Renal provider perceptions and practice patterns regarding the management of pain, sexual dysfunction, and depression in hemodialysis patients

Journal of Palliative Medicine
Jamie A GreenSteven D Weisbord

Abstract

Although pain, sexual dysfunction, and depression are common in patients receiving chronic hemodialysis, these symptoms frequently remain untreated. We sought to characterize renal provider perceptions and practice patterns regarding the treatment of these symptoms. We surveyed renal providers whose patients were participating in a clinical trial of symptom management at nine hemodialysis units in southwestern Pennsylvania. We used Spearman's correlation to assess the association of provider characteristics with the reported frequency of providing treatment. Overall, 27 of 35 (77%) providers completed the survey. While 21 (78%) believed symptom management to be "very" important and 23 (85%) reported spending a "moderate" to "a lot" of time managing symptoms, <50% reported treating pain and <20% reported treating sexual dysfunction or depression "most" or "all" of the time. Most providers believed it was nonrenal providers' responsibility to treat these symptoms. A greater reported comfort level managing symptoms was associated with a higher reported frequency of treating pain (r=0.6; p<0.01), sexual dysfunction (r=0.67; p<0.01), and depression (r=0.43; p<0.03). Providers who believed it was nonrenal providers' responsibility to...Continue Reading

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Citations

Dec 12, 2013·Journal of Palliative Medicine·Rachel FeldmanRonald D Adelman
Feb 11, 2016·Seminars in Dialysis·Shan Shan ChenMark Williams
Mar 6, 2013·Seminars in Dialysis·Steven D Weisbord
May 16, 2014·Journal of Renal Care·Kantaporn YodchaiAreewan Oumtanee
Dec 19, 2016·Hemodialysis International·Kim J CoxMark L Unruh
Jan 28, 2017·Clinical Journal of the American Society of Nephrology : CJASN·Julio E Pena-PolancoSteven D Weisbord
May 24, 2016·The Cochrane Database of Systematic Reviews·Suetonia C PalmerGiovanni F M Strippoli
Aug 20, 2019·The Cochrane Database of Systematic Reviews·Jessica K StevensonVincent Ws Lee
Dec 4, 2019·The Cochrane Database of Systematic Reviews·Patrizia NataleGiovanni Fm Strippoli
Mar 7, 2020·Clinical Journal of the American Society of Nephrology : CJASN·Samuel A SilverRon Wald
May 6, 2020·Seminars in Dialysis·Manisha JhambJane Liebschutz
Sep 3, 2019·Frontiers in Pharmacology·Ana Cristina Simões E SilvaAntônio Lúcio Teixeira
May 17, 2021·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Kelly H BeersRaquel C Greer
Oct 9, 2021·Nature Reviews. Nephrology·Daniel G TobinUNKNOWN HOPE Consortium

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BETA
pharmacotherapy

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SAS

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