Evidence map›Paper›PMID 40303208›Full record

ArticleKidney international reports2025

Safety and Efficacy of Oral Direct Factor Xa Inhibitors in Patients With Nephrotic Syndrome: Results From a National Retrospective Study.

Caroline Arches, Arwa Jalal-Eddine, Dimitri Titeca-Beauport, Myriam Dao, Thierry Lobbedez, Philippe Zaoui, Christophe Masset, Dominique Bertrand, Khalil El Karoui, Henri Brenier and 4 more

Abstract read
In one paragraph

Article in Kidney international reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Efficacy and Safety of Direct Oral Anticoagulants Versus Standard Anticoagulation for Thromboprophylaxis in Nephrotic Syndrome: A Systematic Review and Meta-Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Caroline ArchesDépartement de Néphrologie et Transplantation, Centre de Référence Maladie Rare Syndrome Néphrotique Idiopathique, Hôpitaux Universitaires Henri Mondor, Assistance Publique-Hôpitaux de Paris AP-HP, Créteil, France.
Arwa Jalal-EddineService de Néphrologie, Hôpital Foch, Suresnes, France.
Dimitri Titeca-BeauportService de Néphrologie, CHU Amiens-Picardie, Amiens, France.
Myriam DaoService de Néphrologie, CHU Necker-Enfants-Malades, Paris, France.
Thierry LobbedezService de Néphrologie, CHU Caen-Normandie, Caen, France.
Philippe ZaouiAssociation pour la Gestion de la Dialyse et des Usagersporteurs de maladies rénales chroniques Meylan, Université Grenoble Alpes, Grenoble, France.
Christophe MassetService de Néphrologie, CHU de Nantes, Nantes, France.
Dominique BertrandService de Néphrologie, CHU Rouen, Rouen, France.
Khalil El KarouiService de Néphrologie, CHU Tenon, Paris, France.
Henri BrenierService de Néphrologie, CHU Rennes, Rennes, France.
Hamza SakhiDépartement de Néphrologie et Transplantation, Centre de Référence Maladie Rare Syndrome Néphrotique Idiopathique, Hôpitaux Universitaires Henri Mondor, Assistance Publique-Hôpitaux de Paris AP-HP, Créteil, France.
Bastien PeifferDépartement Médico-Universitaire 'Médecine', AP-HP, Hôpitaux Universitaires Henri Mondor, Créteil, France.
Vincent AudardDépartement de Néphrologie et Transplantation, Centre de Référence Maladie Rare Syndrome Néphrotique Idiopathique, Hôpitaux Universitaires Henri Mondor, Assistance Publique-Hôpitaux de Paris AP-HP, Créteil, France.
Nizar JoherDépartement de Néphrologie et Transplantation, Centre de Référence Maladie Rare Syndrome Néphrotique Idiopathique, Hôpitaux Universitaires Henri Mondor, Assistance Publique-Hôpitaux de Paris AP-HP, Créteil, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The optimal management of thromboembolism (TE) in patients with nephrotic syndrome (NS) remains challenging. Until now, anticoagulation therapy for NS consisted of vitamin K antagonists (VKAs) or heparin. Data on direct oral anticoagulant (DOAC) use in NS are limited, and their safety and convenience have been well-demonstrated in other indications. Methods: We conducted a multicenter retrospective study of adult patients with NS treated with therapeutic-dose anticoagulation between 2014 and 2022. We compared the incidences of bleeding and TE events between patients receiving DOAC and those receiving VKAs or heparin (standard-of-care [SOC]). Patients with end-stage kidney disease were excluded. Results: The overall population consisted of 144 patients (median [interquartile range] age of 54 [38-67] years, 34.7% women) with a median albumin level at 1.5 (1.2-1.8) g/dl and a median urinary protein-to-creatinine ratio of 8.8 (5.5-12.3)g/g. Membranous nephropathy was the main NS etiology (45.8%). No significant differences were observed between the DOAC ( Conclusion: This study suggests that DOAC are safer and more effective than conventional anticoagulant strategies for both primary and secondary prophylaxis in patients with NS.

Indexed as

bleedingdirect oral anticoagulantsnephrotic syndromethrombosis

Identifiers

PMID40303208
PMCPMC12034858

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.