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Abstract

Objective: Rheumatoid arthritis (RA) is a chronic autoimmune inflammatory disorder of flexible joints with unknown etiology, which affects 1% of the world’s population. The aim of this 2010 study was to investigate the association between the level of education, tonsillectomy and appendectomy in the patients’ history with RA. The study was carried out in Hamedan City, in the West of Iran. Patients and Methods: As a patient-control study, information from 128 patients and 130 controls, matched for age and gender, was collected by questionnaires and physical exams with the consent of both patients and controls, followed by an SPSS statistical analysis (Pearson’s Chi-Square test). Results: In patient and control groups, there were 116 and 117 females, respectively, and the rest were males. Statistical analysis showed that there is no significant association between level of education or tonsillectomy with RA (p>0.05), whereas appendectomy was significantly associated inversely with the risk of RA (p < 0.05). Conclusion: Considering previous global investigations on this topic with different results and the results of our study, it seems that more studies are needed to determine the definitive association between level of education, tonsillectomy and appendectomy with the risk of RA

Keywords

• Rheumatoid arthritis, Level of education, Socioeconomic level, Social class, Tonsillectomy, Appendectomy, Risk factors

Romatoid artritin risk faktörleri: Eğitim düzeyi, tonsillektomi ve apendektomi

Abstract

Amaç: Romatoid artrit (RA) kronik, otoimmün, enflamatuvar ve etiyolojisi tam olarak bilinmeyen bir eklem hastalığıdır. Dünya nüfusunun %1’in de görülmektedir. Bu çalışmanın amacı, RA hikayesi olan hastalarda eğitim düzeyi, tonsillektomi ve apendektomi arasındaki ilişikiyi araştırmaktır. Çalışma Batı İran’da Hamedan şehrinde yapılmıştır. Hastalar ve Yöntem: Çalışma, yaş ve cinsiyet bakımından uyumlu 128 hasta ve kontrol grubunu oluşturan 130 kişi üzerinde yapılmıştır. Hasta-kontrollü çalışmada bilgiler, gruplara anket uygulayarak elde edilmiştir. Fizik muayene, kişilerden izin alınarak yapılmıştır. İstatistiksel analiz SPSS (Pearson’s Chi-Square test) ile yapılmıştır. Bulgular: Hasta grubunda 116, kontrol grubunda ise 117 kadın bulunuyordu. Geri kalanlar erkek idi. İstatistiksel analiz RA riski ile eğitim durumu veya tonsillektomi arasında belirgin bir ilişki olmadığını göstermiştir (p > 0,05). Ancak RA riski ile apendektomi arasında belirgin ters bir ilişki elde edilmiştir (p < 0,05). Sonuç: Bu konuda daha önce yapılmış büyük araştırmalardan elde edilen değişik sonuçlar ile bizim araştırmamızdan elde ettiğimiz sonuçlar değerlendirildiğinde, eğitim durumu, tonsillektomi ve apendektomi ile RA riski arasındaki kesin ilişkiye ulaşmak için daha fazla araştırmalara gerek olduğu kanısına varılmıştır.

Keywords

• Romatoid artrit, Eğitim düzeyi, Sosyoekonomik durum, Sosyal sınıf, Tonsillektomi, Apendektomi, Risk faktörleri

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