Yıl: 2020 Cilt: 12 Sayı: 1 Sayfa Aralığı: 95 - 103 Metin Dili: İngilizce DOI: 10.4274/jcrpe.galenos.2019.2019.0041 İndeks Tarihi: 13-10-2020

Evaluation of Turner Syndrome Knowledge among Physicians and Parents

Öz:
Objective: Turner syndrome (TS) is one of the most common chromosomal abnormalities and an important cause of short stature and infertility due to ovarian failure in females. The aim was to evaluate the knowledge of TS among physicians and parents of children with TS and to enhance awareness about this subject.Methods: One hundred and forty physicians were included in the study. The study population comprised 37 pediatricians (26.4%), 15 gynecologists (10.7%), 88 family physicians (62.9%) and 30 parents who had daughters with a diagnosis of TS. Two separate questionnaires were administered to evaluate TS knowledge of physicians and parents.Results: According to the self-reports of physicians, 49% had insufficient knowledge of TS, while 15.7% indicated that they had no knowledge of TS. The mean percentage of correct answers was 50.71±16.17% for all physicians. When the entire group of physicians was considered, 67.1% of them did not know the approximate incidence of TS, while 14.3% of them incorrectly indicated that TS wasa condition that was seen in boys. The mean percentage of correct answers among parents was 68±15%, and there was no difference between the mothers’ and fathers’ correct answer rates (p=0.063). The majority of parents was not aware of TS-associated diseases and increased malignancy risk in TS.Conclusion: Physician knowledge of TS was poor and that there is a need for continued education about TS at the medical faculty and post-graduate levels.
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  • 1. Turner HH. A syndrome of infantilism, congenital webbed neck, and cubitus valgus. Endocrinology 1938;23:566-574.
  • 2. Elsheikh M, Dunger DB, Conway GS, Wass JA. Turner’s syndrome in adulthood. Endocr Rev 2002;23:120-140.
  • 3. Gravholt CH. Medical problems of adult Turner’s syndrome. Horm Res 2001;56(Suppl 1):44-50.
  • 4. Rivkees SA. Ending the late diagnosis of Turner syndrome through a novel high-throughput assay. Pediatr Endocrinol Rev 2012;9(Suppl 2):698-700.
  • 5. Apperley L, Das U, Ramakrishnan R, Dharmaraj P, Blair J, Didi M, Senniappan S. Mode of clinical presentation and delayed diagnosis of Turner syndrome: a single Centre UK study. Int J Pediatr Endocrinol 2018;2018:4. Epub 2018 Jun 26
  • 6. Kirk SA. Educating Exceptional Children. Children with physical disabilities and health impairments, (10th ed). Boston: H. Mifflin Company College Division, 2002:492-534.
  • 7. Gravholt CH, Andersen NH, Conway GS, Dekkers OM, Geffner ME, Klein KO, Lin AE, Mauras N, Quigley CA, Rubin K, Sandberg DE, Sas TCJ, Silberbach M, Söderström-Anttila V, Stochholm K, van Alfen-van derVelden JA, Woelfle J, Backeljauw PF; International Turner Syndrome Consensus Group. Clinical practice guidelines for the care of girls and women with Turner syndrome: proceedings from the 2016 Cincinnati International Turner Syndrome Meeting. Eur J Endocrinol 2017;177:1- 70.
  • 8. Bondy CA; Turner Syndrome Study Group. Care of girls and women with Turner syndrome: a guideline of the Turner Syndrome Study Group. J Clin Endocrinol Metab 2007;92:10-25. Epub 2006 Oct 17
  • 9. Leech N, Barrett K, Morgan GA. SPSS for intermediate statistics: Use and interpretation: Routledge; 2013.
  • 10. Lippe B. Turner syndrome. Endocrinol Metab Clin North Am 1991;20:121-152.
  • 11. Nielsen J, Wohlert M. Chromosome abnormalities found among 34,910 newborn children: results from a 13-year incidence study in Arhus, Denmark. Hum Genet 1991;87:81-83.
