TY - JOUR T1 - Fibromyalgia Syndrome in Patients Undergoing Peritoneal Dialysis and Hemodialysis TT - Periton Diyalizi ve Hemodiyaliz Uygulanan Hastalarda Fibromiyalji Sendromu AU - Sargın, Gökhan AU - Şentürk, Taşkın AU - Akdam, Hakan PY - 2018 DA - September DO - 10.31832/smj.421257 JF - Sakarya Tıp Dergisi PB - Sakarya Üniversitesi WT - DergiPark SN - 2146-409X SP - 657 EP - 662 VL - 8 IS - 3 LA - en AB - Objectives: Fibromyalgiasyndrome(FMS) is characterizedby fatigue, memory problems, and widespread pain. The syndrome is present inabout %2-8 of the general population. However, knowledge about this topic inspecific populations is limited. Our aim was to evaluate FMS in patientsundergoingperitonealdialysis, hemodialysis, and control group, and the associationbetween clinicaland laboratory parameters.Patientsand Methods:Eighty-nine dialysis patients and healthy volunteers wereincluded in the study. The control group compromised 30 healthy adults (9females 21 males with mean age of 52,9±16,3 years), 26 patients (7 females 19males, with mean age of 53±15,9 years) receiving peritoneal dialysis and 33patients (11 females and 22 males, with mean age of 64,5±7,1 years) receiving hemodialysis were enrolled in this study.Fibromyalgia was diagnosed with the criteria of 1990 American College of Rheumatology (ACR) and 2011modification of the ACR preliminary diagnostic criteria. Gender, age, renal function tests, electrolytes, parathyroidhormone, renal failure etiology, and how long has it been dialyzed wererecorded. Results: The prevalence of fibromyalgia was higher in patients with peritonealdialysis compared with hemodialysis group. There was no statisticallysignificant between peritoneal dialysis group and healthy group. Also, therewas no statistically significant between for depression and cognitive functionsbetween peritoneal dialysis group and healthy group. But, the parameter wasfound to be high in patients receiving hemodialysis compared with peritoneal andhealthy groups. Kidney function tests and electrolyte levels were significantlydifferent between healthy adults and dialysis groups (p <0.001).Conclusion: The prevalence of fibromyalgia was similar betweenperitoneal dialysis and healthy group. It may be related to activelyparticipate in treatment, fewer stress factors, and better preservation of renalfunctions. KW - fibromyalgia syndrome KW - renal failure KW - peritoneal dialysis N2 - Amaç: Fibromiyalji sendromu (FMS) yorgunluk, hafızaproblemleri ve yaygın ağrı ile karakterizedir. Sendrom genel popülasyonunyaklaşık % 2-8'inde bulunur. Bununla birlikte, konu ile ilgili belirlipopülasyonlardaki bilgiler sınırlıdır. Bizim amacımız, periton diyalizi,hemodiyaliz hastalarında ve kontrol grubunda FMS, klinik ve laboratuvarparametreleri arasındaki ilişkiyi değerlendirmektir.Hastalar ve Yöntemler: Çalışmaya 89 diyaliz hastası ve sağlıklı gönüllüdahil edildi. Kontrol grubu 30 sağlıklı yetişkin (9 kadın, 21 erkek, ortalamayaş 52,9±16,3 yıl), periton diyalizialan 21 hasta (7 kadın, 19 erkek, ortalama yaş 53±15,9 yıl), ve hemodiyalizalan 33 hasta (11 kadın, 22 erkek, yaş ortalaması 64,5±7,1 yıl) alındı.Fibromiyalji 1990 American College of Rheumatology (ACR) kriterleri ve 2011modifiye ACR preliminary tanı kriterlerinin ile konuldu. Cinsiyet, yaş,böbrek fonksiyon testleri, elektrolitler, paratiroid hormon, böbrek yetmezlik etyolojisive ne kadar süredir diyaliz yapıldığı kaydedildi.Bulgular: Hemodiyaliz grubuna göre periton diyalizi alan hastalardafibromiyalji prevalansı daha fazlaydı. Periton diyaliz grubu ile sağlıklı gruparasında istatistiksel olarak anlamlı bir fark yoktu. Ayrıca periton diyalizigrubu ile sağlıklı grup arasında depresyon ve bilişsel işlevler arasında da istatistikselolarak anlamlı bir farklılık saptanmadı. Ancak, parametreler hemodiyaliz alanhastalarda, periton dializ grubu ve sağlıklı gruba göre daha yüksek olarakbulundu. Böbrek fonksiyon testleri ve elektrolit düzeyleri sağlıklı yetişkin vediyaliz grupları arasında anlamlı olarak farklıydı (p<0.001).Sonuç: Fibromiyalji prevalansı, periton diyaliz grubu vesağlıklı grup arasında benzerdi. Bu durum, tedaviye aktif olarak katılma, dahaaz stres faktörü ve böbrek fonksiyonlarının daha iyi korunması ile ilişkiliolabilir.Anahtar Kelimeler: fibromiyalji sendromu, böbrek yetmezliği,periton diyalizi, hemodiyaliz CR - 1. Branco JC, Bannwarth B, Failde I, Abello Carbonell J, Blotman F, Spaeth M, et al. Prevalence of fibromyalgia: a survey in five European countries. Semin Arthritis Rheum. 2010;39:448-53. CR - 2. Clauw DJ. Fibromyalgia: a clinical review. JAMA. 2014;311:1547-55. CR - 3. 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