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Exploring factors associated with pain in hemodialysis patients: a multicenter cross‐sectional study from Palestine
BACKGROUND: Chronic kidney disease (CKD) is a rising medical concern around the world. End-stage kidney disease (ESKD) is the last stage of CKD stages that necessitates renal replacement therapy (RRT), such as hemodialysis (HD), which seems to be the most commonly used type. However, patients on HD...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7972237/ https://www.ncbi.nlm.nih.gov/pubmed/33731036 http://dx.doi.org/10.1186/s12882-021-02305-1 |
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author | Marzouq, Maha K. Samoudi, Aseel F. Samara, Ahmad Zyoud, Sa’ed H. Al-Jabi, Samah W. |
author_facet | Marzouq, Maha K. Samoudi, Aseel F. Samara, Ahmad Zyoud, Sa’ed H. Al-Jabi, Samah W. |
author_sort | Marzouq, Maha K. |
collection | PubMed |
description | BACKGROUND: Chronic kidney disease (CKD) is a rising medical concern around the world. End-stage kidney disease (ESKD) is the last stage of CKD stages that necessitates renal replacement therapy (RRT), such as hemodialysis (HD), which seems to be the most commonly used type. However, patients on HD still suffer from high mortality and morbidity rates compared to those who receive a kidney transplant. Therefore, we aimed in this study to assess the prevalence of pain among ESKD patients on HD, as well as to explore the factors that were associated with this complaint. METHODS: We conducted a multicenter cross-sectional study in the West Bank, Palestine, between August and November 2018. We used questionnaire-based direct interviews with subjects. After reviewing previous studies in the field, we developed our questionnaire and included items on patients’ social, demographic, and clinical characteristics, including dialysis-related data. It also contained the Brief Pain Inventory (BPI) to assess different aspects of pain symptoms. A convenience sampling technique was used to collect data. RESULTS: Of the 300 participants, 66.3 % reported having chronic pain. HD sessions themselves were the most commonly cited cause for pain (21.6 %). The most commonly cited site of pain was the upper and lower limbs (37.3 %). Paracetamol was the most frequently used pharmacotherapy for pain alleviation. Multiple regression analysis showed that BMI (p = 0.018), gender (p = 0.023), and the number of comorbidities (p < 0.001) were independently associated with pain severity score. CONCLUSIONS: Pain is a highly prevalent symptom among HD patients in Palestine. Subpopulations with higher pain severity include females, patients with higher BMI, and those with multiple comorbidities. Healthcare providers should routinely assess pain in HD patients as it is considered a significant concern. This would involve pain assessment and development of a treatment plan to improve clinical outcomes. The nephrology associations should also push for pain management in HD patients as a clinical and research priority to improve pain-related disability. |
format | Online Article Text |
id | pubmed-7972237 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-79722372021-03-19 Exploring factors associated with pain in hemodialysis patients: a multicenter cross‐sectional study from Palestine Marzouq, Maha K. Samoudi, Aseel F. Samara, Ahmad Zyoud, Sa’ed H. Al-Jabi, Samah W. BMC Nephrol Research Article BACKGROUND: Chronic kidney disease (CKD) is a rising medical concern around the world. End-stage kidney disease (ESKD) is the last stage of CKD stages that necessitates renal replacement therapy (RRT), such as hemodialysis (HD), which seems to be the most commonly used type. However, patients on HD still suffer from high mortality and morbidity rates compared to those who receive a kidney transplant. Therefore, we aimed in this study to assess the prevalence of pain among ESKD patients on HD, as well as to explore the factors that were associated with this complaint. METHODS: We conducted a multicenter cross-sectional study in the West Bank, Palestine, between August and November 2018. We used questionnaire-based direct interviews with subjects. After reviewing previous studies in the field, we developed our questionnaire and included items on patients’ social, demographic, and clinical characteristics, including dialysis-related data. It also contained the Brief Pain Inventory (BPI) to assess different aspects of pain symptoms. A convenience sampling technique was used to collect data. RESULTS: Of the 300 participants, 66.3 % reported having chronic pain. HD sessions themselves were the most commonly cited cause for pain (21.6 %). The most commonly cited site of pain was the upper and lower limbs (37.3 %). Paracetamol was the most frequently used pharmacotherapy for pain alleviation. Multiple regression analysis showed that BMI (p = 0.018), gender (p = 0.023), and the number of comorbidities (p < 0.001) were independently associated with pain severity score. CONCLUSIONS: Pain is a highly prevalent symptom among HD patients in Palestine. Subpopulations with higher pain severity include females, patients with higher BMI, and those with multiple comorbidities. Healthcare providers should routinely assess pain in HD patients as it is considered a significant concern. This would involve pain assessment and development of a treatment plan to improve clinical outcomes. The nephrology associations should also push for pain management in HD patients as a clinical and research priority to improve pain-related disability. BioMed Central 2021-03-17 /pmc/articles/PMC7972237/ /pubmed/33731036 http://dx.doi.org/10.1186/s12882-021-02305-1 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Marzouq, Maha K. Samoudi, Aseel F. Samara, Ahmad Zyoud, Sa’ed H. Al-Jabi, Samah W. Exploring factors associated with pain in hemodialysis patients: a multicenter cross‐sectional study from Palestine |
title | Exploring factors associated with pain in hemodialysis patients: a multicenter cross‐sectional study from Palestine |
title_full | Exploring factors associated with pain in hemodialysis patients: a multicenter cross‐sectional study from Palestine |
title_fullStr | Exploring factors associated with pain in hemodialysis patients: a multicenter cross‐sectional study from Palestine |
title_full_unstemmed | Exploring factors associated with pain in hemodialysis patients: a multicenter cross‐sectional study from Palestine |
title_short | Exploring factors associated with pain in hemodialysis patients: a multicenter cross‐sectional study from Palestine |
title_sort | exploring factors associated with pain in hemodialysis patients: a multicenter cross‐sectional study from palestine |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7972237/ https://www.ncbi.nlm.nih.gov/pubmed/33731036 http://dx.doi.org/10.1186/s12882-021-02305-1 |
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