Ekim Can Öztürk

Istanbul Eye Hospital

Author Statistics

Papers

Citation

H-Index

i-10 index

Research Trends

Author Order

Document Type

Co-Authors

SŞ

Savaş Şencan

Marmara University

Osman Hakan Gündüz

Marmara University

Rekib Saçaklıdır

Marmara University

Habip Yılmaz

Bakırköy Dr.Sadi Konuk Eğitim ve Araştırma Hastanesi

Fırat Ulutatar

Weatherford College

CŞ

Canan Şanal Toprak

Marmara University

İY

İlker Yağcı

Marmara University

Alp Eren Çelenlioğlu

Sağlık Bilimleri Üniversitesi

Damla Yürük

Memorial Ankara Hospital

Sinan Pektaş

Muğla University

Cooperative Institutions

Sağlık Bilimleri Üniversitesi

Marmara University

Istanbul University

Ministry of Health

University of Health Science

Hacettepe University

Ankara University

Gazi University

Türk Anesteziyoloji ve Reanimasyon Derneği

Eskişehir Osmangazi University

Author Statistics

Papers

Citation

H-Index

i-10 index

Research Field

The effect of human assumed central sensitization on transforaminal epidural steroid injection in chronic lumbar radiculopathy: An observational study

Journal of Back and Musculoskeletal Rehabilitation (2024)

Tülay Sahin Rekib Saçaklıdır Mert Sancar Ekim Can Öztürk

BACKGROUND: Human assumed central sensitization (HACS) is a potential pathophysiological mechanism underlying a group of musculoskeletal disorders. HACS may negatively influence the outcomes of surgical or interventional procedures. OBJECTIVE: The present study aimed to investigate the impact of HACS on treatment outcomes of transforaminal epidural steroid injection (TFESI). METHODS: Patients who received fluoroscopy-guided single-level lumbosacral TFESI between January 2020 and January 2021 were included in the study. The patients were divided into two groups with respect to the existence of HACS. Patients were assessed before the procedure, at the third week, and at the third month after the procedure. The presence of HACS was investigated by central sensitization inventory (CSI). The Numerical Rating Scale (NRS), Oswestry Disability Index (ODI), and Beck Depression Inventory (BDI) were used for patient assessment. RESULTS: A total of 65 patients were included in the study. Thirty-one of the patients had HACS. There was no difference between the groups in terms of demographic data. Significant improvement in NRS was found at 3rd week and 3rd month compared to the baseline. BDI and ODI scores were also significantly reduced at the end of 3 months (p< 0.001). NRS scores at all time points were significantly lower in patients without HACS (p< 0.05). CONCLUSION: The presence of HACS has a negative effect on pain scores, disability, and mental state in patients undergoing TFESI.

Epidural steroid injection

Central Sensitization

10.3233/bmr-240231

Cite

Citations (0)

Kanser Ağrısı

Mehmet Sacit Güleç Gül Köknel Talu Gülçin Şenel Suna Aşkın Turan Ayşegül Akyüz Yıldırım

Tüm dünyada olduğu gibi Türkiye'de de algoloji biliminin gelişim sürecinde kanser ağrısı ve tedavisinin önemli rolü yadsınamaz. Analjeziklerin özellikle opioidlerin kullanım ilkeleri, basamak tedavisi, girişimsel işlemler kanser ağrısında kullanılarak kronik ağrı tedavisinde klinik pratiğe girmiştir. Başta algoloji uzmanlarının ve kanser tedavisinde yer alan farklı disiplinlerden uzmanların kanser ağrısı ve tedavisindeki deneyimlerini ve bilgi birikimlerini meslektaşlarına ve sağlık profesyonellerine aktarması ile görülme sıklığı giderek artan kanser nedeniyle hastaların ağrı çekmesine engel olabiliriz. Bu amaçla yola çıkarak ülkemizde eksikliğini fark ettiğimiz kanser ağrısını her yönüyle ve farklı bakış açıları ile ele alan geniş kapsamlı bir referans kitap hazırlamak istedik. "Kanser Ağrısı" kitabında 11 farklı disiplinden uzmanların bir araya gelmesi ile Kanser Ağrısına Yaklaşım, Kanser Ağrı Yönetimi, Özellikli Konular ve Palyatif Bakım ana başlıkları altında 37 konu ele alındı.

