Article ; Online: Efficacy and safety of prophylactic anticoagulation in patients with primary nephrotic syndrome: a systematic review and meta-analysis.
2023 Volume 54, Issue 2, Page(s) 214–223
Abstract: Background and aims: Nephrotic syndrome (NS) is associated with an increased incidence of venous thromboembolism (VTE), approximately 10%. We performed a systematic review to evaluate the efficacy and safety of prophylactic anticoagulation in patients ... ...
Abstract | Background and aims: Nephrotic syndrome (NS) is associated with an increased incidence of venous thromboembolism (VTE), approximately 10%. We performed a systematic review to evaluate the efficacy and safety of prophylactic anticoagulation in patients with NS. Methods: Studies evaluating prophylactic anticoagulation in NS were identified by an electronic search of MEDLINE and EMBASE databases until December 2021. Weighted mean proportion and 95% confidence intervals (CIs) of thromboembolic and haemorrhagic events were calculated using a fixed-effects and a random-effects model. The differences in the outcomes among groups were estimated as pooled odds ratio (OR) and corresponding 95% CI. Statistical heterogeneity was evaluated using the I Results: Five cohort studies, for a total of 414 adult patients, were included. Only two studies had a control group. The weighted mean incidence of pulmonary embolism (PE) and deep vein thrombosis in patients who received VTE prophylaxis was 1.8% (95% CI: 0.6-3.5%; I Conclusions: Our findings suggest that prophylactic anticoagulation in adult patients with primary NS may reduce the risk of VTE, even if it may be associated with a not negligible bleeding risk. |
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MeSH term(s) | Adult ; Humans ; Anticoagulants/adverse effects ; Venous Thromboembolism/epidemiology ; Venous Thromboembolism/prevention & control ; Venous Thromboembolism/etiology ; Nephrotic Syndrome/complications ; Nephrotic Syndrome/drug therapy ; Nephrotic Syndrome/chemically induced ; Pulmonary Embolism/epidemiology ; Hemorrhage/chemically induced ; Hemorrhage/epidemiology |
Chemical Substances | Anticoagulants |
Language | English |
Publishing date | 2023-09-15 |
Publishing country | Australia |
Document type | Meta-Analysis ; Systematic Review ; Journal Article ; Review |
ZDB-ID | 2045436-3 |
ISSN | 1445-5994 ; 1444-0903 |
ISSN (online) | 1445-5994 |
ISSN | 1444-0903 |
DOI | 10.1111/imj.16227 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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