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Submitted: 11 Jun 2023
Accepted: 07 Oct 2023
ePublished: 30 Oct 2023
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J Nephropharmacol. 2024;13(1): e11656.
doi: 10.34172/npj.2023.11656
  Abstract View: 680
  PDF Download: 267

Original

Musculoskeletal disorders in hemodialysis patients: prevalence, clinical symptoms, and associated factors

Hanie Ranaei 1 ORCID logo, Vajehallah Raeesi 2 ORCID logo, Fatemeh Salmani 3 ORCID logo, Soroush Khojasteh-Kaffash 1 ORCID logo, Zeinab Saremi 2,4* ORCID logo

1 Student Research Committee, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran
2 Department of Internal Medicine, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran
3 Department of Epidemiology and Biostatistics, School of Health, Birjand University of Medical Sciences, Birjand, Iran
4 Clinical Research and Development Unit, Valiasr Hospital, Birjand University of Medical Sciences, Birjand, Iran
*Corresponding Author: Zeinab Saremi, Email: zsaremi@bums.ac.ir

Abstract

Introduction: One of the major public health problems is end-stage renal disease (ESRD). ESRD is commonly associated with musculoskeletal disorders (MSDs).

Objectives: Due to the importance of MSDs in hemodialysis patients and the absence of sufficient studies in Iran, this study aims to investigate MSDs in hemodialysis patients.

Patients and Methods: This cross-sectional study was conducted on 75 patients with ESRD, who were under hemodialysis at the special diseases center of Birjand university of medical sciences, south Khorasan, Iran. Inclusion criteria were history of at least 2 years of hemodialysis, and age more than 18 years. All patients with previous neurological disorders, previous rheumatic diseases, previous arthroplasty of the limbs, and severe psychological disorders were excluded from the study. Baseline characteristics and laboratory data collected. MSDs examined based on the Nordic Musculoskeletal Screening Questionnaire (NMQ). Data were described using central tendency, CHI-SQUARE test, and Fisher’s exact test were used. The significance level in this study was P<0.05.

Results: Seventy-five patients participated (Mean and standard deviation (SD) of age: 62.13±1.73 years, male to female ratio: 1.14). Sixty-three patients (84.0%) had MSDs. There was no significant difference based on age, dialysis vintage, gender, laboratory tests, and comorbidities (P>0.05). Dialysis etiology, knee osteoarthritis, shins pain, knee pain and knee range of motion had significantly difference between groups (respectively, P=0.047, P=0.003, P=0.012, P=0.001, P=0.002).

Conclusion: The frequency of MSDs in these patients was 84.0%. There was a significant association between MSDs with the cause of hemodialysis, lower limb pain, and knee osteoarthritis.


Implication for health policy/practice/research/medical education:

The number of patients needing hemodialysis is increasing worldwide. Considering the high prevalence of musculoskeletal disorders in these patients and its impact on the patients’ quality of life, it is important to determine the incidence, prevalence and factors affecting its development and severity.

Please cite this paper as: Ranaei H, Raeesi V, Salmani F, Khojasteh-Kaffash S, Saremi Z. Musculoskeletal disorders in hemodialysis patients: prevalence, clinical symptoms, and associated factors. J Nephropharmacol. 2024;13(1):e10605. DOI: 10.34172/npj.2023.11656.

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