10.37609/akya.2581

Cite

Citations (0)

Challenges in the treatment of fibrodysplasia ossificans progressiva

Rheumatology International (2018)

Kardelen Gençer Atalay Ekim Can Öztürk İlker Yağcı Pınar Ata Kenan Delil

Fibrodysplasia Ossificans Progressiva

Myositis ossificans

Spondyloarthropathy

Aggressive Fibromatosis

Rare disease

10.1007/s00296-018-4179-x

Cite

Citations (19)

Radiation Doses for Different Approaches of Fluoroscopy-Guided Epidural Injections: An Observational Clinical Study.

PubMed (2022)

Rekib Saçaklıdır Ekim Can Öztürk Savaş Şencan Osman Hakan Gündüz

Although fluoroscopy-guided interventional therapies have declined in recent years, radiation exposure remains a critical issue for both patients and medical staff. Radiation exposure varies according to the physicians' experience, procedure time, patients' body mass index (BMI), imaging techniques, and the type of procedure performed.The purpose of this study is to report procedure times and calculate the radiation doses for 4 different approaches of fluoroscopy-guided epidural injections per procedure and BMI to provide radiations doses for potential use in future dose reduction strategies.Retrospective, observational study.A university hospital, pain management center.A retrospective evaluation was performed of patients who received epidural steroid injections between January 2015 and December 2020 in a university hospital interventional pain management center. This observational study was conducted with patients aged >= 18 who underwent 3,711 epidural injections including cervical interlaminar, lumbar interlaminar, lumbar transforaminal, and caudal approaches. If more than one level or bilateral injections were performed, total dose and times were divided by the number of sites injected to attain procedure time and mean dose per injection. Provided doses for each patient were also divided by patients' BMI to obtain dose per BMI.The highest radiation dose per procedure was found in caudal epidural injection with 0.218 mGy·m2, and the lowest dose was found in cervical interlaminar epidural injection with 0.057 mGy·m2. The radiation dose per procedure was 0.123 mGy·m2 for lumbar transforaminal and 0.191 mGy·m2 for lumbar interlaminar epidural injection. The shortest procedure time was determined in transforaminal (37.3 seconds) injections, and the longest was in lumbar interlaminar (46.7 seconds) injections. Caudal epidural injection also had the highest radiation dose per BMI which was 0.00749, and cervical interlaminar epidural injection had the lowest radiation dose per BMI, which was 0.00214.Firstly, injections were performed by first- or second-year fellows in pain medicine. Moreover, patient-related factors (previous surgery, scoliosis, etc.) affecting radiation exposure were ignored.Radiation dose levels and procedure times of 4 approaches of epidural injections were obtained from 3,711 procedures performed in a university hospital pain medicine clinic. BMI of patients was taken into account with the dose levels of injections given per BMI. Multicenter research with standardized techniques will assure more reliable reference levels, which will guide pain physicians to self-assess their own levels of radiation exposure.

Epidural steroid injection

Interventional pain management

Source

Cite

Citations (4)

Cervical Radiculopathy Impact Scale: Translation, cross-cultural adaptation, reliability and validity of the Turkish version

Archives of Rheumatology (2022)

Alp Eren Çelenlioğlu Savaş Şencan Rekib Saçaklıdır Ekim Can Öztürk Osman Hakan Gündüz

The aim of this study was to translate and cross-culturally adapt the English version of the Cervical Radiculopathy Impact Scale (CRIS) and to investigate the validity and reliability of the Turkish version of the CRIS.Between October 2021 and February 2022, a total of 105 patients (48 males, 57 females; mean age: 45.4±11.8 years; range, 36.5 to 55.5 years) who were diagnosed with cervical radiculopathy due to disc herniation were included. Disability and quality of life were evaluated with the Neck Disability Index (NDI), Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH), and Short Form-12 (SF-12). Pain severity was evaluated using the Numerical Rating Scale (NRS) in three subscales (neck pain, pain radiating to the arm, and numbness in the finger, hand, or arm). The internal consistency for CRIS was assessed using the Cronbach alpha and test-retest reliability by intraclass correlation coefficients (ICCs). Explanatory factor analyses were performed for construct validity. To examine the content validity, the correlations among the three subgroup scores of CRIS and the other scale scores were analyzed.The internal consistency of CRIS was found to be high (α=0.937). A high reliability was obtained for test-retest reliability for the three subscales of CRIS (Symptoms, Energy and postures, Actions and activities) (ICC: 0.950, 0.941, 0.962, respectively; p<0.001). All three subscale scores of CRIS were correlated with the NDI, QuickDASH, SF-12 (physical and mental) and NRS scores (r=0.358-0.713, p<0.001). Factor analysis showed that the scale had five factors.The CRIS is a valid and reliable instrument for Turkish patients with cervical radiculopathy due to disc herniation.

