{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:30:27Z","timestamp":1753878627718,"version":"3.41.2"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T00:00:00Z","timestamp":1739145600000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nephrology"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>There is limited evidence to support the use of oral anticoagulation (OAC) in people with advanced chronic kidney disease (CKD) and atrial fibrillation (AF). The aim of this study is to characterise the practice patterns and priorities of clinicians in the management of non\u2010valvular AF and primary prevention of AF\u2010related stroke in people with stage 4\u20105D CKD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was an annonymous, multiple\u2010choice, electronic survey distributed to and undertaken by nephrology and cardiology clinicians in Australia and New Zealand.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Responses eligible for analysis were received from 181 clinicians (121 nephrology and 60 cardiology respondents). Management with close specialty collaboration was reported by 47% of all respondents. OAC use was predominantly based on estimated individual stroke risk (i.e., CHA<jats:sub>2<\/jats:sub>DS<jats:sub>2<\/jats:sub>\u2010VASc score) in people with stage 4 CKD and kidney transplant recipients. In stage 5\/5D CKD, nephrology respondents were more likely to withhold all antithrombotic therapy or individualise OAC use (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05), whilst cardiology respondents were more likely to defer OAC decision\u2010making to another specialist (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). Varied use and dosing of OAC agents were noted between specialties. Left atrial appendage occlusion experience was limited amongst nephrology respondents but cardiology respondents would consider in individualised cases. Impact of CKD severity was noted in some rate and\/or rhythm control management decisions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This survey provides important contemporary insights into the management of AF in people with advanced CKD in Australia and New Zealand. There was inter\u2010 and intra\u2010specialty heterogeneity in practice, highlighting the need for multidisciplinary care and research to improve cardiovascular outcomes in this population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nep.14422","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T07:59:37Z","timestamp":1739260777000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Atrial Fibrillation in Advanced Chronic Kidney Disease: A Survey of Current Management in Australia and New Zealand"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7927-7616","authenticated-orcid":false,"given":"Mandy M.","family":"Law","sequence":"first","affiliation":[{"name":"Department of Nephrology the Royal Melbourne Hospital  Parkville Victoria Australia"},{"name":"Department of Medicine University of Melbourne  Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sven\u2010Jean","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Nephrology the Royal Melbourne Hospital  Parkville Victoria Australia"},{"name":"Department of Medicine University of Melbourne  Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael C. 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