  • 12. Yeşilkaya E, Bereket A, Darendeliler F, Baş F, Poyrazoğlu Ş, Küçükemre Aydın B, Darcan Ş, Dündar B, Büyükinan M, Kara C, Sarı E, Adal E, Akıncı A, Atabek ME, Demirel F, Çelik N, Özkan B, Özhan B, Orbak Z, Ersoy B, Doğan M, Ataş A, Turan S, Gökşen D, Tarım Ö, Yüksel B, Ercan O, Hatun Ş, Şimşek E, Ökten A, Abacı A, Döneray H, Özbek MN, Keskin M, Önal H, Akyürek N, Bulan K, Tepe D, Emeksiz HC, Demir K, Kızılay D, Topaloğlu AK, Eren E, Özen S, Abalı S, Akın L, Selver Eklioğlu B, Kaba S, Anık A, Baş S, Ünüvar T, Sağlam H, Bolu S, Özgen T, Doğan D, Deniz Çakır E, Şen Y, Andıran N, Çizmecioğlu F, Evliyaoğlu O, Karagüzel G, Pirgon Ö, Çatlı G, Can HD, Gürbüz F, Binay Ç, Baş VN, Fidancı K, Polat A, Gül D, Açıkel C, Demirbilek H, Cinaz P, Bondy C. Turner syndrome and associated problems in Turkish children: a multicenter study. J Clin Res Pediatr Endocrinol 2015;7:27-36.
  • 13. Lee MC, Conway GS. Turner’s syndrome: challenges of late diagnosis. Lancet Diabetes Endocrinol 2014;2:333-338. Epub 2013 Dec 6 14. Kringos DS. The importance of measuring and improving the strength of primary care in Europe: results of an international comparative study. Turkish Journal of Family Practice 2013;17:165-179.
  • 15. Ranke MB, Saenger P. Turner’s syndrome. Lancet 2001;358:309-314.
  • 16. Gould HN, Bakalov VK, Tankersley C, Bondy CA. High levels of education and employment among women with Turner syndrome. J Women’s Health (Larchmt) 2013;22:230-235. Epub 2013 Feb 19
  • 17. Bryman I, Sylven L, Berntorp K, Innala E, Bergstrom I, Hanson C, Oxholm M, Landin-Wilhelmsen K. Pregnancy rate and outcome in Swedish women with Turner syndrome. Fertil Steril 2011;95:2507- 2510. Epub 2011 Jan 22
  • 18. Landin-Wilhelmsen K, Bryman I, Wilhelmsen L. Cardiac malformations and hypertension, but not metabolic risk factors, are common in Turner syndrome. J Clin Endocrinol Metab 2001;86:4166-4170.
  • 19. Kim HK, Gottliebson W, Hor K, Backeljauw P, Gutmark-Little I, Salisbury SR, Racadio JM, Helton-Skally K, Fleck R. Cardiovascular anomalies in Turner syndrome: spectrum, prevalence, and cardiac MRI findings in a pediatric and young adult population. AJR Am J Roentgenol 2011;196:454-460.
  • 20. Dawson-Falk KL, Wright AM, Bakker B, Pitlick PT, Wilson DM, Rosenfeld RG. Cardiovascular evaluation in Turner syndrome: utility of MR imaging. Australas Radiol 1992;36:204-209.
  • 21. Callery P, Smith L. A study of role negotiation between nurses and the parents of hospitalized children. J Adv Nurs 1991;16:772-781.
