Evidence map›Paper›PMID 22162255›Full record

ArticleArthritis care & research2012

Consensus treatment plans for induction therapy of newly diagnosed proliferative lupus nephritis in juvenile systemic lupus erythematosus.

Rina Mina, Emily von Scheven, Stacy P Ardoin, B Anne Eberhard, Marilynn Punaro, Norman Ilowite, Joyce Hsu, Marisa Klein-Gitelman, L Nandini Moorthy, Eyal Muscal and 33 more

Registry-linked trialOpen access · greenAbstract readConsensus Statement
In one paragraph

Article in Arthritis care & research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07719140 (Low- Versus High-Dose Initial Glucocorticoid Therapy for Childhood-Onset Proliferative Lupus Nephritis), which is not on this map. Cited by 85 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 6 pooled it
6.9field-weighted citation impact, top 3% 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.

NCT07719140 phase4recruitingnot on this mapstarted 2026, after this paper: background citation

Low- Versus High-Dose Initial Glucocorticoid Therapy for Childhood-Onset Proliferative Lupus Nephritis: a Multicenter Open-Label Noninferiority Randomized Controlled Trial

TypeinterventionalSponsorPeking Union Medical College HospitalRan2026 to 2029Enrolled198ConditionsChildhood-onset Systemic Lupus Erythematosus, Lupus Nephritis (LN)ArmsHigh-dose prednisone, Low-dose prednisone
3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 6 syntheses or guidelines pooled it, 191 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Guideline
  4. Guideline
  5. Guideline
  6. Guideline
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. New Insights on Childhood Lupus Nephritis.International journal of nephrology and renovascular disease · 2025
    Review
  19. Article
  20. Article

25 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

43 authors at 20 institutions in 4 countries.

Rina MinaCincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Emily von Scheven
Stacy P Ardoin
B Anne Eberhard
Marilynn Punaro
Norman Ilowite
Joyce Hsu
Marisa Klein-Gitelman
L Nandini Moorthy
Eyal Muscal
Suhas M Radhakrishna
Linda Wagner-Weiner
Matthew Adams
Peter Blier
Lenore Buckley
Elizabeth Chalom
Gaëlle Chédeville
Andrew Eichenfield
Natalya Fish
Michael Henrickson
Aimee O Hersh
Roger Hollister
Olcay Jones
Lawrence Jung
Deborah Levy
Jorge Lopez-Benitez
Deborah McCurdy
Paivi M Miettunen
Ana I Quintero-del Rio
Deborah Rothman
Ornella Rullo
Natasha Ruth
Laura E Schanberg
Earl Silverman
Nora G Singer
Jennifer Soep
Reema Syed
Larry B Vogler
Ali Yalcindag
Cagri Yildirim-Toruner
Carol A Wallace
Hermine I Brunner
Carra SLE Subcommittee
Cincinnati Children's Hospital Medical Center · USChildren's Hospital Colorado · USColumbia University · USUniversity of California, Los Angeles · USUniversity of Toronto · CABaylor College of Medicine · USBaystate Health · USCase Western Reserve University · USCentral University of the Caribbean · PRChildren's Hospital of Michigan · USChildren's National · USCohen Children's Medical Center · USDuke University · USEmory and Henry College · USHasbro Children's Hospital · USLucile Packard Children's Hospital · USLurie Children's Hospital · USMedical University of South Carolina · USPenn State Milton S. Hershey Medical Center · USSaint Barnabas Medical Center · US

