2017 update on pain management in patients with chronic kidney disease

被引：91

作者：

Phuong Chi Pham ^{[1
]}

Khaing, Kathy ^{[1
]}

Sievers, Theodore M. ^{[2
]}

Phuong Mai Pham ^{[3
]}

Miller, Jeffrey M. ^{[4
]}

Pham, Son V. ^{[5
]}

Phuong Anh Pham ^{[6
]}

Phuong Thu Pham ^{[2
]}

机构：

[1] Olive View UCLA Med Ctr, Div Nephrol & Hypertens, 14445 Olive View Dr, Sylmar, CA 91342 USA

[2] Univ Calif Los Angeles, Ronald Reagan Med Ctr, Kidney Transplantat, Div Nephrol, Los Angeles, CA USA

[3] Vet Adm Greater Los Angeles Healthcare Syst, Dept Med, Los Angeles, CA USA

[4] Olive View UCLA Med Ctr, Div Hematol & Oncol, 14445 Olive View Dr, Sylmar, CA 91342 USA

[5] Audie L Murphy Mem Vet Adm Med Ctr, Div Cardiovasc Dis, 7400 Merton Minter Blvd, San Antonio, TX 78284 USA

[6] Vet Adm Nebraska Western Iowa Healthcare Syst, Div Cardiovasc Dis, Omaha, NE USA

来源：

CLINICAL KIDNEY JOURNAL | 2017年 / 10卷 / 05期

关键词：

CKD; dialysis; kidney transplantation; NSAIDS; opioids; pain; NEUROPATHIC PAIN; UNITED-STATES; OPIOID USE; TRAMADOL; PHARMACOLOGY; MECHANISMS; ANALGESIA; MORPHINE; DRUGS;

D O I：

10.1093/ckj/sfx080

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

The prevalence of pain has been reported to be >60-70% among patients with advanced and end-stage kidney disease. Although the underlying etiologies of pain may vary, pain per se has been linked to lower quality of life and depression. The latter is of great concern given its known association with reduced survival among patients with end-stage kidney disease. We herein discuss and update the management of pain in patients with chronic kidney disease with and without requirement for renal replacement therapy with the focus on optimizing pain control while minimizing therapy-induced complications.

引用

页码：688 / 697

页数：10

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