SYMPTOM BURDEN IN CHRONIC KIDNEY DISEASE: A REVIEW OF RECENT LITERATURE

SUMMARY Background People living with chronic kidney disease (CKD) experience multiple symptoms due to both the disease and its treatment. However, these symptoms are often underrecognised. In addition, the majority of studies have focused on an individual symptom; however, these symptoms rarely occ...

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Bibliographic Details
Published in:Journal of renal care 2013-09, Vol.39 (3), p.140-150
Main Authors: Almutary, Hayfa, Bonner, Ann, Douglas, Clint
Format: Article
Language:English
Subjects:
Chronic kidney disease
Cost of Illness
Cross-Sectional Studies
Humans
Kidney diseases
Kidney Failure, Chronic - classification
Kidney Failure, Chronic - nursing
Kidney Failure, Chronic - therapy
Longitudinal Studies
Medical treatment
Nursing Assessment
Peritoneal Dialysis - nursing
Prognosis
Quality of Health Care
Quality of Life - psychology
Symptom Assessment - nursing
Symptom burden
Symptoms
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Summary:SUMMARY Background People living with chronic kidney disease (CKD) experience multiple symptoms due to both the disease and its treatment. However, these symptoms are often underrecognised. In addition, 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 To investigate the total symptom burden in advanced CKD (Stages 4 and 5) and to identify 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. Results 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 symptom burden, although little is known about the burden for people with CKD Stage 4 and for those with CKD Stage 5 receiving peritoneal dialysis. 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 can 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.
ISSN:1755-6678
1755-6686
DOI:10.1111/j.1755-6686.2013.12022.x