An Approach to Pain Management in End Stage Renal Disease: Considerations for General Management and Intradialytic Symptoms
Publication Date
2015
Journal Title
Semin Dial
Abstract
The prevalence and severity of symptoms in patients with advanced chronic kidney disease is higher than those of the general population and comparable to those with other chronic and serious medical conditions. Despite the prevalence and severity in this population, symptoms continue to be under-recognized and inadequately managed. The recognition of specific intradialytic pain syndromes such as pain related to arteriovenous access, headaches, muscle cramps or generalized pain by providers may aid in improving patient compliance and quality of life. The approach to pain management in end stage renal disease patients follows that of the general population with specific considerations regarding clearance and potential side effects guiding selection of agents. Overall, evidence is limited regarding the pharmacology of many medications in this population.
Volume Number
28
Issue Number
4
Pages
384-391
Document Type
Article
EPub Date
2015/04/14
Status
Faculty
Facility
School of Medicine
Primary Department
Nephrology
PMID
DOI
10.1111/sdi.12372