When ESKD complicates the management of pain.
Journal
Seminars in dialysis
ISSN: 1525-139X
Titre abrégé: Semin Dial
Pays: United States
ID NLM: 8911629
Informations de publication
Date de publication:
05 2020
05 2020
Historique:
received:
12
03
2020
accepted:
08
04
2020
pubmed:
6
5
2020
medline:
12
5
2021
entrez:
6
5
2020
Statut:
ppublish
Résumé
Pain is one of the most common symptoms reported by patients with end-stage kidney disease (ESKD) and negatively impacts their health-related quality of life (HRQOL), dialysis adherence, healthcare utilization, and mortality. There are a number of patient-related and health system-related barriers that make it very challenging to treat pain in these patients. Moreover, the limited availability of efficacious and safe nonopiate analgesic options has led to over-use of opioids in this population. We propose a framework for pain assessment and tailored treatment using nonpharmacological and pharmacological approaches to optimize pain management and opioid use. Additionally, we recommend system-level changes to improve care coordination and pain management in ESKD patients.
Identifiants
pubmed: 32367543
doi: 10.1111/sdi.12881
pmc: PMC8192066
mid: NIHMS1708007
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
286-296Subventions
Organisme : NIDDK NIH HHS
ID : R01 DK114085
Pays : United States
Organisme : NIDDK NIH HHS
ID : U01 DK123812
Pays : United States
Informations de copyright
© 2020 Wiley Periodicals LLC.
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