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Papers of the Week


2021 Mar 08


Nefrologia

Pruritus in dialysis patients. Review and new perspectives.

Authors

Santos-Alonso C, Maldonado Martín M, Sánchez Villanueva R, Álvarez García L, Vaca Gallardo M A, Bajo Rubio AM, Del Peso Gilsanz G, Ossorio González M, Selgas Gutiérrez R
Nefrologia. 2021 Mar 08.
PMID: 33707097.

Abstract

Uremic pruritus (UP) is one of the most uncomfortable symptoms for patients in dialysis. UP has a great impact on dialysis patients' quality of life and has a great prevalence between those (28-70%). Physiopathology of UP is unknown and usually is unnoticed for most nephrologists (in more than 65% of centers is underdiagnosed). This lack of awareness drives to the unsuccessful treatment of this symptom. Moreover, the fact that most studies have been carried out on small populations and the difficulty assessing UP complicates a correct therapeutical approach. For this reason, we have designed treatment algorithms based on the efficacy of the drugs but also its safeness to avoid adverse effects.