Funding

PHARMACOGENOMICS OF JUVENILE RHEUMATOID ARTHRITISP60AR047784 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI GIANNINI, EDWARD H · 2001 to 2012
$10.5M
Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., TSEVAT, JOEL · 2012 to 2014
$9.9M
CARRA: Accelerating Toward an Evidence Based Culture in Pediatric RheumatologyRC2AR058934 · NIAMS · DUKE UNIVERSITY · PI ILOWITE, NORMAN T, SANDBORG, CHRISTY IRENE · 2009 to 2010
$6.8M
Comparative Effectiveness Research in Pediatric Rheumatic Diseases: Leveraging CARC1AR058605 · NIAMS · SEATTLE CHILDREN'S HOSPITAL · PI ILOWITE, NORMAN T, WALLACE, CAROL A · 2009 to 2010
$995k
Efficacy Measures for Pediatric Lupus StudiesU01AR055054 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI BRUNNER, HERMINE I · 2007 to 2009
$717k
Innovative Efficacy Measures of Lupus Nephritis TherapiesU01AR065098 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI BENNETT, MICHAEL R., BRUNNER, HERMINE I · 2013 to 2015
$715k
Neurocognitive Function in Childhood-Onset SLE (cSLE)K23AR053202 · NIAMS · HOSPITAL FOR SICK CHLDRN (TORONTO) · PI LEVY, DEBORAH M · 2007 to 2011
$649k
Towards Measures of Lupus Nephritis Activity & Damage for ChildrenU01AR059509 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI BRUNNER, HERMINE I · 2010 to 2012
$592k
Pediatric Rheumatology Research Scientific MeetingR13AR053058 · NIAMS · STANFORD UNIVERSITY · PI SCHANBERG, LAURA E · 2005 to 2015
$536k
PREVENTION OF CARDIOVASCULAR COMPLICATIONS IN PEDIATRIC SYSTEMIC LUPUS-264022265N01AR022265 · NIAMS · DUKE UNIVERSITY MEDICAL CTR. · PI SCHANBERG, LAURA E · 2002 to 2006
–
NCATS NIH HHS UL1 TR000077NIAMS NIH HHS 1U01AR059509NIAMS NIH HHS C1AR058605-01NIAMS NIH HHS K23 AR053202NIAMS NIH HHS K23AR053202NIAMS NIH HHS N01-AR-2-2265NIAMS NIH HHS P60 AR047784NIAMS NIH HHS P60 AR47784NIAMS NIH HHS R13 AR053058NIAMS NIH HHS R13-AR053058-04NIAMS NIH HHS RC1 AR058605NIAMS NIH HHS RC2 AR058934NIAMS NIH HHS RC2-AR-058934NIAMS NIH HHS U01 AR055054NIAMS NIH HHS U01AR055054NIAMS NIH HHS U01 AR059509NIAMS NIH HHS U01 AR065098
6 · The paper itself

Abstract

objectiveTo formulate consensus treatment plans (CTPs) for induction therapy of newly diagnosed proliferative lupus nephritis (LN) in juvenile systemic lupus erythematosus (SLE).

methodsA structured consensus formation process was employed by the members of the Childhood Arthritis and Rheumatology Research Alliance after considering the existing medical evidence and current treatment approaches.

resultsAfter an initial Delphi survey (response rate = 70%), a 2-day consensus conference, and 2 followup Delphi surveys (response rates = 63-79%), consensus was achieved for a limited set of CTPs addressing the induction therapy of proliferative LN. These CTPs were developed for prototypical patients defined by eligibility characteristics, and included immunosuppressive therapy with either mycophenolic acid orally twice per day, or intravenous cyclophosphamide once per month at standardized dosages for 6 months. Additionally, the CTPs describe 3 options for standardized use of glucocorticoids, including a primarily oral, a mixed oral/intravenous, and a primarily intravenous regimen. There was consensus on measures of effectiveness and safety of the CTPs. The CTPs were well accepted by the pediatric rheumatology providers treating children with LN, and up to 300 children per year in North America are expected to be candidates for the treatment with the CTPs.

conclusionCTPs for induction therapy of proliferative LN in juvenile SLE based on the available scientific evidence and pediatric rheumatology group experience have been developed. Consistent use of the CTPs may improve the prognosis of proliferative LN, and support the conduct of comparative effectiveness studies aimed at optimizing therapeutic strategies for proliferative LN in juvenile SLE.

Indexed as

ChildHumansImmunosuppressive AgentsLupus Erythematosus, SystemicLupus NephritisMaleRemission InductionImmunosuppressive Agents

Identifiers

PMID22162255
PMCPMC3457803
OpenAlexW2098488998

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.