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This article was co-authored by Roy Nattiv, MD. Dr. Roy Nattiv is a board certified Pediatric Gastroenterologist in Los Angeles, California. Dr. Nattiv specializes in a broad range of pediatric gastrointestinal and nutritional illnesses such as constipation, diarrhea, reflux, food allergies, poor weight gain, SIBO, IBD, and IBS. Dr. Nattiv graduated from the University of California, Berkeley, and received his Doctor of Medicine (MD) from the Sackler School of Medicine in Tel Aviv, Israel. He then completed his pediatric residency at the Children’s Hospital at Montefiore, Albert Einstein College of Medicine. Dr. Nattiv went on to complete his fellowship and training in pediatric gastroenterology, hepatology, and nutrition at the University of California, San Francisco (UCSF). He was a California Institute of Regenerative Medicine (CIRM) fellowship trainee and was awarded the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) Fellow to Faculty Award in Pediatric IBD Research.

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It’s really unpleasant when you feel nauseated and have the urge to vomit. Having chronic nausea doesn’t always mean you’re about to throw up, but it can still make you pretty uncomfortable. Luckily, there are a lot of things you can try that will ease your stomach and help control your symptoms. We’ll start with some ways to get immediate relief and move on to cover changes you can make to your daily routine so you can feel better!

Palabras clave : prevalence of symptoms; advanced chronic kidney disease; symptoms assessment tools; renal palliative care.

GUTIERREZ SANCHEZ, Daniel; LEIVA-SANTOS, Juan P.; SANCHEZ-HERNANDEZ, Rosa y GOMEZ GARCIA, Rafael. Prevalence and evaluation of symptoms in advanced chronic kidney disease. Enferm Nefrol [online]. 2015, vol.18, n.3, pp.228-236. ISSN 2255-3517.

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The patient with advanced chronic kidney disease (ACKD) has a high symptom burden that contribute to increased suffering and diminish their quality of life. The use of symptom assessment tools is essential for the control of symptoms. The aim of this review is to obtain a contrasted vision of the instruments commonly used to assess symptoms in ACKD, making a description of the prevalence of symptoms in this population. Method: A review of the literature on studies in which an instrument is used to measure the intensity of several symptoms in patients with ACKD was undertaken. The search was conducted in PubMed, Cochrane, SciELO and TESEO. Inclusion criteria were: studies in patients with ACKD, evaluating symptoms with an assessment tool, and also indicate the prevalence of various symptoms. Results: The instruments identified were the Memorial Symptom Assessment Scale Short Form (MSAS-SF), the Dialysis Symptom Index (DSI), the Edmonton Symptom Assessment System (ESAS) and the Palliative Care Outcome Scale-Symptoms Kidney (POS-S RENAL). In adult patients with ACKD undergoing renal replacement therapy with hemodialysis and peritoneal dialysis, the most prevalent symptoms were fatigue, pruritus, constipation, anorexia, pain, sleep disturbance, anxiety, dyspnea, nausea, restless legs, and depression. These symptoms were similar in patients with renal conservative management, and showed a common pattern to the symptoms of others advanced diseases. We conclude that we need to research about the prevalence and evaluation of symptoms in this population, and a systematic use of specific instruments for evaluating symptoms as an outcome measure is necessary.

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