Disorders of hemostasis associated with chronic kidney disease

Diana I Jalal1, Michel Chonchol, Giovanni Targher

  • 1Division of Renal Diseases and Hypertension, University of Colorado Denver, Aurora, CO, USA.

Insights

Chronic kidney disease (CKD) patients face conflicting bleeding and clotting risks. This review explores hemostasis abnormalities in CKD and current treatment options for these complex hemostatic disorders.

Area of Science:

  • Nephrology
  • Hematology

Background:

  • Chronic kidney disease (CKD) is a significant global health issue.
  • Patients with CKD exhibit a prothrombotic tendency, especially in advanced stages.
  • Advanced CKD can also present with a bleeding diathesis, a complex hemostatic disorder.

Purpose of the Study:

  • To critically review studies on hemostatic pathway abnormalities in CKD patients.
  • To examine the current therapeutic strategies for managing hemostatic disorders in CKD.

Main Methods:

  • Literature review of studies on hemostasis in CKD.
  • Appraisal of research on prothrombotic and bleeding tendencies in CKD patients.

Main Results:

  • CKD is linked to both increased clotting and bleeding risks.
  • The precise causes of these conflicting hemostatic issues in CKD remain unclear.

Conclusions:

  • Understanding CKD-associated hemostatic abnormalities is crucial.
  • Further research is needed to clarify the etiology and optimize treatments for these disorders.

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