Journal
AMERICAN JOURNAL OF KIDNEY DISEASES
Volume 69, Issue 1, Pages 117-128Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1053/j.ajkd.2016.07.031
Keywords
Sleep disorders; insomnia; restless legs syndrome; uremic pruritus; symptoms; dialysis; quality of life (QoL); kidney disease; chronic renal failure; end-stage renal disease (ESRD); symptom management; review
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Funding
- NIDDK NIH HHS [T32 DK007135] Funding Source: Medline
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Maintenance dialysis patients experience a high burden of physical and emotional symptoms that directly affect their quality of life and health care utilization. In this review, we specifically highlight common troublesome symptoms affecting dialysis patients: insomnia, restless legs syndrome, and uremic pruritus. Epidemiology, pathophysiology, and evidence-based current treatment are reviewed with the goal of providing a guide for diagnosis and treatment. Finally, we identify multiple additional areas of further study needed to improve symptom management in dialysis patients. (C) 2016 by the National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.
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