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    Long-Term Survival Outcomes of Early-Stage Grade 1 and 2 Endometrioid Type Endometrial Cancer Patients
    (Selçuk Üniversitesi, 2023 Nisan) Avcı, Fazıl; Eren, Önder; Bilgi, Ahmet; Başaran, Hamit; Çelik, Murat; Çağlayan, Melek; Çelik, Çetin
    Aim: Early-stage endometrioid-type endometrial cancer (EC) has a favorable prognosis. The recurrence is still the biggest issue. There are differences in the literature in terms of treatment modalities in the early-stage. The aim of the study is to retrospectively investigate the long-term survival outcomes of early-stage grade 1 and 2 endometrioid-type endometrial cancer patients. Methods: Out of 327 cases, 294 cases in stage 1 and 33 cases in stage 2 were evaluated. Age, stage, tumor size, histologic grade, degree of myometrial invasion, presence of lymphovascular invasion (LVSI), peritoneal cytology positive, presence of recurrence, overall survival (OS), and disease-free survival (DFS) between two groups were evaluated statistically. Results: The mean age of 327 patients was 64.0±10.0 years. Out of 327, 65.7% were ?60 years, and 90% were stage 1, 74.6% were grade 1, 1.8% had positive peritoneal cytology, 8.3% had LVSI and 86% had ?50% myometrial invasion. Recurrence was detected in 6.4% of patients. 40.7% of patients received adjuvant radiotherapy. Only the adjuvant radiotherapy found a significant association between two groups. Only presence of recurrence in terms of OS and DFS durations was a significant parameter in the regression analysis. Conclusion: Development of recurrence in the early-stage endometrioid-type EC is the main prognostic predictor for survival. The early diagnosis and treatment of recurrence have a positive impact on the prognosis.
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    Psychosocial Loads Caused by Covid-19 Pandemic on Obstetricians and Gynecologists. A Scale Study
    (Selçuk Üniversitesi, 2024 Şubat) Ateş, Mete Can; Güler, Abdül Hamid; Çintesun, Ersin; Avcı, Fazıl; Bilgi, Ahmet; Aydın, Memduha; Çelik, Çetin
    ABSTRACT Introduction: The novel coronavirus infection (COVID-19) caused a worldwide pandemic. The pandemic created a heavy psychological burden on healthcare workers. Healthcare providers in obstetrics and gynecology faced similar challenges. Aim: This study studied obstetricians’ and gynecologists’ psychosocial burdens and concerns caused by the COVID-19 pandemic. Methods: Participants of the study consisted of obstetricians and gynecologists. They were reached through social media using the snowball sampling technique. This is a survey and scale study. The researchers created the survey. The survey questioned the demographic characteristics of the participants and the problems caused by the COVID-19 pandemic. In addition, three different scales were applied to the participants: Maslach Burnout Inventory, Coronavirus Anxiety Scale and Depression Anxiety Stress Scale-21. Results: There was statistically significant difference between Maslach Burnout Inventory Personal Achievement and Maslach Burnout Inventory General. Maslach Burnout Inventory Depersonalization and Coronavirus Anxiety Scale scores of the participants working in pandemic hospitals were statistically significantly higher than those not working in these hospitals. According to the MANOVA results, independent variables explained 35% of the variance in the Maslach Burnout Inventory General scale, 51% in the Coronavirus Anxiety Scale, and 53% in the overall Depression Anxiety Stress Scale. Conclusion: Healthcare personnel who provided obstetric and gynecologic services faced with unique challenges and difficulties experienced by other healthcare workers during the COVID-19 pandemic.