Objectives: This study aims to determine the preferences of physical and rehabilitation medicine (PRM) residents in Turkey for future career choices,subspecialty training plans, and practice location and to identify the factors that influence those preferences.Materials and methods: Using a cross-sectional study design, a survey was sent to all PRM residents enrolled in the Turkish Society of PhysicalMedicine and Rehabilitation and the Turkish League Against Rheumatism (n=500). A total of 181 residents (36%) (74 males, 107 females; meanage 28.8 years; range 24 to 40 years) responded to the survey. Data were collected about demographic profile of respondents and PRM clinics,respondents’ experiences in rheumatology education and injection skills, preferences for fellowship training, and future practice location.Results: Thirty-five percent of residents intended to pursue fellowship training. Rheumatology was more preferred than algology. Male sex waspositively associated with the decision to pursue fellowship training and also having an algology division in the PRM department was positivelyassociated with planning to pursue algology fellowship training. For those planning to pursue fellowship training, the most influential factors wereprestige, interest in an academic career and the possibility of performing compulsory service in a better location. Thirty-four percent of residentspreferred to work in university hospitals after residency while 57% of residents who planned to pursue fellowship training preferred to practice atuniversity hospitals after their fellowship. Thus, an academically oriented career was the most desirable career choice.Conclusion: One-third of residents training in Turkey chose to pursue fellowship training and work in university hospitals. Performing compulsoryservice was the top factor affecting the decisions of both undecided and reluctant residents; thus, career plans of PRM residents in Turkey are notbased solely on personal and professional desires, but require consideration of compulsory service.
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AYLİN REZVANİ ,
İLKNUR AKTAŞ ,
NURETTİN TAŞTEKİN , Reyhan ÇELİKER,
SELDA SARIKAYA ,
ERBİL DURSUN ,
ŞENAY ÖZDOLAP ÇOBAN ,
NİGAR DURSUN ,
COŞKUN ZATERİ ,
LALE ALTAN İNCEOĞLU , Murat BİRTANE,
KENAN AKGÜN ,
NECDET SÜT
OBJECTIVE: The aim of this study was to investigate the frequency of renal calculi in patients with ankylosing spondylitis(AS) and to determine its relationship with disease assessment variables.METHODS: The study was designed retrospectively, and it included a cohort of 320 patients with AS diagnosed using theModified New York Criteria. A total of 119 patients who underwent renal ultrasonography (USG), in who the erythrocyte sedimentation rate, C-reactive protein, blood calcium, phosphorus, Vitamin D, parathormone, and urinary calcium excretion weremeasured, and who also had lateral cervical and lumbar radiography in the same time period were extracted from the cohort. Allpatients’ demographic characteristics and the results of blood and urine tests were recorded. The Ankylosing Spondylitis DiseaseActivity Index (BASDAI), Ankylosing Spondylitis Functional Index (BASFI), Ankylosing Spondylitis Mobility Index (BASMI), andModified Stoke Ankylosing Spondylitis Spinal Score (mSASSS) were evaluated in all patients.RESULTS: Thirteen of the 119 patients had renal calculi confirmed by USG data. The frequency of nephrolithiasis detectedby USG was 10.9% in patients with AS. The disease lasted significantly longer in patients with renal calculi ([nephrolithiasis(+): 18.39±8.72 years; nephrolithiasis (−): 12.02±8.43 years, p=0.01]). The BASMI total score was significantly higher inthe group of patients with renal calculi. There was not any significant difference in terms of blood samples, HLA-B27, BASDAI,BASFI, and mSASSS between groups.CONCLUSION: The frequency of renal stones is increased in patients with AS compared to healthy population. Especiallypatients who had AS for a long time and higher BASMI values are more susceptible to renal calculi. It is important to pointout that the results of this type of studies would be more reliable if the study is conducted on large patient groups and population-based prevalence
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LALE ALTAN İNCEOĞLU , Reyhan ÇELİKER,
İLKER ERCAN ,
MURAT BİRTANE ,
KENAN AKGÜN ,
COŞKUN ZATERİ ,
NURETTİN TAŞTEKİN ,
AYLİN REZVANİ ,
İLKNUR AKTAŞ ,
ŞENAY ÖZDOLAP ÇOBAN ,
ERBİL DURSUN ,
NİGAR DURSUN ,
SELDA SARIKAYA
Objective: The objective of this study was to test the reliability and validity of the Turkish version of theFibromyalgia Participation Questionnaire (FPQ).Methods: One hundred and eighty-four female patients with fibromyalgia syndrome were includedin the study. All patients filled out the Turkish FPQ (FPQ-T) questionnaire, which was obtained bytranslation from German according to the guideline for the process of cross-cultural adaptation Thepatients filled out the revised Fibromyalgia Impact Questionnaire (FIQ) and reevaluated the FPQ-Ttwo hours later. Internal consistency reliability of the FPQ-T was assessed by calculating the “if itemdeleted” using Cronbach’s alpha and the “item-total correction” coefficient for each item of the ques-tionnaire. The consistency of the subscales and the correlation of the test-retest values were assessed.The test-retest values were compared using the Wilcoxon test. Criterion validity was measured usingFIQ scales by Spearman’s rank correlation coefficient.Results: For internal reliability, Cronbach’s alpha coefficient was calculated as 0.957 for nonworkingpatients and 0.958 for working patients. Cronbach’s alpha values of 0.939, 0.871, and 0.914 were ob-tained for daily, social, and work life, respectively. Correlation coefficients were 0.888 for daily life, 0.859for social life, and 0.901 overall in the nonworking group versus 0.896 the in working group. The com-parison of scores obtained from test-retest measurements showed no significant difference exceptfor Item 3. The correlation of the symptom severity score (SSS) and the FPQ-T was r=0.385 (p<0.001)and r=0.390 (p<0.001) for the nonworking and working subgroups, respectively. The evaluation ofconstruct validity showed a significant correlation between the SSS and FPQ-T.Conclusion: The results of our study showed that the FPQ-T is reliable and valid for assessing participa-tion and social functioning in fibromyalgia patients in Turkish society.
