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Pain affects health-related quality of life in kidney transplant recipients.
Transplant Proc. 2007 May; 39(4):1126-9.TP

Abstract

BACKGROUND

Chronic pain is prevalent in end-stage renal disease patients undergoing chronic hemodialysis. We do not fully know the intensity of chronic pain experienced by kidney recipients in comparison to those on chronic hemodialysis and healthy controls. Moreover, the effect of chronic pain on kidney recipients' health-related quality of life (HRQoL) is yet to be comprehensively addressed. We designed this study to find an answer to these questions.

METHODS

In this case control study, we studied 205 kidney recipients, 69 hemodialysis patients, and 100 healthy controls, who were matched for age, sex, monthly family income, and educational level. The patients were evaluated for the intensity of chronic pain by Visual Analogue Scale (VAS). HRQoL was measured with Short Form 36 (SF-36) in the kidney recipients. Chronic pain intensity was compared in the study groups, and in the kidney recipients the correlation between SF-36 subscores and severity of pain was assessed.

RESULTS

Severity of pain in the kidney recipients was lower than the hemodialysis patients, but more than the healthy controls (P=.001). The VAS pain score negatively correlated with the scores of SF- 36 total (r=-.329, P=01), mental health (r=-.190, P=07), physical health (r=-.275, P=.001), physical function (r=-.339, P=.001), role limitation due to physical problems (r=-.478, P=.001), role limitation due to emotional problems (r=-.326, P=.001), and bodily pain (r=-.894, P=.001).

DISCUSSION

The intensity of chronic pain experienced by the kidney recipients is less than that experienced by patients under chronic hemodialysis, but higher than healthy subjects. Focusing on chronic pain as a cause of post-renal transplantation morbidity is expected to improve post-renal transplantation quality of life.

Authors+Show Affiliations

Nephrology/Urology Research Center (NURC), Baqiyatallah Medical Sciences University, Tehran, Iran. noorbalam@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17524910

Citation

Nourbala, M-H, et al. "Pain Affects Health-related Quality of Life in Kidney Transplant Recipients." Transplantation Proceedings, vol. 39, no. 4, 2007, pp. 1126-9.
Nourbala MH, Hollisaaz MT, Nasiri M, et al. Pain affects health-related quality of life in kidney transplant recipients. Transplant Proc. 2007;39(4):1126-9.
Nourbala, M. H., Hollisaaz, M. T., Nasiri, M., Bahaeloo-Horeh, S., Najafi, M., Araghizadeh, H., Rezaie, Y., & Lak, M. (2007). Pain affects health-related quality of life in kidney transplant recipients. Transplantation Proceedings, 39(4), 1126-9.
Nourbala MH, et al. Pain Affects Health-related Quality of Life in Kidney Transplant Recipients. Transplant Proc. 2007;39(4):1126-9. PubMed PMID: 17524910.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pain affects health-related quality of life in kidney transplant recipients. AU - Nourbala,M-H, AU - Hollisaaz,M-T, AU - Nasiri,M, AU - Bahaeloo-Horeh,S, AU - Najafi,M, AU - Araghizadeh,H, AU - Rezaie,Y, AU - Lak,M, PY - 2007/5/26/pubmed PY - 2007/10/30/medline PY - 2007/5/26/entrez SP - 1126 EP - 9 JF - Transplantation proceedings JO - Transplant Proc VL - 39 IS - 4 N2 - BACKGROUND: Chronic pain is prevalent in end-stage renal disease patients undergoing chronic hemodialysis. We do not fully know the intensity of chronic pain experienced by kidney recipients in comparison to those on chronic hemodialysis and healthy controls. Moreover, the effect of chronic pain on kidney recipients' health-related quality of life (HRQoL) is yet to be comprehensively addressed. We designed this study to find an answer to these questions. METHODS: In this case control study, we studied 205 kidney recipients, 69 hemodialysis patients, and 100 healthy controls, who were matched for age, sex, monthly family income, and educational level. The patients were evaluated for the intensity of chronic pain by Visual Analogue Scale (VAS). HRQoL was measured with Short Form 36 (SF-36) in the kidney recipients. Chronic pain intensity was compared in the study groups, and in the kidney recipients the correlation between SF-36 subscores and severity of pain was assessed. RESULTS: Severity of pain in the kidney recipients was lower than the hemodialysis patients, but more than the healthy controls (P=.001). The VAS pain score negatively correlated with the scores of SF- 36 total (r=-.329, P=01), mental health (r=-.190, P=07), physical health (r=-.275, P=.001), physical function (r=-.339, P=.001), role limitation due to physical problems (r=-.478, P=.001), role limitation due to emotional problems (r=-.326, P=.001), and bodily pain (r=-.894, P=.001). DISCUSSION: The intensity of chronic pain experienced by the kidney recipients is less than that experienced by patients under chronic hemodialysis, but higher than healthy subjects. Focusing on chronic pain as a cause of post-renal transplantation morbidity is expected to improve post-renal transplantation quality of life. SN - 0041-1345 UR - https://www.unboundmedicine.com/medline/citation/17524910/Pain_affects_health_related_quality_of_life_in_kidney_transplant_recipients_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0041-1345(07)00265-5 DB - PRIME DP - Unbound Medicine ER -