October 26, 2024
1 minute read
Important points:
- Patients with moderate to severe pain were more likely to report lower social participation.
- Managing chronic pain after kidney transplantation is a complex issue.
SAN DIEGO — Kidney transplant patients who experience more body pain are less likely to participate or participate in social activities than those who experience less pain, according to data from ASN Kidney Week.
“The clinical implications are that chronic pain is a highly relevant problem that requires more clinical attention. The management of chronic pain is a complex issue and The team may not be well-equipped to provide all the options patients need.” István Muksi, MD; The head of the Multi-Organ Transplant Program, University Health Network, and the University of Toronto told Healio.
In a cross-sectional data analysis of 282 adults who underwent kidney transplantation at Toronto General Hospital, Musci et al used the Patient-Reported Outcome Measurement Information System (PROMIS) computer-adaptive test to measure the level of pain interference. The mean age of patients was 52 years, 62% of patients were male, and 59% were white. Median number of months post-transplant was 37 months.
The researchers defined patients with a T-score greater than 60 as having moderate to severe pain interference, and patients with a T-score less than 45 were classified as having low pain interference.
The data showed that the mean social participation score was 52 and the mean pain interference score was 50. Researchers found a moderate negative correlation between social participation and pain interference (P < .001), which is a covariate (P < .001).
“The key finding is that approximately 15% of stable kidney transplant recipients experience pain that significantly interferes with their lives and limits their ability to participate in social roles and activities. [which is] “It's an area that's very important to patients: quality of life,” Mussi said.
Pucci et al. found after adjusting for covariates (OR= 5.16; P = .001) Patients with moderate to severe pain were more likely to report lower social participation compared to transplant recipients with mild or no pain, which was statistically significant. did.
“Intensive symptom management clinics (or renal supportive care clinics), such as those found in some centers in Australia and the United States, may help improve pain management in kidney transplant recipients.” he said.
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Pucci MG, et al. Summary TH-PO0733. Presentation location: ASN Kidney Week; October 24-27, 2024. San Diego.
Disclosure: Helio was unable to confirm relevant financial disclosures at the time of publication.
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