Evidence map›Paper›PMID 41898440›Full record

Observational studyInternational journal of molecular sciences2026

Anticoagulation Therapy in Advanced Chronic Kidney Disease: Balancing Bleeding and Thromboembolic Risk.

Ioana Livia Suliman, Liliana-Ana Tuta, Camelia Pana, Florin Gabriel Panculescu, Andreea Alexandru, Dragos Fasie, Bogdan Cimpineanu, Stere Popescu, Florin-Daniel Enache, Radu Adrian Nitu and 7 more

Abstract readObservational Study
In one paragraph

Observational study in International journal of molecular sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

17 authors.

Ioana Livia SulimanFaculty of Medicine, "Ovidius" University of Constanta, 900470 Constanta, Romania.
Liliana-Ana TutaFaculty of Medicine, "Ovidius" University of Constanta, 900470 Constanta, Romania.ORCID 0000-0001-8533-1287
Camelia PanaFaculty of Medicine, "Ovidius" University of Constanta, 900470 Constanta, Romania.
Florin Gabriel PanculescuFaculty of Medicine, "Ovidius" University of Constanta, 900470 Constanta, Romania.
Andreea AlexandruFaculty of Medicine, "Ovidius" University of Constanta, 900470 Constanta, Romania.ORCID 0009-0009-1420-1034
Dragos Fasie"Sfantul Apostol Andrei" Emergency County Clinical Hospital, 900591 Constanta, Romania.
Bogdan CimpineanuFaculty of Medicine, "Ovidius" University of Constanta, 900470 Constanta, Romania.
Stere PopescuFaculty of Medicine, "Ovidius" University of Constanta, 900470 Constanta, Romania.
Florin-Daniel EnacheFaculty of Medicine, "Ovidius" University of Constanta, 900470 Constanta, Romania.ORCID 0009-0001-7922-647X
Radu Adrian NituFaculty of Medicine, "Ovidius" University of Constanta, 900470 Constanta, Romania.
Tatiana ChisnoiuFaculty of Medicine, "Ovidius" University of Constanta, 900470 Constanta, Romania.ORCID 0000-0002-4996-2484
Marius Florentin PopaFaculty of Medicine, "Ovidius" University of Constanta, 900470 Constanta, Romania.ORCID 0009-0002-7114-5226
Iuliana-Cezara TudorFaculty of Medicine, "Ovidius" University of Constanta, 900470 Constanta, Romania.
Mihaela Lavinia Mihai"Sfantul Apostol Andrei" Emergency County Clinical Hospital, 900591 Constanta, Romania.ORCID 0009-0005-9660-0848
Sorin DeacuFaculty of Medicine, "Ovidius" University of Constanta, 900470 Constanta, Romania.ORCID 0009-0006-5113-0149
Georgeta Camelia CozaruCenter for Research and Development of the Morphological and Genetic Studies of Malignant Pathology (CEDMOG), "Ovidius" University of Constanta, 900591 Constanta, Romania.ORCID 0000-0003-0202-5933
Ion BordeianuFaculty of Medicine, "Ovidius" University of Constanta, 900470 Constanta, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Advanced chronic kidney disease (CKD) presents a complex hemostatic paradox, characterized by a simultaneous increase in bleeding and thromboembolic risks. This study aimed to evaluate and compare the safety and efficacy of apixaban versus acenocoumarol in a real-world cohort of patients across advanced CKD stages (pre-dialysis and hemodialysis). We conducted a retrospective observational study including 84 adults with CKD stages 4 and 5 (40.5% in stage 4; 59.5% in stage 5, of whom 86.0% were on chronic hemodialysis) receiving oral anticoagulation for at least 3 months. Patients were stratified by CKD stage and anticoagulant type (apixaban vs. acenocoumarol). Clinical outcomes included major and clinically relevant bleeding, anticoagulant overdose, and thromboembolic events. Bleeding events were more frequent in CKD stage 5 than in stage 4 (66.0% vs. 44.1%,

Indexed as

AcenocoumarolAnticoagulantsHemorrhagePyrazolesPyridonesRenal Insufficiency, ChronicThromboembolismAgedFemaleHumansMaleMiddle AgedRenal DialysisRetrospective StudiesRisk FactorsAcenocoumarolAnticoagulantsapixabanPyrazolesPyridonesanticoagulationapixabanbleedingchronic kidney diseasehemodialysisthrombosis

Identifiers

PMID41898440
PMCPMC13026909

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.