Symptom burden in chronic kidney disease : a review of recent literature

Almutary, Hayfa, Bonner, A., & Douglas, Clint (2013) Symptom burden in chronic kidney disease : a review of recent literature. Journal of Renal Care, 39(3), pp. 140-150.

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Background: People living with chronic kidney disease (CKD) experience multiple symptoms due to both the disease and its treatment, these symptoms are often under recognized. The majority of studies have focused on an individual symptom; however these symptoms rarely occur in isolation and may instead occur in clusters. Aim of review: This review investigated the total symptom burden in advanced CKD (stages 4 and 5) and identified the key instruments that are used to assess multiple symptoms. Methods: A literature search from 2006 to 2012 was undertaken and a total of 19 articles were included. Result: The most common CKD symptoms were fatigue or lack of energy, feeling drowsy, pain and pruritus. However, symptom assessment instruments varied between studies, often with inconsistent or inadequate symptom dimensions. Conclusion: People with CKD experience a high burden of symptom, although little is known about the burden for people with CKD stage 4 and for those with CKD stage 5 receiving PD. This review recommends that a full range of symptoms be assessed for those at different stages of CKD. Improved understanding of the burden of symptoms could be used as the basis for treatment choices and for identifying priorities which are likely to contribute to a better quality of life and improve the quality of care.

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ID Code: 57888
Item Type: Journal Article
Refereed: Yes
Additional Information: The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA).
Keywords: Chronic kidney disease, Renal failure, Symptoms, Symptom burden, Instruments
DOI: 10.1111/j.1755-6686.2013.12022.x
ISSN: 1755-6678
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Nursing
Copyright Owner: Copyright 2013 John Wiley & Sons.
Deposited On: 07 Mar 2013 05:01
Last Modified: 29 Sep 2013 11:57

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