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Characterization of Patient-Reported Loin Pain in IgAN.
Kristina L Newman1,2, Jonathan Barratt1,3, Justyna Szklarzewicz1,3
1Mayer IgA Nephropathy Research Group, Division of Cardiovascular Sciences, School of Medical Sciences, University of Leicester, Leicester, UK.
Loin pain affects over 70% of IgA nephropathy (IgAN) patients, impacting their wellbeing and receiving limited support. Further research is needed for effective pain management strategies in IgAN.
Area of Science:
- Nephrology
- Pain Management
- Patient Reported Outcomes
Background:
- Loin pain is a common but poorly understood symptom in IgA nephropathy (IgAN).
- Limited data exists on its prevalence, characteristics, and impact on patients' daily lives.
- Current management strategies and patient support for loin pain in IgAN are insufficient.
Purpose of the Study:
- To investigate the prevalence, characteristics, and impact of loin pain in IgA nephropathy (IgAN) patients.
- To explore the association of loin pain with chronic kidney disease (CKD) stage and systemic symptoms.
- To assess the perceived support from healthcare professionals (HCPs) for managing loin pain.
Main Methods:
- A UK-wide mixed-methods study involving an online survey of 358 IgAN patients and semistructured interviews with 21 patients.
- Survey data analyzed using descriptive statistics and group mean comparisons.
- Interview data analyzed using reflexive thematic analysis.
Main Results:
- Loin pain was highly prevalent (70.9%) among surveyed IgAN patients.
- Pain was predominantly described as aching and intermittent, independent of CKD stage.
- Patients experiencing recent pain reported poorer health, mental health, and self-efficacy, with limited HCP support.
Conclusions:
- Loin pain is a significant and prevalent issue for IgA nephropathy patients in the UK.
- The pain negatively impacts psychosocial wellbeing, with inadequate support from healthcare professionals.
- There is a clear need for improved understanding and management strategies for loin pain in IgAN.
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