Person: ŞANAL TOPRAK, CANAN
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ŞANAL TOPRAK
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Publication Metadata only Böbrek nakli adaylarında kırılganlık tanımlanması ve gözlemi(2021-10-13) ŞANAL TOPRAK, CANAN; BARUTÇU ATAŞ, DİLEK; TUFAN ÇİNÇİN, ASLI; VELİOĞLU, ARZU; TUĞLULAR, ZÜBEYDE SERHAN; Rustamzade A., BARUTÇU ATAŞ D., ŞANAL TOPRAK C., TUFAN ÇİNÇİN A., VELİOĞLU A., TUĞLULAR Z. S.Publication Metadata only The validity and reliability of Systemic Lupus Erythematosus Quality of Life Questionnaire (L-QoL) in a Turkish population(SAGE PUBLICATIONS LTD, 2017) ŞANAL TOPRAK, CANAN; Duruoz, M. T.; Unal, C.; Toprak, C. Sanal; Sezer, I.; Yilmaz, F.; Ulutatar, F.; Atagunduz, P.; Baklacioglu, H. S.Background Systemic lupus erythematosus (SLE) may have a profound impact on quality of life. There is increasing interest in measuring quality of life in lupus patients. The purpose of this study was to investigate the validity and reliability of SLE Quality of Life Questionnaire (L-QoL) in Turkish SLE patients. Methods SLE according to 2012 Systemic Lupus International Collaborating Clinics Classification Criteria were recruited into the study. Demographic data, clinical parameters and disease activity measured with the Systemic Lupus Erythematosus Disease Activity Index-2000 (SLEDAI-2K); were noted. Nottingham Health Profile and Health Assessment Questionnaire were filled out in addition to the Turkish L-QoL (LQoL-TR). Internal consistency, test-retest reliability, and convergent and discriminant validity were evaluated. Results The mean age of participants was 43.5514.33 years and the mean disease duration was 89.8 +/- 92.1 months. The patients filled out LQoL-TR in 2.5min. Strong correlation of LQoL-TR with all subgroups of the Nottingham Health Profile and the Health Assessment Questionnaire were established showing the convergent validity. The highest correlation was demonstrated with emotional reactions (rho=0.72) and sleep component (rho=0.65) of the Nottingham Health Profile scale (p<0.0001). Its poor and not significant correlation with nonfunctional parameters (age, disease duration, perceived general health, SLEDAI-2K) showed its discriminative properties. LQoL-TR demonstrated good internal reliability with a Cronbach's of 0.93 and test-retest reliability with intraclass correlation coefficient of 0.87. Conclusion The LQoL-TR is a practical and useful tool which demonstrates good validity and reliability.Publication Metadata only The evaluation of the static and dynamic balance disorders in patients with psoriatic arthritis(SPRINGER HEIDELBERG, 2018) ŞANAL TOPRAK, CANAN; Duruoz, Mehmet Tuncay; Baklacioglu, Hatice Sule; Toprak, Canan Sanal; Atalay, Kardelen Gencer; Atagunduz, Mehmet PamirTo evaluate the static and dynamic balances in psoriatic arthritis (PsA) and to investigate their relationship with clinical and functional parameters. Patients diagnosed with PsA and healthy controls were recruited consecutively into the study. The demographic variables such as age, sex, body mass index of the subjects were noted. Radiographic images were examined for the detection of foot deformities. Foot and Ankle Outcome Score' (FAOS) was used to assess foot function. The dynamic and static balance of the patients was evaluated by Berg Balance Scale' (BBS) and Neurocom Balance Master' device. The fatigue (Multidimensional Assessment of Fatigue: MAF), depression (Beck Depression Inventory: BDI) and sleep disorders (Pittsburgh Sleep Quality Index: PSQI) of all patients were evaluated. This study included 50 PsA patients and 50 healthy controls with mean ages of 45.02 (SD 12.81) and 45.12 (SD 10.56), respectively. Demographic data of both groups were similar. Concerning the balance tests, there were significant differences (p<0.05) between patient and control groups about the all tests of sway velocity (except on foam surface eyes closed test), end sway of tandem walk test, movement time of bilateral step up over test and lift up index of left step up over test. There was no significant correlation between static and dynamic balance parameters with MAF, BDI, PSQI, foot deformities and FAOS. The static and dynamic balance impairments are seen in PsA. As the balance parameters had no significant correlation with functional and clinical data, they are acceptable as independent parameters during the course of the disease.Publication Open Access The effect of central sensitization on interlaminar epidural steroid injection treatment outcomes in patients with cervical disc herniation: an observational study(2022-09-01) SAÇAKLIDIR, REKİB; ŞANAL TOPRAK, CANAN; GÜNDÜZ, OSMAN HAKAN; ŞENCAN, SAVAŞ; Sacaklidir R., ŞANAL TOPRAK C., Yucel F. N. , GÜNDÜZ O. H. , ŞENCAN S.