Chronic Kidney Disease-Associated Pruritus and Quality of Life: Learning from Our Patients

被引:8
作者
Esteve-Simo, Vicent [1 ]
Perez-Morales, Rosa [2 ]
Buades-Fuster, Juan Manuel [3 ]
Jimenez, Maria Dolores Arenas [4 ]
Areste-Fosalba, Nuria [5 ]
Bezhold, Guillermo Alcalde [6 ]
Santos, Ana Blanco [7 ]
Alvarez, Emilio Sanchez [8 ]
Villanueva, Rafael Sanchez [9 ]
Molina, Pablo [10 ]
Ojeda, Raquel [11 ]
Prieto-Velasco, Mario [12 ]
Goicoechea, Marian [13 ]
机构
[1] Consorci Sanitari Terrassa, Nephrol Dept, Terrassa 08227, Spain
[2] Hosp Univ Nuestra Senora Candelaria, Nephrol Dept, Santa Cruz de Tenerife 38010, Spain
[3] Hosp Son Llatzer, Fundacio Inst Invest Sanitaria Illes Balears, Nephrol Dept, Palma De Mallorca 07120, Spain
[4] Healthcare Management Fdn Renal Inigo Alvarez de T, Madrid 28003, Spain
[5] Hosp Univ Virgen Macarena, Nephrol Dept, Seville 41009, Spain
[6] Hosp Univ Araba, Nephrol Dept, Vitoria 01004, Spain
[7] Complejo Hosp Ruber Juan Bravo, Dialysis Ctr Alcobendas, Fresenius Med Care, Madrid 28006, Spain
[8] Hosp Cabuenes, Nephrol Dept, Gijon 33394, Spain
[9] Hosp Univ La Paz, Nephrol Dept, Madrid 28046, Spain
[10] Univ Valencia, Hosp Univ Dr Peset, Fdn Fomento Invest Sanitaria & Biomed FISABIO, Nephrol Dept, Valencia 46017, Spain
[11] Hosp Univ Reina Sofia, Nephrol Dept, Cordoba 14004, Spain
[12] Hosp Univ Leon, Nephrol Dept, Leon 24008, Spain
[13] Hosp Gen Univ Gregorio Maranon, Nephrol Dept, Madrid 28007, Spain
关键词
chronic kidney disease; haemodialysis; pruritus; opioid system; quality of life; SELF-REPORTED PRURITUS; UREMIC PRURITUS; HEMODIALYSIS-PATIENTS; DOUBLE-BLIND; DIALYSIS OUTCOMES; PRACTICE PATTERNS; CHRONIC ITCH; CLINICAL CHARACTERISTICS; INTERNATIONAL FORUM; HEALTH;
D O I
10.3390/jcm12134505
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Chronic kidney disease-associated pruritus is itching directly related to kidney disease that cannot be explained by any other condition. Despite technological advances in the different aspects of dialysis sessions and the best treatment for chronic kidney disease patients, it is still a common problem in our patients. The many complex physiological mechanisms involved, the different hypotheses made over the years on the aetiology of the condition, and the great clinical variability may partially explain the limited knowledge about this problem and the difficulties in treating it. The presence of all these factors leads to the persistence of unpleasant symptoms, which must affect the disease burden and quality of life of kidney patients. Through the presentation of an illustrative clinical case, the aim of this review article is to highlight the need for adequate diagnosis and an improved approach to all aspects of chronic kidney disease-associated pruritus, in view of the heavy burden of the disease and the huge impact on the patient's quality of life.
引用
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页数:14
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