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Pain in Patients With Chronic Kidney Disease Undergoing Hemodialysis: A Systematic Review

Patrícia Roberta Dos Santos1, Carolina Rodrigues Mendonça1, Janete Capel Hernandes1

  • 1Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal de Goiás, Goiânia, Goiás, Brazil.

Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses
|July 4, 2021
PubMed

Insights

Pain is common in patients with chronic kidney disease (CKD) undergoing hemodialysis (HD), frequently affecting daily life. This systematic review highlights the prevalence and impact of pain in this population.

Area of Science:

  • Nephrology
  • Pain Management
  • Public Health

Background:

  • Chronic kidney disease (CKD) affects a significant population, with many patients requiring hemodialysis (HD).
  • Pain is a frequently reported symptom in patients with CKD undergoing HD, impacting their quality of life.

Purpose of the Study:

  • To assess the prevalence, location, intensity, and effects of pain on daily activities in patients with CKD undergoing HD.
  • To synthesize existing evidence on pain experienced by hemodialysis patients.

Main Methods:

  • Systematic review of studies published between 2005 and 2020.
  • Searched Embase, SciELO, PubMed, and Web of Science databases.
  • Included 25 studies involving 98,162 patients.

Main Results:

  • High prevalence of pain reported in adult and elderly patients with CKD on HD.
  • Most common pain sites include head, back, bones, chest, and limbs.
  • Moderate to severe pain frequently impacts daily activities, mobility, mood, sleep, and work.

Conclusions:

  • Acute and chronic pain are prevalent in adults and elderly patients undergoing HD.
  • Pain significantly interferes with various aspects of everyday life for dialysis patients.
Abstract

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