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ŞANAL TOPRAK, CANAN

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ŞANAL TOPRAK

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2019 - 201912020 - 20211
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    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, Bulent
    This 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.
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    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.