ArticleArthritis care & research2013
Inpatient health care utilization by children and adolescents with systemic lupus erythematosus and kidney involvement.
Article in Arthritis care & research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 15 citations in OpenAlex.
- Assessing the Relationship Between Multidimensional Area-Level Indicators and Lupus Disease Activity in Children.Children (Basel, Switzerland) · 2026Article
- Phenotyping healthcare use before pediatric-onset multiple sclerosis, including by sex and age: A matched cohort study.Multiple sclerosis (Houndmills, Basingstoke, England) · 2026Article
- Using a multi-institutional pediatric learning health system to characterize induction therapy for incident lupus nephritis in children.Pediatric nephrology (Berlin, Germany) · 2026Article
- Scoping Review of Economic Analyses of Rare Kidney Diseases.Kidney international reports · 2024Article
- Inpatient Pediatric CKD Health Care Utilization and Mortality in the United States.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2021Article
- Medical costs incurred by organ damage caused by active disease, comorbidities and side effect of treatments in systemic lupus erythematosus patients: a Taiwan nationwide population-based study.Rheumatology international · 2016Article
- Association of miRNA-145 expression in vascular smooth muscle cells with vascular damages in patients with lupus nephritis.International journal of clinical and experimental pathology · 2015Article
- National trends in pediatric systemic lupus erythematosus hospitalization in the United States: 2000-2009.The Journal of rheumatology · 2014Article
- Biomarkers and updates on pediatrics lupus nephritis.Rheumatic diseases clinics of North America · 2013Review
- Update on differences between childhood-onset and adult-onset systemic lupus erythematosus.Arthritis research & therapy · 2013Review
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo evaluate inpatient health care utilization for children with systemic lupus erythematosus (SLE) with and without kidney disease.
methodsThe Healthcare Cost and Utilization Project Kids' Inpatient Database for the years 2000, 2003, and 2006 was used for this analysis. SLE hospitalizations from the 2006 cohort were identified and classified as those with versus without kidney involvement by International Classification of Diseases, Ninth Revision, Clinical Modification codes. Analyses were performed to examine determinants of hospitalization charges and changes in charges over time.
resultsIn the US, 7,390 SLE-related pediatric hospitalizations generated $267 million in total charges in 2006. Of these, 4,193 discharges had kidney involvement. The average hospitalization charge was greater for SLE patients with kidney involvement compared to those without kidney involvement ($43,100 versus $28,500; P < 0.0001). In multivariate analysis, kidney involvement remained a significant predictor of hospitalization charges, independent of demographic and hospital characteristics (P < 0.0001). SLE-associated acute kidney failure, transplant, and end-stage kidney disease resulted in greater hospitalization charges than SLE without kidney involvement by $74,900 (P < 0.0001), $32,700 (P = 0.0002), and $27,400 (P < 0.0001), respectively.
conclusionIn the US, >7,000 hospitalizations occurred in 2006 among children with SLE, with nearly 57% demonstrating kidney involvement. Kidney involvement is a major determinant of hospitalization charges for these children. This study represents one of the first large-scale assessments of in-hospital health care utilization by children with SLE.
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