Skip Navigation


NDT Plus Advance Access originally published online on January 30, 2009
NDT Plus 2009 2(2):111-118; doi:10.1093/ndtplus/sfp001
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
2/2/111    most recent
sfp001v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Pham, P.-C. T.
Right arrow Articles by Pham, P.-T. T.
Right arrow Search for Related Content
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author [2009]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Pain management in patients with chronic kidney disease

Phuong-Chi T. Pham1, Edgar Toscano1, Phuong-Mai T. Pham2, Phuong-Anh T. Pham3, Son V. Pham4 and Phuong-Thu T. Pham5

1 Nephrology Division, Department of Medicine, Olive View-UCLA Medical Center, Sylmar
2 Department of Medicine, Greater Los Angeles VA Medical Center, Los Angeles
3 Mercy General Hospital, Sacramento
4 Cardiology Division, Good Samaritan Hospital/Harbor-UCLA Medical Center, Los Angeles
5 David Geffen School of Medicine at UCLA, Kidney and Pancreas Transplant Program, Los Angeles, CA, USA

Correspondence: Correspondence and offprint requests to: Phuong-Chi T. Pham, Department of Medicine, Nephrology Division, Olive View-UCLA Medical Center, 14445 Olive View Drive, 2B-182, Sylmar, CA 91342, USA. Tel: +1-818-364-3205; Fax: +1-818-364-4573; E-mail: pham.pc{at}ucla.edu


  Abstract

Pain has been reported to be a common problem in the general population and end-stage renal disease (ESRD) patients. Although similar data for pre-ESRD patients are lacking, we recently reported that the prevalence of pain is also very high (>70%) among pre-ESRD patients at a Los Angeles County tertiary referral centre. The high prevalence of pain in the CKD population is particularly concerning because pain has been shown to be associated with poor quality of life. Of greater concern, poor quality of life, at least in dialysis patients, has been shown to be associated with poor survival. We herein discuss the pathophysiology of common pain conditions, review a commonly accepted approach to the management of pain in the general population, and discuss analgesic-induced renal complications and therapeutic issues specific for patients with reduced renal function.

Key Words: analgesics • chronic kidney disease • NSAIDS • opioids • pain

Received for publication April 15, 2008. Accepted for publication December 31, 2008.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.