© 2022, American Society of Interventional Pain Physicians. All rights reserved.Background: Central sensitization (CS) is a hyperexcitability that is manifested by the increased response of the central nervous system to sensory stimuli. It has been shown that the presence of CS may have a negative effect on the clinical picture in some musculoskeletal diseases and also have a negative effect on spinal procedures. Objectives: To investigate the effect of CS on interlaminar epidural steroid injection (ILESI) treatment outcomes in patients with cervical disc herniation (CDH). Study Design: An observational study. Setting: A university hospital pain management center. Methods: Patients, who underwent ILESI between 2020-2021 due to CDH, were included in the study. The Numeric Rating Scale (NRS-11), Neck Pain and Disability Scale (NPDS), Self-Administered Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS), and Short Form-12 (SF-12) were used for evaluation of patients. Patients were assessed before the procedure, at the first hour, and 3 months after the procedure. The presence of CS was investigated by the Central Sensitization Inventory (CSI). Results: A total of 51 patients were included in the study. Twenty-three of the patients had CS, as assessed by the CSI. Although, patients who underwent ESI, had significantly lower NRS-11, S-LANSS, and NPDS scores, and higher SF-12 scores at all follow-up points. The first and third months, NRS-11, S-LANSS, and NPDS were significantly higher, and SF-12 scores were lower in the CS group compared to patients without CS. Limitations: The short follow-up period and relatively low number of patients can be considered as a limitation. The fact that CS is not evaluated with a more objective method, such as Quantitative Sensory Testing (QST), can be considered as another limitation. Since most clinicians use CSI, so from a \"real world\" perspective the lack of QST may be observed as a strength of the study. The third limitation is that we did not evaluate the patients’ pre-and posttreatment analgesic consumption. Finally, we did not include patients with a history of psychiatric illness, but not evaluating the current psychiatric conditions of the patients could be considered a limitation. Nevertheless, the main strengths of this study are its prospective design and, to our knowledge, it is the first study to explore the effects of CS on cervical ESI treatment. Conclusions: The presence of CS has a negative effect on pain scores, disability, and quality of life in patients undergoing cervical ESI due to CDH.Publication Metadata only Soft tissue sarcoma of the upper extremity: oncological and functional results after surgery(SAGE PUBLICATIONS LTD, 2021) EROL, BÜLENT; Baysal, Ozgur; Toprak, Canan Sanal; Gunar, Berkin; Erol, BulentThis retrospective study evaluates outcomes after treatment of upper-extremity soft tissue sarcoma in 44 patients. We re-resected 19 tumours that had been resected elsewhere without adequate preoperative planning, and we made 25 well-planned primary resections. Four patients in the unplanned group and five in the planned group eventually received amputations. Thirty-three patients were alive at a median follow-up time of 33 months (IQR 18 to 57). Tumour size > 7 cm, tumour Grade 3 and the presence of distant organ metastases were the main factors affecting the oncological outcomes. We found no statistical differences between the planning groups. Functional outcomes and quality of life were significantly worse after amputation or major nerve resections. We conclude with this sized sample that the lack of planning in itself did not influence the final results, but there were differences in tumour size, grade and localization