Pain experienced by dialysis patients in two culturally diverse populations

Cukor, Daniel; Saggi, Subodh J.; Ahmad, Rafeeque; Ha, Ji Hoon; Ide, Masumi; Hayashida, Masatoshi; Funakoshi, Satoshi

doi:10.1111/hdi.12772

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…Ból przewlekły jest częstym objawem doświadczanym przez pacjentów z przewlekłą chorobą nerek i schyłkową niewydolnością nerek-ponad 58% odczuwa ból, a około 49% pacjentów zgłasza umiarkowany lub silny ból, niezależnie od tego, czy są leczeni dializami, czy leczeni zachowawczo [12,14,42]. Wieloczynnikowa etiologia bólu i częste choroby współistniejące u pacjentów z przewlekłą chorobą nerek skutkują różnymi rodzajami bólu (neuropatyczny, nocyceptywny lub oba) [9,26]. Poza powszechnymi, występującymi w populacji ogólnej, przyczynami dolegliwości bólowych, ból u chorych z niewydolnością nerek może być spowodowany dodatkowo chorobami kości (osteodystrofia nerkowa, osteomalacja), nerek (wielotorbielowatość nerek), a także neuropatią mocznicową [70].…”

Section: Streszczenieunclassified

Pain treatment in patients with renal insufficiency

Gras-Ozimek

Kozińska

2022

J Educ Health Sport

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Chronic pain is experienced by the majority of patients with renal insufficiency. Pain management in patients with chronic kidney disease is difficult because a significant part of painkillers is excreted through the kidneys, therefore side effects are more common among this population. The aim of this review is to draw attention to the available pain management options in patients with CKD based on an analysis of published articles. The following article is based on the literature found in the pubmed database. Treatment should include pharmacological, non-pharmacological methods and treatment of comorbidities, whereas patients should be carefully monitored for side effects and possible complications. More research is needed in this area.

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Section: Streszczenieunclassified

Pain treatment in patients with renal insufficiency

Gras-Ozimek

Kozińska

2022

J Educ Health Sport

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Coping with chronic illness: The challenge of patients with renal disease

Cukor

Cohen

Kimmel

2021

Psychosocial Aspects of Chronic Kidney Disease

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Pain management in patients with chronic kidney disease and end-stage kidney disease

Roy

Weltman

Dember

et al. 2020

Current Opinion in Nephrology &Amp; Hypertension

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Purpose of Review-This review evaluates current recommendations for pain management in CKD and ESKD with a specific focus on evidence for opioid analgesia, including the partial agonist, buprenorphine.Recent Findings-Recent evidence supports the use of physical activity and other nonpharmacologic therapies, either alone or with pharmacological therapies, for pain management. Nonopioid analgesics, including acetaminophen, topical analgesics, gabapentinoids, serotonin-norepinephrine reuptake inhibitors, and tricyclic antidepressants may be considered based on pain etiology and type, with careful dose considerations in kidney disease. NSAIDs may be used in CKD and ESKD for short durations with careful monitoring. Opioid use should be minimized and reserved for patients who have failed other therapies. Opioids have been associated with increased adverse events in this population, and thus should be used cautiously after risk/ benefit discussion with the patient. Opioids that are safer to use in kidney disease include oxycodone, hydromorphone, fentanyl, methadone and buprenorphine. Buprenorphine appears to be a promising and safer option due to its partial agonism at the mu opioid receptor.Summary-Pain is poorly managed in patients with kidney disease. Non-pharmacological and non-opioid analgesics should be first-line approaches for pain management. Opioid use should be minimized with careful monitoring and dose adjustment.

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Pain experienced by dialysis patients in two culturally diverse populations

Cited by 3 publications

References 10 publications

Pain treatment in patients with renal insufficiency

Pain treatment in patients with renal insufficiency

Coping with chronic illness: The challenge of patients with renal disease

Pain management in patients with chronic kidney disease and end-stage kidney disease

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