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ŞEBNEM ATAMAN , İsmihan SUNAR, Gürkan YILMAZ,
HATİCE BODUR ,
KEMAL NAS , Fikriye Figen AYHAN,
ÖZGÜR AKGÜL ,
AYŞEN AKINCI ,
ZÜHAL ALTAY ,
MURAT BİRTANE , Derya SOY BUĞDAYCI, Erhan ÇAPKIN,
REMZİ ÇEVİK , Yeşim Garip ÇİMEN, M. Tuncay DURUÖZ,
ATİLLA HALİL ELHAN ,
GÜLCAN GÜRER ,
CAHİT KAÇAR ,
AYHAN KAMANLI , Ece KAPTANOĞLU, Taciser KAYA, Hilal KOCABAŞ,
ÖMER KURU ,
MELTEM ALKAN MELİKOĞLU , Sumru ÖZEL,
AYLİN REZVANİ ,
İLHAN SEZER , Fatma GÜL YURDAKUL
Objectives: This study aims to report the assessment of the Turkish League Against Rheumatism (TLAR) expert panel on the compliance and adaptation of the European League Against Rheumatism (EULAR) 2016 recommendations for the management of rheumatoid arthritis (RA) in Turkey. Patients and methods: The EULAR 2016 recommendations for the treatment of RA were voted by 27 specialists experienced in this field with regard to participation rate for each recommendation and significance of items. Afterwards, each recommendation was brought forward for discussion and any alteration gaining ≥70% approval was accepted. Also, Turkish version of each item was rearranged. Last version of the recommendations was then revoted to determine the level of agreement. Levels of agreement of the two voting rounds were compared with Wilcoxon signed-rank test. In case of significant difference, the item with higher level of agreement was accepted. In case of no difference, the changed item was selected.Results: Four overarching principles and 12 recommendations were assessed among which three overarching principles and one recommendation were changed. The changed overarching principles emphasized the importance of physical medicine and rehabilitation specialists as well as rheumatologists for the care of RA patients in Turkey. An alteration was made in the eighth recommendation on treatment of active RA patients with unfavorable prognostic indicators after failure of three conventional disease modifying anti-rheumatic drugs. Remaining principles were accepted as the same although some alterations were suggested but could not find adequate support to reach significance. Conclusion: Expert opinion of the TLAR for the treatment of RA was composed for practices in Turkish rheumatology and/or physical medicine and rehabilitation clinics.
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HATİCE BODUR , Fatma GÜL YURDAKUL,
ŞEBNEM ATAMAN , Yeşim GARİP,
KEMAL NAS , Fikriye Figen AYHAN,
ÖZGÜR AKGÜL ,
AYŞEN AKINCI ,
ZÜHAL ALTAY ,
MURAT BİRTANE , Derya SOY BUĞDAYCI, Erhan ÇAPKIN,
REMZİ ÇEVİK ,
MEHMET TUNCAY DURUÖZ ,
GÜLCAN GÜRER ,
CAHİT KAÇAR ,
AYHAN KAMANLI , Taciser KAYA, Hilal KOCABAŞ,
ÖMER KURU , Ece KAPTANOĞLU,
MELTEM ALKAN MELİKOĞLU , Erhan ÖZDEMİREL, Sumru ÖZEL,
AYLİN REZVANİ ,
İLHAN SEZER , İsmihan SUNAR,
TUFAN GÜRKAN YILMAZ
Objectives: This study aims to update 2011 Turkish League Against Rheumatism SpondyloArthritis Recommendations, and to compose a national expert opinion on management of axial spondyloarthritis under guidance of current guidelines, and implantation and dissemination of these international guidelines into our clinical practice. Materials and methods: A scientific committee of 28 experts consisting of 14 rheumatologists and 14 physical medicine and rehabilitation specialists (one of them also has an immunology PhD) was formed. The recommendations, systematic reviews, and meta-analyses including pharmacologic and non-pharmacologic treatment were scrutinized paying special attention with convenient key words. The draft of Turkish League Against Rheumatism opinion whose roof consisted of international treatment recommendations, particularly the Assessment of SpondyloArthritis International Society/European League Against Rheumatism recommendations was composed. Assessment of level of agreement with opinions by task force members was established through the Delphi technique. Voting using a numerical rating scale assessed the strength of each recommendation. Results: Panel compromised on five basic principles and 13 recommendations including pharmacological and nonpharmacological methods. All of the recommendations had adequate strength. Conclusion: Turkish League Against Rheumatism expert opinion for the management of axial spondyloArthritis was developed based on scientific evidence. These recommendations will be updated regularly in accordance with current developments.
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