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

25864854

DOI

10.1111/sdi.12372

For the public and Northwell Health campuses

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