Shoulder Pain in Long-Term Haemodialysis Patients

Konishiike, T.; Hashizume, Hidetoshi; Nishida, Keiichiro; Inoue, Hajime; Nagoshi, Mitsuru

doi:10.1302/0301-620x.78b4.0780601

Cited by 26 publications

(25 citation statements)

References 16 publications

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“…Matching results obtained by other studies, 17.9 %, 11.5%, 6.3% and 3%, respectively (23,26), yet dissimilar results obtained in other studies (25,27). These differences were ascribed to HD duration and amyloid deposition, older age and association with diabetes.…”

Section: Discussionsupporting

confidence: 55%

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The Impact of Chronic Kidney Disease - Mineral and Bone Disorder on the Locomotor System and Quality of Life in Hemodialysis Patients

Fouad¹,

Boraie²

2015

Turk Neph Dial Transpl

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OBJectIVe: Chronic kidney disease -mineral and bone disorder (CKD -BMD) is a worldwide challenge in hemodialysis patients (HD). Widespread use and improved methods of HD may have changed the spectrum of locomotor system disorders in this population. Locomotor system disorders have an impact on health-related quality of life (QOL). The objective of this study was to assess the effect of CKD-BMD on the locomotor system (bone, joint, muscle, tendon and bursa) and document the prevalence of locomotor system disorders in HD populations and its impact in QOL. MAterIAL and MetHOds:550 HD patients were enrolled in this study. Each HD patient received complete locomotor system examination and specific diagnostic investigation. iPTH level classified study population into three groups. Group 1. (149 patients) iPTH level < 100 pg/ml, low-turnover renal osteopathy, Group 2. (126 patients) iPTH from 150-300 pg/mL, Group 3. (275 patients) iPTH > 300 pg/ mL, high turnover bone disease. Patients were offered a self-administered QOL questionnaire, which assessed various QOL variables. resuLts: 75% of hemodialysis patients suffered from one or more locomotor system disorders and the commonest was bone pain 60%, followed by muscle cramps 36%, proximal muscle weakness 30%, osteoarthritis 25%, osteoporosis 16%, rotator cuff syndrome15%, gout pre-HD 12.5%, carpal tunnel syndrome 12%, bone fracture 7%, fibromyalgia 7%, tenosynovitis 6%, periarticular calcification 5%, Dupuytren's contracture 2%, septic arthritis 0.9% and osteomyelitis 0.9%. The three studied groups were represented by 27%, 23% and 50% respectively. The prevalence of osteoarthritis, muscle cramps, bone pain, spontaneous bone fracture and osteoporosis were higher in the third group. 30% of our HD patients completed the QOL questionnaire without assistance and their mean functional status, psychological status, pain scale, fatigue scale, global assessment and joint count were 3.24±2. 24, 3.13 ±1.67, 4.07 ±1.7, 4.95 ±1. 8, 3.97 ±1.55 and 9.65±9.95 respectively. QOL variables pronouncedly worsen in HD patients, however the second group patients have a better quality of life than other groups (P<0.001).cONcLusION: Locomotor system involvement is still very common in our HD patients, especially in high turnover bone disease group and can compromise the QOL.

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Section: Discussionsupporting

confidence: 55%

“…These differences were ascribed to HD duration and amyloid deposition, older age and association with diabetes. (26), really all higher results were associated with higher prevalence of diabetic patients than this study as only 16% of our patient study was diabetics.…”

Section: Discussioncontrasting

confidence: 48%

The Impact of Chronic Kidney Disease - Mineral and Bone Disorder on the Locomotor System and Quality of Life in Hemodialysis Patients

Fouad¹,

Boraie²

2015

Turk Neph Dial Transpl

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“…Ayrıca ağrı algısının, stres ve yetersizliğin/ sakatlığın artışı, yaşam kalitesinin azalması ve artan proinflamatuvar sitokinlere bağlı olabileceği de belirtilmektedir. Yapılan bazı çalışmalarda yaşanan ağrının depresyon, anksiyete, uyku bozuklukları gibi bazı psikososyal faktörlere bağlı olduğu görülmektedir (20,22,(28)(29)(30)(31). Özellikle göğüs ve sırt ağrıları kompleman sisteminin aktive olmasına bağlanmaktadır (23).…”

