Sleep Disorders, Restless Legs Syndrome, and Uremic Pruritus: Diagnosis and Treatment of Common Symptoms in Dialysis Patients

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• 作者：Jennifer S. Scherer ; MD¹ ; ² ; ^{jennifer.scherer@nyumc.org} ; Sara A. Combs ; MD ; MS³ ; ⁴ ; Frank Brennan ; MBBS⁵
• 关键词：Sleep disorders ; insomnia ; restless legs syndrome ; uremic pruritus ; symptoms ; dialysis ; quality of life (QoL) ; kidney disease ; chronic renal failure ; end-stage renal disease (ESRD) ; symptom management ; review
• 刊名：American Journal of Kidney Diseases
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：69
• 期：1
• 页码：117-128
• 全文大小：665 K
• 卷排序：69

文摘

Maintenance dialysis patients experience a high burden of physical and emotional symptoms that directly affect their quality of life and health care utilization. In this review, we specifically highlight common troublesome symptoms affecting dialysis patients: insomnia, restless legs syndrome, and uremic pruritus. Epidemiology, pathophysiology, and evidence-based current treatment are reviewed with the goal of providing a guide for diagnosis and treatment. Finally, we identify multiple additional areas of further study needed to improve symptom management in dialysis patients.