  • 22. Merkens MJ, Perrin EC, Perrin JM, Gerrity PS. The awareness of primary physicians of the psychosocial adjustment of children with a chronic illness. J Dev Behav Pediatr 1989;10:1-6
APA Eroğlu Filibeli B, HAVARE N, YILMAZ H, YILDIRIM J, ÇATLI G, Dundar B (2020). Evaluation of Turner Syndrome Knowledge among Physicians and Parents. , 95 - 103. 10.4274/jcrpe.galenos.2019.2019.0041
Chicago Eroğlu Filibeli Berna,HAVARE Nesrin,YILMAZ Huriye ERBAK,YILDIRIM Julide Gulizar,ÇATLI Gönül,Dundar Bumin N Evaluation of Turner Syndrome Knowledge among Physicians and Parents. (2020): 95 - 103. 10.4274/jcrpe.galenos.2019.2019.0041
MLA Eroğlu Filibeli Berna,HAVARE Nesrin,YILMAZ Huriye ERBAK,YILDIRIM Julide Gulizar,ÇATLI Gönül,Dundar Bumin N Evaluation of Turner Syndrome Knowledge among Physicians and Parents. , 2020, ss.95 - 103. 10.4274/jcrpe.galenos.2019.2019.0041
AMA Eroğlu Filibeli B,HAVARE N,YILMAZ H,YILDIRIM J,ÇATLI G,Dundar B Evaluation of Turner Syndrome Knowledge among Physicians and Parents. . 2020; 95 - 103. 10.4274/jcrpe.galenos.2019.2019.0041
Vancouver Eroğlu Filibeli B,HAVARE N,YILMAZ H,YILDIRIM J,ÇATLI G,Dundar B Evaluation of Turner Syndrome Knowledge among Physicians and Parents. . 2020; 95 - 103. 10.4274/jcrpe.galenos.2019.2019.0041
IEEE Eroğlu Filibeli B,HAVARE N,YILMAZ H,YILDIRIM J,ÇATLI G,Dundar B "Evaluation of Turner Syndrome Knowledge among Physicians and Parents." , ss.95 - 103, 2020. 10.4274/jcrpe.galenos.2019.2019.0041
ISNAD Eroğlu Filibeli, Berna vd. "Evaluation of Turner Syndrome Knowledge among Physicians and Parents". (2020), 95-103. https://doi.org/10.4274/jcrpe.galenos.2019.2019.0041
APA Eroğlu Filibeli B, HAVARE N, YILMAZ H, YILDIRIM J, ÇATLI G, Dundar B (2020). Evaluation of Turner Syndrome Knowledge among Physicians and Parents. Journal of Clinical Research in Pediatric Endocrinology, 12(1), 95 - 103. 10.4274/jcrpe.galenos.2019.2019.0041
Chicago Eroğlu Filibeli Berna,HAVARE Nesrin,YILMAZ Huriye ERBAK,YILDIRIM Julide Gulizar,ÇATLI Gönül,Dundar Bumin N Evaluation of Turner Syndrome Knowledge among Physicians and Parents. Journal of Clinical Research in Pediatric Endocrinology 12, no.1 (2020): 95 - 103. 10.4274/jcrpe.galenos.2019.2019.0041
MLA Eroğlu Filibeli Berna,HAVARE Nesrin,YILMAZ Huriye ERBAK,YILDIRIM Julide Gulizar,ÇATLI Gönül,Dundar Bumin N Evaluation of Turner Syndrome Knowledge among Physicians and Parents. Journal of Clinical Research in Pediatric Endocrinology, vol.12, no.1, 2020, ss.95 - 103. 10.4274/jcrpe.galenos.2019.2019.0041
AMA Eroğlu Filibeli B,HAVARE N,YILMAZ H,YILDIRIM J,ÇATLI G,Dundar B Evaluation of Turner Syndrome Knowledge among Physicians and Parents. Journal of Clinical Research in Pediatric Endocrinology. 2020; 12(1): 95 - 103. 10.4274/jcrpe.galenos.2019.2019.0041
Vancouver Eroğlu Filibeli B,HAVARE N,YILMAZ H,YILDIRIM J,ÇATLI G,Dundar B Evaluation of Turner Syndrome Knowledge among Physicians and Parents. Journal of Clinical Research in Pediatric Endocrinology. 2020; 12(1): 95 - 103. 10.4274/jcrpe.galenos.2019.2019.0041
IEEE Eroğlu Filibeli B,HAVARE N,YILMAZ H,YILDIRIM J,ÇATLI G,Dundar B "Evaluation of Turner Syndrome Knowledge among Physicians and Parents." Journal of Clinical Research in Pediatric Endocrinology, 12, ss.95 - 103, 2020. 10.4274/jcrpe.galenos.2019.2019.0041
ISNAD Eroğlu Filibeli, Berna vd. "Evaluation of Turner Syndrome Knowledge among Physicians and Parents". Journal of Clinical Research in Pediatric Endocrinology 12/1 (2020), 95-103. https://doi.org/10.4274/jcrpe.galenos.2019.2019.0041