Research provides new hope to relieve chronic pain in dialysis patients.

“This is especially important for these patients, because the therapeutic choices for pain management are limited, and it is shown that the use of opioids is associated with bad results in this group. “

Randomized comparative research has registered 643 participants from 16 medical centers of the Hope Consortium and 103 dialysis clinics, which are ongoing multi -site studies that are investigating new treatments for dialysis patients.

UNRUH said that 22 New Mexican (many of which were Native Americans) participated in UNM's research skills.

“New Mexico played a major role in the trial,” he said. “We served as a major result measurement core, and New Mexico had a supplement to recruit from local clinics focusing on underestimated groups.”

Multiple factors can contribute to dialysis -related pain. He said that patients tend to grow older and live with arthritis, diabetes, peripheral neuropathy, and back pain.

“It can contribute directly or indirectly, as dialysis itself has uremic toxins in blood flow,” said UNRUH. “The process of going to dialysis and packing the needle in the arm may be difficult for some people to deal with it.”

Doctors are facing tasks when treating dialysis -related pain because the patient is suffering from renal failure. “We hate to use non -steroidal anti -inflammatory agents. In general, we avoid opioids,” he said. “Specific opioids are better than other opioids, but many of them are partially cleared from the kidneys. You are tying your hand.”

Half of the research participants were randomly assigned to receive PCST intervention, and the other was assigned to receive normal care. The PCST was composed of a 45 -minute coaching session by a counselor delivered by telephone or video for 12 weeks, and then an automatic interactive audio response session for 12 weeks was added every day to monitor the progress of the participants.

Content includes CBT, mindfulness, pain education, and experience training, as well as a module that deals with pain -related anxiety, stress, and sleep disorders, and a sense of self -efficacy to apply the acquired solution. Included the comprehensive goal of enhancing.

“It's like a recipe with 12 components,” UNRUH said. “You talk about the strategy and focus on the reconstruction and restrictions of the catastrophe. If you meditation of mindfulness, we will talk about the strategy to prevent address specification, anxiety, depression, and bucks ride.”

He said in this study that the patient with PCST intervening showed that the pain has shown a slight improvement in hindering everyday activities. “The relevance is not a prescribing opioid, but if you meet a person in a chronic pain clinic, you can introduce it to a psychologist who practices CBT and hire it. That is.

UNRUH said this study was an example of how research would lead to improvement of clinical care. “It is great to see these results in the media, receive dialysis for the treatment of chronic pain and provide substitutes other than opioids to patients.”