Objective: Individuals with Chronic Kidney Disease (CKD) are at a risk of unsuccessful pain management and kidney injury using analgesics inappropriately. In this study, the prevalence of chronic musculoskeletal pain (CMP) and analgesics use habits was investigated in a geriatric population with non-dialysis dependent CKD, as well as the frequency of NSAIDs and/or paracetamol use.
Method: This single-center cross-sectional study recruited patients over 65 years under follow-up for non-dialysis dependent CKD in nephrology clinic at least 1 year. Frequency of chronic pain was evaluated by Cornell Musculoskeletal Discomfort Questionnaire (CMDQ). Pain was assessed using visual analogue scale (VAS).
Results: A hundred forty-two (52.8%) of 269 CKD patients had CMP. Patients with CMP were older than individuals without CMP (p=0.042). A hundred twenty-nine male patients and 140 female patients were present. Patients with CMP had a substantially higher ratio of females and mean body mass index than patients without CMP (p=0.0001). 9.7% of patients used paracetamol overall, while 42.8% utilized NSAIDs. 10.2% of non-CMP patients and 71.8% of CMP patients were reported to use NSAIDs (p=0.0001). Mean VAS score for patients with CMP was 5.01±2.07, and 48.6% of them reported moderate to severe pain. VAS score and eGFR level were similar regardless of analgesic type. Family physicians prescribed NSAIDs in 57.8% of cases, emergency medicine physicians in 9.0%, orthopedist in 17.5%, and others in 15.7% (p
Key words: Analgesics; Chronic Kidney Disease; Chronic Musculoskeletal Pain; Geriatric Population
|
