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ŞANAL TOPRAK, CANAN

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ŞANAL TOPRAK

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  • Publication
    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
    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 Hakan
    Objectives: 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.