Nonopioid Approaches to Pain Management in Chronic Kidney Disease

被引：1

作者：

Lu, Emily ^{[1
]}

Koncicki, Holly M. ^{[1
]}

机构：

[1] Icahn Sch Med Mt Sinai, Brookdale Dept Geriatr & Palliat Med, Div Nephrol, New York, NY 10029 USA

来源：

SEMINARS IN NEPHROLOGY | 2021年 / 41卷 / 01期

关键词：

Opioid; nonopioid; pain management; chronic kidney disease; STAGE RENAL-DISEASE; QUALITY-OF-LIFE; LOW-BACK-PAIN; COGNITIVE-BEHAVIORAL THERAPY; ANTIINFLAMMATORY DRUG-USE; RESTLESS LEGS SYNDROME; SYMPTOM BURDEN; PALLIATIVE CARE; NATIONAL-SURVEY; NEPHROLOGY FELLOWSHIP;

D O I：

10.1016/j.semnephrol.2021.02.006

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：

Patients with chronic kidney disease (CKD) and end-stage renal disease experience high pain and symptom burden, but management of chronic pain in this population remains challenging. Recent studies have shown a high rate of opioid prescription and use in patients with kidney disease. However, the concern for opioid-related morbidity and mortality suggests a need to reconsider the safety and efficacy of opioid use in patients with CKD. In this review, we describe the current approaches to pain management in CKD, highlight the evolving opioid-related risks and kidney-specific concerns, and offer both pharmacologic and nonpharmacologic nonopioid strategies for pain management in patients with kidney disease, emphasizing the importance of using a multimodal approach to optimize pain control. (C) 2021 Elsevier Inc. All rights reserved.

引用

页码：54 / 67

页数：14

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