Key result
Managing the co-existing risks of bleeding and thrombosis in patients with end-stage kidney disease remains challenging due to very limited clinical evidence on antiplatelet and anticoagulant use.
Why the study?
CKD patients face increased risks of both bleeding and thrombosis, but few studies have evaluated antiplatelet agents and anticoagulants in this vulnerable population and evidence remains very limited.
Answers are grounded in this paper and cite their sources.
This review provides a practical overview of managing the complex, co-existing risks of bleeding and thrombosis in patients with severe kidney disease.
Summary Chronic kidney disease (CKD) affects around 9.1% of humankind globally resulting in a significant health burden. Some of these individuals will also require renal replacement therapy with dialysis due to complete kidney failure. Patients with CKD are known to be at increased risk of both bleeding and thrombosis. Often it is very difficult to manage these yin and yang since both risks tend to co‐exist. Clinically, very few studies have looked at the effects of antiplatelet agents and anticoagulants in this highly vulnerable subgroup of medical patients and evidence is very limited. This review attempts to explain the current state‐of‐the‐art regarding the basic science of haemostasis in patients with end‐stage kidney disease. We also try to transfer this knowledge into the clinics by looking at some common haemostasis challenges that are encountered in this cohort of patients and what evidence and guidance there is for their optimal management.
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Caruana et al. (2023) conducted a review in Chronic kidney disease and end-stage kidney disease. Antiplatelet agents and anticoagulants was evaluated. Managing the co-existing risks of bleeding and thrombosis in patients with end-stage kidney disease remains challenging due to very limited clinical evidence on antiplatelet and anticoagulant use.
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