Evidence map›Paper›PMID 35068080›Full record

ArticleJournal of thrombosis and haemostasis : JTH2022

Evaluation of novel coagulation and platelet function assays in patients with chronic kidney disease.

Alyaa Abdelmaguid, Lara N Roberts, Laura Tugores, Jennifer R Joslin, Beverley J Hunt, Kiran Parmar, Danilo Nebres, Salah S Naga, Eman S Khalil, Kate Bramham

Open access · bronzeAbstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
8.1field-weighted citation impact, top 2% of its field
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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Article
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  4. Review
  5. Association between hemoglobin-to-creatinine ratio and all-cause mortality in patients with coronary artery disease.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025
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  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Consumptive coagulopathy in the ICU.Hematology. American Society of Hematology. Education Program · 2023
    Review
  18. Article
  19. Molecular mechanism ofAmerican journal of translational research · 2023
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

Alyaa AbdelmaguidDepartment of Women and Children's Health, King's College London, London, UK.ORCID 0000-0002-7786-6537
Lara N RobertsKing's Thrombosis Centre, Department of Haematological Medicine, King's College Hospital NHS Foundation Trust, London, UK.ORCID 0000-0003-3871-8491
Laura TugoresDepartment of Obstetrics, King's College Hospital, London, UK.
Jennifer R JoslinKing's Kidney Care, King's College Hospital NHS Foundation Trust, London, UK.ORCID 0000-0003-2282-9111
Beverley J HuntThrombosis and Haemostasis Centre, Guy's and St Thomas' NHS Foundation Trust, London, UK.ORCID 0000-0002-4709-0774
Kiran ParmarThrombosis and Haemostasis Centre, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Danilo NebresKing's Kidney Care, King's College Hospital NHS Foundation Trust, London, UK.
Salah S NagaDepartment of Internal Medicine, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Eman S KhalilDepartment of Experimental and Clinical Internal Medicine, Medical Research Institute, Alexandria University, Alexandria, Egypt.
Kate BramhamDepartment of Women and Children's Health, King's College London, London, UK.ORCID 0000-0002-6272-7921
King's College London · GBAlexandria University · EGGuy's and St Thomas' NHS Foundation Trust · GBKing's College Hospital NHS Foundation Trust · GBKing's College Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHemostasis evaluation in chronic kidney disease (CKD) is critical for optimal management of thrombotic and bleeding events. Standard coagulation screens are inadequate for predicting coagulopathy in CKD.

objectiveTo evaluate hemostasis parameters in patients with different stages of CKD using novel coagulation assays. PATIENTS/

methodsCross-sectional study of 30 healthy controls (HC) and 120 CKD patients (10 Stage 2, 20 Stage 3, 20 Stage 4, 20 Stage 5 not requiring renal replacement therapy, 20 transplant, 10 newly started on hemodialysis [HD], 20 established on HD). Standard laboratory tests were performed in addition to rotational thromboelastometry (ROTEM), multiple electrode aggregometry (MEA), thrombin generation assays, D-dimer, and markers of thrombogenesis (thrombin-antithrombin [TAT]), fibrinolysis, and endothelial activation (intercellular adhesion molecule-1 [ICAM-1]).

resultsD-dimer, TAT, and ICAM-1 concentrations were significantly higher in patients with CKD than HC (P < .01). ROTEM maximum clot firmness was significantly higher in patients than in HC (P < .01). In CKD Stage 5 patients (pre-HD and started HD) adenosine diphosphate and thrombin receptor activating peptide MEA tests were significantly lower than HC indicating platelet aggregation defect (P < .05). Multivariate analysis confirmed the direct effect of estimated glomerular filtration rate (eGFR) in the variance of ROTEM and MEA tests. Endogenous thrombin potential and peak thrombin were not statistically different between groups, but Stage 5 CKD patients had prolonged lag time (7.91 vs. 6.33, P < .001) and time to thrombin peak (10.8 vs. 9.5, P < .05) compared to HC.

conclusionsPatients with CKD exhibit features of concomitant hypercoagulability measured by ROTEM and platelet dysfunction measured with MEA. eGFR was an independent determinant of platelet dysfunction and hypercoagulability.

Indexed as

Kidney Failure, ChronicRenal Insufficiency, ChronicThrombophiliaBlood Coagulation TestsCross-Sectional StudiesFemaleHemostasisHumansIntercellular Adhesion Molecule-1MaleThrombelastographyThrombinIntercellular Adhesion Molecule-1Thrombinchronic kidney diseaseend-stage kidney diseasehypercoagulabilityplatelet aggregationthromboelastometry

Identifiers

PMID35068080
PMCPMC9306477
OpenAlexW4206932573

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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 OpenQuestion graph.