Neck pain

10.46497/archrheumatol.2022.9639

Cite

Citations (2)

The structural, functional and electrophysiological assessment of paraspinal musculature of patients with ankylosing spondylitis and non-radiographic axial spondyloarthropathy

Rheumatology International (2021)

Ekim Can Öztürk İlker Yağcı

Degeneration (medical)

10.1007/s00296-020-04781-4

Cite

Citations (16)

Caudal epidural steroid injection versus transforaminal ESI for unilateral S1 radiculopathy: a prospective, randomized trial

Pain Medicine (2023)

Ekim Can Öztürk Rekib Saçaklıdır Savaş Şencan Osman Hakan Gündüz

Abstract Objective Epidural steroid injections are frequently performed to manage radicular symptoms. Most research investigating the effectiveness of different routes of epidural injections were conducted with non-homogeneous groups. In this study our aim was to investigate the efficacy of caudal versus transforaminal approaches in patients with unilateral S1 radiculopathy secondary to a paracentral L5–S1 disc herniation. Study design Prospective, randomized clinical trial. Setting A university hospital pain management center. Methods The study was conducted between January 2022 and February 2023. Patients with unilateral S1 radiculopathy were randomly divided into two groups: the caudal epidural steroid injection (CESI) and the transforaminal epidural steroid injection (TFESI) group. Severity of pain and disability were assessed with Numeric Rating Scale (NRS-11) and Oswestry Disability Index (ODI) at baseline, 3 weeks, and 3 months after treatment. Fifty percent or more improvement in NRS-11 was defined as treatment success. Fluoroscopy time and doses of exposed radiation were also recorded. Results A total of 60 patients were included in the final analysis (n = 30 for each group). Significant improvement in pain and disability scores was observed at 3rd week and 3rd month compared to baseline (P < .001). Treatment success rate at 3rd month was 77% for the CESI group and 73% for the TFESI group without any significant difference between the groups (P = .766). Conclusions CESI is equally effective as TFESI in the management of S1 radiculopathy due to a paracentral L5–S1 disc herniation. Both approaches can reduce pain and disability, while CESI requires shorter fluoroscopy time and less radiation exposure.

Epidural steroid injection

Oswestry Disability Index

Radicular pain

10.1093/pm/pnad041

Cite

Citations (4)

Comparison of the use of peripheral nerve stimulator and quincke needle for lumbar transforaminal epidural steroid injections

Turkish Neurosurgery (2023)

Rekib Saçaklıdır Habip Yılmaz Ekim Can Öztürk Osman Hakan Gündüz Savaş Şencan

To compare the procedural features of transforaminal epidural steroid injection (TFESI) performed using two different needles (Stimuplex® and Quincke) in terms of procedure time, exposed radiation dose and adverse effects and complications, thus providing preliminary data to aid needle selection for TFESI.

Epidural steroid injection

Nerve stimulator

Peripheral nerve stimulation

10.5137/1019-5149.jtn.43946-23.4

Cite

Citations (1)

YouTube as a source of information on sacroiliac joint injection: A reliability and quality analysis

Medicine (2023)

Ekim Can Öztürk Habip Yılmaz Rekib Saçaklıdır Savaş Şencan Osman Hakan Gündüz

Sacroiliac joint (SIJ) injection is recommended for both diagnosis and relief of SIJ pain. YouTube has become a widely used source for health professionals and patients to obtain information about various procedures but the quality of YouTube videos including medical content is questionable. Therefore, the aim of this study is to evaluate the quality of SIJ injection videos on YouTube. This cross-sectional study was conducted through March 2022 by searching the phrase “sacroiliac joint injection” on YouTube. After resetting search history top 100 videos were screened. Duration of videos, number of views, number of likes, number of comments, view ratio (number of views/d), time passed since upload date, guide used for injection, and source of videos were recorded. The DISCERN and the Global Quality Scale were used to assess the quality and reliability of the videos. Of the 100 videos screened 42 videos met the inclusion criteria. The videos (73.8%) were predominantly uploaded by physicians. Most frequently used guide for injections was ultrasound with 45.4%. According to the DISCERN classification, 35.7% of the videos were “very poor,” 30.9% were “poor,” 21.4% were “fair,” 7.1% were “good” and 4.7% were “excellent.” Physicians and patients should be aware of that many of the videos about SIJ injections are categorized as “poor” or “very poor,” which means they may mislead trainees, resulting in inadequate treatments.

Sacroiliac joint

Upload

Sonographer

10.1097/md.0000000000033207

Cite

Citations (2)