Evidence map›Paper›PMID 26239749›Full record

ArticleArthritis care & research2016

Incidence of End-Stage Renal Disease Among Newly Diagnosed Systemic Lupus Erythematosus Patients: The Georgia Lupus Registry.

Laura Plantinga, S Sam Lim, Rachel Patzer, William McClellan, Michael Kramer, Mitchel Klein, Stephen Pastan, Caroline Gordon, Charles Helmick, Cristina Drenkard

Open access · greenAbstract read
In one paragraph

Article in Arthritis care & research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 10% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. A population-scale atlas of blood and tissue in lupus nephritis.bioRxiv : the preprint server for biology · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Review
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

10 authors at 4 institutions in 2 countries.

Laura PlantingaEmory University, Atlanta, Georgia.
S Sam LimEmory University, Atlanta, Georgia.
Rachel PatzerEmory University, Atlanta, Georgia.
William McClellanEmory University, Atlanta, Georgia.
Michael KramerEmory University, Atlanta, Georgia.
Mitchel KleinEmory University, Atlanta, Georgia.
Stephen PastanEmory University and Emory Transplant Center, Emory Healthcare, Atlanta, Georgia.
Caroline GordonCollege of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Charles HelmickCenters for Disease Control and Prevention, Atlanta, Georgia.
Cristina DrenkardEmory University, Atlanta, Georgia.
Emory University · USCenters for Disease Control and Prevention · USEmory Healthcare · USUniversity of Birmingham · GB

Funding

Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
The Georgians Organized Against Lupus (GOAL) Cohort: Advancing Health DisparitiesU01DP005119 · DP · EMORY UNIVERSITY · PI DRENKARD, CRISTINA MARTA, LIM, SUNG SAM · 2014 to 2018
$4.8M
Psychosocial Factors and Lupus Disease Progression Among African American WomenR01AR065493 · NIAMS · UNIV OF MARYLAND, COLLEGE PARK · PI CHAE, H. DAVID, LIM, SUNG SAM · 2014 to 2022
$4.2M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalKL2TR000455 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$2.9M
A regionally coordinated intervention to reduce racial disparities in access to kR24MD008077 · NIMHD · EMORY UNIVERSITY · PI PATZER, RACHEL E · 2013 to 2015
$916k
ACL HHS U01DP005119Intramural CDC HHS CC999999NCATS NIH HHS KL2 TR000455NCATS NIH HHS KL2-TR-000455NCATS NIH HHS UL1 TR000454NCATS NIH HHS UL1-TR-000454NCCDPHP CDC HHS CDC-RFA-DP08-806NCCDPHP CDC HHS U01 DP005119NCCDPHP CDC HHS U01-DP-005119NCCDPHP CDC HHS U01 DP006488NIAMS NIH HHS R01 AR065493NIAMS NIH HHS R01-AR-065493NIMHD NIH HHS 1R24MD008077-01NIMHD NIH HHS R24 MD008077NIMHD NIH HHS R24MD008077-01PHS HHS PA03022
6 · The paper itself

Abstract

objectiveTo estimate and identify factors associated with the incidence of all-cause end-stage renal disease (ESRD) among newly diagnosed systemic lupus erythematosus (SLE) patients.

methodsData from a national registry of treated ESRD were linked to data from a lupus registry of SLE patients who were newly diagnosed and living in Atlanta, Georgia, 2002-2004 (median followup 7.8 years). Cumulative incidence and incidence rates (ESRD treatment initiations per 1,000 patient-years) were calculated, and age- and race-adjusted Poisson models were used to calculate incidence rate ratios (IRRs).

resultsAmong 344 newly diagnosed SLE patients, 29 initiated ESRD treatment over 2,603.8 years of followup. Incidence rates were 13.8 (95% confidence interval [95% CI] 9.4-20.3) among black patients and 3.3 (95% CI 0.8-13.0) among white patients, per 1,000 patient-years; corresponding 5-year cumulative incidence was 6.4% and 2.5% among black and white patients, respectively. Lupus nephritis documented prior to 2005, which occurred in 80% of those who progressed to ESRD, was the strongest risk factor for incident ESRD (IRR 6.7 [95% CI 2.7-16.8]; incidence rate 27.6 per 1,000 patient-years). Results suggested that patients who were black versus white (IRR 3.9 [95% CI 0.9-16.4]) or <18 years old (versus ≥30 years old) at diagnosis (IRR 2.1 [95% CI 0.9-5.3]) may be more likely to progress to ESRD, but incidence did not differ by sex or other characteristics.

conclusionThe incidence of all-cause ESRD among patients with a recent diagnosis of SLE is high in Georgia. Interventions to decrease ESRD incidence among newly diagnosed SLE patients should target young and black patients, as well as patients with lupus nephritis.

Indexed as

AdolescentAdultAge DistributionAge FactorsBlack or African AmericanDisease ProgressionGeorgiaHumansIncidenceKidney Failure, ChronicLupus Erythematosus, SystemicMiddle AgedRegistriesRisk FactorsTime FactorsWhite People

Identifiers

PMID26239749
PMCPMC4740266
OpenAlexW2164089391

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.