Pain in Maintenance Hemodialysis Patients: A Multicenter Study

Journal of Pain and Symptom Management
Tatiana Talya FleishmanPesach Shvartzman

Abstract

Pain is a common complaint in maintenance hemodialysis (MHD) patients yet is often inadequately assessed and undertreated. The objective of this study was to evaluate the prevalence, characteristics, intensity, and impact of pain in MHD patients. In a cross-sectional study conducted between 2013 and 2015, 336 MHD patients from five hemodialysis units in hospitals owned by Clalit were interviewed and evaluated. Study tools included the Brief Pain Inventory, The Leeds Assessment of Neuropathic Symptoms and Signs Pain Scale, and demographic and clinical characteristics. In addition, computerized pharmaceutical data were reviewed. Pain was experienced by 82% of the study population (mean pain level: 7.2 ± 2.2) in the 24-hour period before the interview, while 61.5% experienced neuropathic pain characteristics. Of patients with pain, two-thirds reported being regularly treated with pain medications, while 24.5% received nondrug pain treatment. Mean pain relief due to Brief Pain Inventory was 62.5 ± 30%. In multivariate analysis, female gender, a high comorbidity index, and time on dialysis >24 months were associated with the presence of significant pain in the previous 24 hours. In addition, severe pain report was associated with fe...Continue Reading

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Citations

Aug 3, 2019·Hemodialysis International·Daniel CukorSatoshi Funakoshi
May 2, 2020·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Tatiana Talya FleishmanPesach Shvartzman
Mar 9, 2021·Canadian Journal of Kidney Health and Disease·Sara N DavisonLiz Dennett
Mar 30, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Jacob DreiherPesach Shvartzman
May 8, 2021·Seminars in Dialysis·George KosmadakisGhania Costel
Jun 22, 2021·Néphrologie & thérapeutique·Georgios KosmadakisCatherine Lescure
Jul 5, 2021·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Patrícia Roberta Dos SantosCelmo Celeno Porto

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