between the groups that may play a role.Publication Metadata only Romatizmal hastlıklarda akılcı ilaç kullanımına multidisipliner yaklaşım(2020-11-27) ŞANAL TOPRAK, CANAN; ŞANAL TOPRAK C.Publication Open Access Assessment of the factors affecting the loss of workforce in patients with traumatic hand injury(2022-01-01) ŞANAL TOPRAK, CANAN; Atalay K. G. , Demirci M., Baysal O., ŞANAL TOPRAK C.Objective: This study aimed to examine the factors affecting the loss of workforce, including the time to return to work and workrelated situations in patients with traumatic hand injury who were taken to a hand rehabilitation program.Publication Metadata only El rehabilitasyonuna alınan hastaların işe dönüş oranı ve süresini etkileyen faktörlerin retrospektif incelenmesi(2021-04-11) ŞANAL TOPRAK, CANAN; GENÇER, ZEYNEP KARDELEN; DEMİRCİ M., ŞANAL TOPRAK C., BAYSAL Ö., GENÇER Z. K.Publication Metadata only Outcome measurement in patients with low back pain undergoing epidural steroid injection(BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK, 2019) ŞANAL TOPRAK, CANAN; Ercalik, Tulay; Atalay, Kardelen Gencer; Toprak, Canan Sanal; Gunduz, Osman HakanObjectives: This study aims to evaluate the outcomes of epidural steroid injection (ESI) in patients with low back pain. Patients and methods: This prospective study included a total of 82 patients (51 females; 31 males; mean age 50.8 +/- 14.2 years; range, 17 to 86 years) who underwent ESI due to lumbar disc hernia-induced radiculopathy between September 2014 and May 2015. The Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), Istanbul Low Back Pain Disability Index (ILBPDI), and the Short Form-36 (SF-36) were administered to all patients before and three weeks and three months after ESI. Results: The mean scores of all scales were significantly lower at three weeks and three months following ESI compared to the baseline scores. There were no significant differences between the mean scores at three weeks and three months. The NRS yielded the highest post-ESI change from baseline. Conclusion: Our study results showed that all scales used in this study were effective tools for the evaluation of outcomes of EPI in patients with low back pain. Although the NRS yielded the highest sensitivity for detecting change, evaluating functional state and quality of life is essential for multivariate analyses.Publication Metadata only Validation of the Toronto Psoriatic Arthritis Screen II (TOPAS II) questionnaire in a Turkish population(SPRINGER HEIDELBERG, 2018) ŞANAL TOPRAK, CANAN; Duruoz, Mehmet Tuncay; Toprak, Canan Sanal; Ulutatar, FiratObjective To evaluate the TOPAS II questionnaire validation in a Turkish population. Methods The Turkish translation of ToPAS II was sent to us by the developer authors of the original index. Subjects were recruited from dermatology, physical medicine and rehabilitation, and rheumatology outpatient clinics. All patients' demographic parameters and ToPAS II questionnaire results were recorded. After patients completed the questionnaire they were assessed by a rheumatologist according to a standard protocol which includes a complete history, detailed physical examination, laboratory tests and CASPAR criteria. Receiver operating characteristics (ROC) assessed to obtain sensitivity and specificity of Turkish version of ToPAS II questionnaire. Results One hundred and fifty subjects were recruited in the study. The mean age of subjects was 41.07 years (SD 12.59) and the 58% of subjects were female. There were 46 subjects from psoriasis group, 43 subjects from psoriatic arthritis (PsA) group, 41 subjects from physical medicine and rehabilitation group and 20 subjects from rheumatology (non-PsA) group. The area under the ROC curve was 0.99 which means as excellent predictor and optimum cut-off threshold to discriminate patients diagnosed with PsA was 8 according to this ROC curve analysis. The overall sensitivity and specificity based on cut-off threshold of 8, were 95.8 and 98%, respectively. Conclusion The Turkish version of ToPAS II has high sensitivity and specificity. It is simple, not time consuming and useful tool to screen for PsA in both patients with and without psoriasis
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