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1.慢性肾病口服抗凝药物的收益与损害BenefitsandHarmsofOralAnticoagulantTherapyinChronicKidneyDisease:ASystematicReviewandMeta-analysis
JeffreyT.Ha,
DOI:10./M19-
Background:Effectsoforalanticoagulationinchronickidneydisease(CKD)areuncertain.
Purpose:ToevaluatethebenefitsandharmsofvitaminKantagonists(VKAs)andnon–vitaminKoralanticoagulants(NOACs)inadultswithCKDstages3to5,includingthosewithdialysis-dependentend-stagekidneydisease(ESKD).
DataSources:English-languagesearchesofMEDLINE,EMBASE,andCochranedatabases(inceptiontoFebruary);reviewbibliographies;andClinicalTrials.gov(25February).
StudySelection:RandomizedcontrolledtrialsevaluatingVKAsorNOACsforanyindicationinpatientswithCKDthatreportedefficacyorbleedingout