2579 Chronic pain in chronic kidney disease: differences between stages and replacement therapies
Abstract Background and Aims Pain is one of the most common symptoms among patients with End-Stage Renal Disease (ESRD), often going unrecognized or inadequately managed in people undertaking hemodialysis. Over 50% of people on hemodialysis experience pain, with 75% of them being ineffectively treat...
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| Published in: | Nephrology, dialysis, transplantation Vol. 39; no. Supplement_1 |
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| Main Authors: | , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
23-05-2024
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| Online Access: | Get full text |
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| Summary: | Abstract
Background and Aims
Pain is one of the most common symptoms among patients with End-Stage Renal Disease (ESRD), often going unrecognized or inadequately managed in people undertaking hemodialysis. Over 50% of people on hemodialysis experience pain, with 75% of them being ineffectively treated due to healthcare professionals' lack of awareness of this symptom. Managing pain in this population is a complex and challenging task for healthcare professionals. Variables related to chronic pain can influence the patient's response to pain.
There is a gap in the literature on this topic, as it has not been studied whether patients with ESRD undergoing hemodialysis exhibit characteristics of chronic pain that may be influencing their pain response.
The objective of this study is to evaluate the presence and characteristics of variables related to chronic pain in hemodialysis patients with ESRD to assess whether including the management of chronic pain is relevant in the holistic treatment of these patients.
Method
This is a cross-sectional observational study that is currently ongoing. Participants included subjects that were willing to participate, with chronic kidney disease (CKD) stages 3 and 4, CKD stage 5 in hemodialysis and transplanted patients. Several questionnaires were recorded to report different aspects related to chronic pain. The Kruskal-Wallis test was used to assess differences between groups.
Results
Preliminary results on 26 subjects are shown in Table 1. No significant differences were found between groups. Transplanted and hemodialysis patients (in the hospital) experience more sleep disturbances and more pain catastrophizing. Transplanted and hemodialysis patients (in the hospital) present higher belief in their abilities to handle stressful situations in daily life, but they also suffer more headaches. Hemodialysis patients (hospital and home) present higher levels of anxiety and depression. Hemodialysis patients (at home) and transplanted patients exhibit higher levels of stress conditions. Finally, patients undergoing hemodialysis (in the hospital) and CKD stages 3 and 4 present higher levels of chronic pain.
Conclusion
A bigger sample is needed. However, based on the data, it seems that patients with CKD exhibit characteristics of chronic pain that should be addressed by healthcare professionals. |
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| ISSN: | 0931-0509 1460-2385 |
| DOI: | 10.1093/ndt/gfae069.1614 |