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We had a similar understanding in our call group. I had a new one torn when an older doc in the group returned from a 3 week vacation and found I had referred one of his patients to a chiropractor for chronic headaches.

It looks like apixaban is favored over warfarin in Afib in patients with end stage CRD. Not much mention of rivaroxaban in comparison to warfarin.

Pro apixaban in CRD:

Safety and Efficacy of Apixaban vs Warfarin in Patients With Stage 4 and 5 Chronic Kidney Disease: A Systematic Review

Comparative Safety and Effectiveness of Warfarin or Rivaroxaban Versus Apixaban in Patients With Advanced CKD and Atrial Fibrillation: Nationwide US Cohort

Safety and effectiveness of apixaban compared to warfarin in dialysis patients

Study: Apixaban Blood Thinner May Be Safer for Dialysis Patients with Afib

Apixaban Dosing Patterns Versus Warfarin in Patients With Nonvalvular Atrial Fibrillation Receiving Dialysis: A Retrospective Cohort study

Safety and effectiveness of apixaban versus warfarin for acute venous thromboembolism in patients with end-stage kidney disease: A national cohort study

Pro warfarin in CRD:

Direct Oral Anticoagulants vs. Warfarin in Hemodialysis Patients With Atrial Fibrillation: A Systematic Review and Meta-Analysis

Plus or minus of anticoagulation in CRD:

Update on the Safety and Efficacy of Oral Anticoagulation in CKD and ESRD

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