Cochrane · systematic review · CD008834

Antiplatelet agents for chronic kidney disease

Natale, P, Palmer, SC, Saglimbene, VM, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

Kidney and TransplantAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 28.6%Low 3 · 42.9%Moderate 2 · 28.6%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Antiplatelet agents versus control for chronic kidney disease

Population: people with chronic kidney disease (predialysis (GFR 15 to 60 mL/min/1.73 m²), HD, PD, transplant recipients)
7 questions
OutcomeEffectEvidenceStatus / GRADE
Fatal or nonfatal myocardial infarction
Antiplatelet agents vs control
RR 0.88 [0.79, 0.99]18 studies · 15289 participantsModerate
Downgraded: risk of bias
Fatal or nonfatal stroke
Antiplatelet agents vs control
RR 1.01 [0.64, 1.59]12 studies · 10382 participantsVery low
Downgraded: risk of bias
Death (any cause)
Antiplatelet agents vs control
RR 0.94 [0.84, 1.06]35 studies · 18241 participantsLow
Downgraded: risk of bias
Cardiovascular death
Antiplatelet agents vs control
RR 0.87 [0.65, 1.15]21 studies · 9606 participantsVery low
Downgraded: risk of bias
Major bleeding
Antiplatelet agents vs control
RR 1.35 [1.1, 1.65]29 studies · 16194 participantsModerate
Downgraded: risk of bias
Minor bleeding
Antiplatelet agents vs control
RR 1.55 [1.27, 1.9]21 studies · 13218 participantsLow
Downgraded: risk of bias
Early access thrombosis (before 8 weeks)
Antiplatelet agents vs control
RR 0.52 [0.38, 0.7]8 studies · 1525 participantsLow
Downgraded: risk of bias