The incidence of pain and its association with quality of life in patients with peritoneal dialysis.

Abstract

BACKGROUND:

The aims of this study were to investigate the incidence of pain in peritoneal dialysis (PD) patients and to analyze the correlation between pain and quality of life.

METHODS:

PD patients who followed up in our PD center from March 2016 to December 2017 were included. The Short-Form McGill Pain Questionnaire was used to assess pain status. Depression status, sleep quality, quality of life and clinical data were also collected.

RESULTS:

A total of 463 PD patients were included, of whom 153 patients (33.1%) with pain. The main cause of pain was calcium and phosphorus metabolism disorder (51.6%). About 101 patients (66.0%) had multiple sites of pain, and 28 patients (18.3%) with pain were treated with analgesic drugs. Binary Logistic regression analysis showed that older age (OR = 1.026; p = 0.032) and higher intact parathyroid hormone level (OR = 1.043; p = 0.040) were independent risk factors for pain in PD patients. Multivariate analysis showed that score of pain rating index was an independent risk factor for depressive symptoms (OR = 1.100; p = 0.015), the score of Pittsburgh sleep quality index (B = 0.005; p = 0.044) and the score of physical component scale (B= -0.727; p = 0.016) in PD patients.

CONCLUSIONS:

The incidence of pain in PD patients was 33.1%. Older age and higher intact parathyroid hormone level were independent risk factors for pain. Pain was independently associated with depressive symptoms, sleep quality and quality of life in PD patients.

• Authors: Chunyan Yi, Hongjian Ye, Jianxiong Lin, Yao Chang, Xiaodan Zhang, Ting Zhou, Rui Yang, Xiao Yang
• Journal: Renal failure (Ren Fail) Vol. 44 Issue 1 Pg. 724-730 (Dec 2022) ISSN: 1525-6049 [Electronic] England
• PMID: 35491880 (Publication Type: Journal Article)

Chemical References

• Parathyroid Hormone

Topics

• Depression (epidemiology, etiology)
• Humans
• Incidence
• Pain (epidemiology, etiology)
• Parathyroid Hormone
• Peritoneal Dialysis (adverse effects)
• Quality of Life
• Sleep Wake Disorders (epidemiology, etiology)