Risk Factors of Symptomatic Knee, Hand and Hip Osteoarthritis in a Suburban Area of Izmir City

Objective: To determine the risk factors of symptomatic knee, hand, and hip osteoarthritis among people aged >= 40 years in a suburban area of Izmir City, Turke

The Quality of Life and Psychological Status of Mothers of Hospitalized Pediatric Oncology Patients

WOS: 000292565300009PubMed ID: 21707473This study compares the quality of life (QoL) and psychological status of mothers of children with cancer with those of mothers of children without cancer. One hundred hospitalized children and their mothers, as primary caregivers, were included in this study. Fifty mothers with healthy children were enrolled as the control group. A children and mother query form was used to obtain demographical data. The disease histories were extracted from patient records. QoL was measured with the Medical Outcomes Study 36-item Short Form Survey (SF-36) and the State-Trait Anxiety Inventory (STAI) in order to assess the psychological symptoms of the mothers in the study and in the control groups. The mean age of the caregivers was 35.93 +/- 8.27 years, whereas the mean age of the mothers in the control group was 39.72 +/- 6.88 years. The general health, vitality, social functioning, and mental health scores from the SF-36 and the STAI-trait scores were significantly poorer among the mothers of children with cancer as compared with the scores of the mothers of children without cancer (P < .05). Significant negative correlations were found between the age of the children, the age at diagnosis, and the SF-36 subscores for physical functioning, physical role, and pain (P < .05). The mothers of children with cancer, who require hospital care, have poorer QoL and psychological health than the mothers of healthy children. These results suggest that the current system for treating cancer in Turkish children should also include close monitoring of the care-giving mothers' QoL and psychological health

Effects of complex decongestive therapy on quality of life, depression, neuropathic pain, and fatigue in women with breast cancer-related lymphedema

WOS: 000422788100007PubMed ID: 31453475Objectives: To investigate the effects of complex decongestive therapy (CDT) on the quality of life, depression, neuropathic pain, and fatigue in patients with breast cancer-related lymphedema (BCRL). Patients and methods: Between March 2015 and June 2015, a total number of 60 patients (mean age 55.7 +/- 10.3 years; range 18 to 85 years) with BCRL were included in the study. Demographic data and previous medical records were recruited from medical files. The European Organization for Research and Treatment of Cancer Quality of Life-C30 (EORTC QLQ-C30) for the quality of life, the Brief Fatigue Inventory (BFI) for fatigue, Douleur Neuropathique 4 Questions (DN4) for neuropathic pain, and the Beck Depression Inventory (BDI) for the emotional status were used before and after the treatment. All patients received 20 sessions (one hour) of CDT for four weeks (five days per week). Results: There was a statistically significant reduction in the volume of the involved limbs after the treatment (p<0.001). There was also a significant reduction in the general health and functional scores of the EORTC QLQ-C30 (p<0.001, p=0.004, respectively). The DN4, BFI, and BDI scores were significantly improved after the treatment (p<0.001, p=0.043, p=0.019, respectively). Conclusion: Our study results suggest that CDT is an effective and safe method to achieve not only a significant volume reduction in the limbs involved by lymphedema, but also good outcomes in the management of other symptoms related to BCRL

Quality of life in multiple sclerosis patients with urinary disorders: reliability and validity of the Turkish version of King's Health Questionnaire

WOS: 000290545700008PubMed ID: 21479614MS patients frequently present with urinary system symptoms, which have a negative effect on the quality life. The aim of our study was to demonstrate the validity and reliability of the Turkish King's Health Questionnaire (KHQ) in MS patients. The study included 37 patients. For analysis of test-retest reliability, the Turkish version of the KHQ developed and the "translation-back translation" method was performed. To assess the validity of these results, Multiple Sclerosis Quality of Life Scale (MQoL-54) and Expanded Disability Status Scale (EDSS) were used. The internal consistency (intra-class correlation coefficient: 0.59-0.94) and test-retest reliability (Cronbach's alpha-score 0.59-0.94) of KHQ were found to be high (p < 0.05). A significant correlation was detected between most of the KHQ subscores and the physical and mental MQoL-54 and EDSS (total and bowel/bladder, p < 0.05) subscores. The KHQ may be used to determine the effect of incontinence on the quality of life for MS patients

Can yoga have any effect on shoulder and arm pain and quality of life in patients with breast cancer? A randomized, controlled, single-blind trial

WOS: 000439902900008PubMed ID: 30057055Objective: To examine the effects of yoga on shoulder and arm pain, quality of life (QOL), depression, and physical performance in patients with breast cancer. Methods: This prospective, randomized study included 42 patients. The patients in Group 1 underwent a 10-week Hatha yoga exercise program. The patients in Group 2 were included in a 10-week follow-up program. Our primary endpoint was arm and shoulder pain intensity. Results: The group receiving yoga showed a significant improvement in their pain severity from baseline to post-treatment, and these benefits were maintained at 2.5 months post-treatment. When compared to the control group, there were no statistically significant differences between the 2 groups with respect to the parameters assessed at the end of week 10. Conclusion: Yoga was an effective and safe exercise for alleviating shoulder and arm pain, which is a complication with a high prevalence in patients with breast cancer

Does the Use of Electrotherapies Increase the Effectiveness of Neck Stabilization Exercises for Improving Pain, Disability, Mood, and Quality of Life in Chronic Neck Pain?

WOS: 000452179600001PubMed ID: 29652778Study Design. This study was a prospective, randomized, controlled study. Objective. The aim of this study was to determine whether transcutaneous electrical nerve stimulation (TENS) or interferential current (IFC) increase the effectiveness of neck stabilization exercises (NSEs) on pain, disability, mood and quality of life for chronic neck pain (CNP). Summary of Background Data. Neck pain is one of the three most frequently reported complaints of the musculoskeletal system. Electrotherapies, such as IFC and TENS, have been applied solo or combined with exercise for management of neck pain; however, the efficacy of these combinations is unclear. Methods. A total of 81 patients with CNP were included in this study. Patients were randomly assigned into three groups regarding age and gender. First group had NSE, second group had TENS and NSE, and third group had IFC and NSE. Pain levels [visual analogue scale (VAS)], limits of cervical range of motion (ROM), quality of life (short form-36), mood (Beck depression inventory), levels of disability (Neck Pain and Disability Index), and the need for analgesics of all patients were evaluated before treatment, at 6th and 12th week follow-up. Physical therapy modalities were applied for 15 sessions in all groups. All participants had group exercise accompanied by a physiotherapist for 3 weeks and an additional 3 weeks of home exercise program. Results. According to the intragroup assessment, the study achieved its purpose of pain reduction, ROM increase, improvement of disability, quality of life, mood and reduction in drug use in all three treatment groups (P 0.05). Conclusion. TENS and IFC therapies are effective in the treatment of CNP patients. However, they have no additional benefit or superiority over NSE