Improper Medication Use Tied to Pain in Kidney Disease

A study appearing in an upcoming issue of the Clinical Journal of the American Society of Nephrology reports that chronic pain is common in individuals with kidney disease, and in some patients the pain is associated with improper use of medications. Chronic pain in patients with chronic kidney disease (CKD) is not well understood, and this examination of 308 predialysis patients enrolled between 2011 and 2013 in the Safe Kidney Care cohort study in Baltimore was an effort to address that shortcoming.

Over 60% of the CKD patients studied reported chronic pain. As expected, increased pain was linked with intensified use of pain medications, but this was often accompanied by the use of ill-advised medications for patients with kidney problems or the use of medications that were dosed improperly. An editorial accompanying the article notes that “The effectiveness of chronic analgesic use for chronic pain is essentially unexplored in CKD and further research is urgently required to guide clinical decisions on the basis of evidence.”

Read more about the study, with link to the journal article, here.

 

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