Abstract
BackgroundEnd-stage renal disease and loin pain are prevalent nephrourological topics with unfavorable reputations among populations. We aimed to present our center’s experience with the cases of phobia of renal failure in relation to loin pain.MethodsIt is a retrospective study of phobia of renal failure among the patients who presented with loin pain to our center between July 1991 and June 2017. Description of perception of renal failure risk was guided by the modified Common Sense Model of Illness Representation.ResultsOf more than 64, 000 patients who presented with loin pain, only 78 patients (0.12%) had phobia of renal failure. Mean age ± SD (Range) was 41.12 ± 9.58 (23–60) years. Sixty-four patients (82.1%) expressed directly fear of renal failure. Physical examination and investigations revealed no risks of renal failure in all patients. High percentages of phobia of renal failure were associated with the female gender (73.1%), the presence of a relative patient with renal failure (83.3%), and low socioeconomic levels: education (89.7%), residential (75.6%), and economic status (88.5%) levels. The modified Common Sense Model of Illness Representation revealed predominant emotional representations and unreal cognitive domains with altered perception of renal failure risk.ConclusionsPhobia of renal failure is very rare. It is a consequence of the altered perception of risk of renal failure due to unconscious attribution of loin pain to renal failure. Female gender, the presence of a relative with renal failure, and low socioeconomic levels could be suggested as risk factors for phobia of renal failure.
Highlights
End-stage renal disease and loin pain are prevalent nephrourological topics with unfavorable reputations among populations
Chronic kidney disease (CKD), including the end-stage renal disease (ESRD), is an increasing worldwide problem [7, 8], may be accompanied by renal pain, and comes on top of the kidney disorders which may have an altered perception of risk among certain populations [9, 10]
3 Results Out of more than 64, 000 patients who presented with loin pain as a cardinal symptom, only 78 patients (0.12%) met the inclusion criteria to have the diagnosis of phobia of renal failure
Summary
End-stage renal disease and loin pain are prevalent nephrourological topics with unfavorable reputations among populations. Phobia is one of the common anxiety disorders which has different types and mechanisms It comes from Greek terms and means irrational fear from a certain object or situation. Loin pain is a cardinal complaint in the urological clinics as an upper urinary tract symptom. Chronic kidney disease (CKD), including the end-stage renal disease (ESRD), is an increasing worldwide problem [7, 8], may be accompanied by renal pain, and comes on top of the kidney disorders which may have an altered perception of risk among certain populations [9, 10]. Public awareness of the pathological and anatomical contexts of loin pain to the kidney and the increasing prevalence of ESRD may represent a psychosocial stress factor for altered perception of a disease risk. In contrast to the populations who make barriers against the access to the healthcare under denial and fear of CKD [11], other populations may express over estimation and fear of CKD without being at real risks [12]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
