Chapter 52
Symptoms
Sara N. Davison,
Sara N. Davison
Division of Nephrology and Immunology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada
Search for more papers by this authorSara N. Davison,
Sara N. Davison
Division of Nephrology and Immunology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada
Search for more papers by this authorBook Editor(s):Jonathan C. Craig MBChB, DipCH, MMed(Clin Epi), PhD, FAHMS,
Donald A. Molony MD,
Giovanni F.M. Strippoli MD, PhD, MPH, MM (Epi),
Jonathan C. Craig MBChB, DipCH, MMed(Clin Epi), PhD, FAHMS
Matthew Flinders Distinguished Professor Vice President and Executive Dean
College of Medicine and Public Health, Flinders University, Adelaide, Australia
Search for more papers by this authorDonald A. Molony MD
Professor of Medicine Distinguished Teaching Professor of the University of Texas System
Division of Renal Diseases and Hypertension AND Center for Clinical Research and Evidence-based Medicine, McGovern Medical School University of Texas, Houston, TX, USA
Search for more papers by this authorGiovanni F.M. Strippoli MD, PhD, MPH, MM (Epi)
Professor of Nephrology Adjunct Professor of Epidemiology
Department of Emergency and Organ Transplantation – University of Bari, Bari, Italy
School of Public Health, University of Sydney, Sydney, NSW, Australia
Search for more papers by this authorFirst published: 18 November 2022
Summary
Kidney supportive care is care aimed at improving the quality of life for patients with chronic kidney disease (CKD) throughout the continuum of their illness. This chapter summarizes the evidence surrounding the epidemiology and impact of symptoms in patients with CKD, and outlines general approaches and tools to assess and manage the symptom burden. It is generally assumed that patients with end-stage kidney disease who start dialysis will experience a substantial improvement in physical and psychological well being. Symptom clusters refer to concurrent symptoms related to each other. Systemic inflammation is felt to contribute to many of the symptoms experienced by patients with CKD. There are several aspects of symptom screening and assessment worth consideration. Symptom assessment and management is an integral component of quality care for patients with advanced CKD.
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