Section: Discussionunclassified

“…Çalışmamızda; HD tedavisi alan bireylerin sıklıkla baş, abdomen ve kas iskelet sistemine ait bölgelerde ağrı yaşadıkları saptanmıştır. Literatürde de sonuçlarımıza benzer olarak; yaşanan ağrının kas iskelet sisteminde (20,22,31), baş, göğüs ve sırtta olduğu görülmektedir (28,32). Çalışmamızda da, literatürde olduğu gibi HD hastalarının çoğunlukla baş ağrısı yaşadıkları ve yine çalışmaya alınan bireylerin öykülerinde sıklıkla hipertansiyonun olduğu görülmüştür.…”

Section: Discussionunclassified

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Pain in Hemodialysis Patients

Özyiğit¹,

Yıldırım²,

Karaman³

2016

Turk Neph Dial Transpl

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ÖzAmAÇ: Hemodiyaliz (HD) tedavisi gören hastalarda ağrının sıklığını, nedenlerini ve şiddetini incelemek amacıyla yapılmış tanımlayıcı ve kesitsel bir çalışmadır. GErEÇ ve yÖntEmlEr:Örneklemi; Uşak'ta iki özel HD merkezinde tedavi gören, araştırma sınırlılıklarına uyan ve çalışmaya katılmayı kabul eden 150 HD hastası oluşturdu. Veriler, Hasta Tanıtım Formu ve McGill-Melzack Ağrı Soru Formu kullanılarak toplandı ve ortalama, t testi, Mann-Whitney U testi ve Kruskal Wallis H testleri ile değerlendirildi.BUlGUlAr: HD hastalarının neredeyse hepsinin (%96) ağrı hissettiği, büyük bir çoğunluğunun hafif ve rahatsız edici düzeyde, geriye kalanların ise şiddetli, çok şiddetli ya da dayanılmaz düzeyde ağrı yaşadığı saptandı. Ağrının baş, abdomen, alt ve üst ekstremiteler gibi vücudun farklı alanlarına yayıldığı; hastaların ağrı ile başetmede ise, farmakolojik ve non-farmakolojik tedavileri tercih ettikleri görüldü. Cinsiyetin, haftalık HD sıklığının ve yalnız yaşamanın ağrının şiddetini arttıran faktörler olduğu bulundu.SOnUÇ: HD tedavisi alan hastaların neredeyse hepsi ağrı hissetmekte ve ağrının dindirilmesi için, bütüncül bakımın sağlanması önem arz etmektedir. Etkin, bütüncül bir bakım ise, ayrıntılı ağrı tanılamasını, tedavi ve bakımının planlanmasını, ağrı lokalizasyonlarını ve etkileyen etmenleri belirlemeyi gerektirmektedir.AnAhtAr SÖzcüKlEr: Hemodiyaliz, Ağrı, Son dönem böbrek yetersizliği ABStrAct OBJEctIVE: We evaluated the frequency, causes and severity of pain in patients undergoing Hemodialysis (HD) treatment in this descriptive cross-sectional study. mAtErIAl and mEthOdS:The study sample consisted of 150 HD patients undergoing treatment at two HD centers in Uşak, Turkey. Data collection was achieved using a Patient Information Form and the McGill-Melzack Pain Questionnaire, and evaluation was made using means, the t test, and the Mann-Whitney U and Kruskal-Wallis H tests. rESUltS:It was found that nearly all HD patients (96%) experienced pain that was light or at the level of discomfort for most but at a severe, very severe or unbearable level for the rest. The pain spread from various regions of the body such as the head, abdomen, and upper and lower extremities. Patients chose both pharmacological and non-pharmacological treatments to cope with the pain. We found that gender, a weekly frequency of HD, and living alone were factors that influenced the severity of pain.cOnclUSIOn: Almost all patients undergoing HD experience pain and holistic care is important to relieve this pain. Effective holistic treatment necessitates a specific pain diagnosis, planned treatment and care, localizing the pain and determination of the factors that affect it.

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