Evidence map›Paper›PMID 32233733›Full record

ArticleLupus2020

Clinical and laboratory characteristics in juvenile-onset systemic lupus erythematosus across age groups.

J S Massias, E M D Smith, E Al-Abadi, K Armon, K Bailey, C Ciurtin, J Davidson, J Gardner-Medwin, K Haslam, D P Hawley and 14 more

Open access · hybridAbstract read
In one paragraph

Article in Lupus, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 3 pooled it
12.3field-weighted citation impact, top 1% 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

56 citing papers in PubMed, 3 syntheses or guidelines pooled it, 112 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Sex Bias in Autoimmunity: New Findings and New Opportunities.JID innovations : skin science from molecules to population health · 2025
    Review
  9. Article
  10. [Research progress on the cGAS-STING signaling pathway in immune-mediated inflammatory diseases in children].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
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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

24 authors at 19 institutions in 1 country.

J S MassiasSchool of Medicine, University of Liverpool, UK.
E M D SmithDepartment of Women's & Children's Health, Institute of Translational Medicine, University of Liverpool, UK.ORCID https://orcid.org/0000-0002-8371-7597
E Al-AbadiDepartment of Rheumatology, Birmingham Children's Hospital, Birmingham, UK.
K ArmonDepartment of Paediatric Rheumatology, Cambridge University Hospitals, Cambridge, UK.
K BaileyDepartment of Paediatric Rheumatology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
C CiurtinDepartment of Rheumatology, University College London Hospitals NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0002-8911-4113
J DavidsonDepartment of Paediatric Rheumatology, Royal Hospital for Sick Children, Edinburgh, UK.
J Gardner-MedwinDepartment of Child Heath, University of Glasgow, Glasgow, UK.
K HaslamDepartment of Paediatrics, Bradford Royal Infirmary, Bradford, UK.
D P HawleyDepartment of Paediatric Rheumatology, Sheffield Children's Hospital, Sheffield, UK.
A LeahyDepartment of Paediatric Rheumatology, Southampton General Hospital, Southampton, UK.
V LeoneDepartment of Paediatric Rheumatology, Leeds Children Hospital, Leeds, UK.
F McErlanePaediatric Rheumatology, Great North Children's Hospital, Royal Victoria Infirmary, Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.
D MewarDepartment of Rheumatology, Royal Liverpool University Hospital, Liverpool, UK.
G ModgilDepartment of Paediatrics, Musgrove Park Hospital, Taunton, UK.
R MootsDepartment of Rheumatology, University Hospital Aintree, Liverpool, UK.
C PilkingtonDepartment of Paediatric Rheumatology, Great Ormond Street Hospital, London, UK.
A V RamananUniversity Hospitals Bristol NHS Foundation Trust & Bristol Medical School, University of Bristol, Bristol, UK.
S RangarajDepartment of Paediatric Rheumatology, Nottingham University Hospitals Nottingham, UK.
P RileyDepartment of Paediatric Rheumatology, Royal Manchester Children's Hospital, Manchester, UK.
A SridharDepartment of Paediatrics, Leicester Royal Infirmary, Leicester, UK.
N WilkinsonGuy's & St Thomas's NHS Foundation Trust, Evelina Children's Hospital, London, UK.
M W BeresfordDepartment of Women's & Children's Health, Institute of Translational Medicine, University of Liverpool, UK.
C M HedrichDepartment of Women's & Children's Health, Institute of Translational Medicine, University of Liverpool, UK.ORCID https://orcid.org/0000-0002-1295-6179
University of Liverpool · GBBirmingham Children's Hospital · GBBradford Royal Infirmary · GBCambridge University Hospitals NHS Foundation Trust · GBGreat Ormond Street Hospital · GBGuy's and St Thomas' NHS Foundation Trust · GBLeeds Teaching Hospitals NHS Trust · GBLeicester Royal Infirmary · GBMusgrove Park Hospital · GBNottingham University Hospitals NHS Trust · GBOxford University Hospitals NHS Trust · GBRoyal Hospital for Children · GBRoyal Manchester Children's Hospital · GBRoyal Victoria Infirmary · GBSheffield Children's Hospital · GBSouthampton General Hospital · GBUniversity College London Hospitals NHS Foundation Trust · GBUniversity Hospitals Bristol NHS Foundation Trust · GBUniversity of Glasgow · GB

Funding

Versus Arthritis 22203
6 · The paper itself

Abstract

backgroundSystemic lupus erythematous (SLE) is a systemic autoimmune/inflammatory condition. Approximately 15-20% of patients develop symptoms before their 18th birthday and are diagnosed with juvenile-onset SLE (JSLE). Gender distribution, clinical presentation, disease courses and outcomes vary significantly between JSLE patients and individuals with adult-onset SLE. This study aimed to identify age-specific clinical and/or serological patterns in JSLE patients enrolled to the UK JSLE Cohort Study.

methodsPatient records were accessed and grouped based on age at disease-onset: pre-pubertal (≤7 years), peri-pubertal (8-13 years) and adolescent (14-18 years). The presence of American College of Rheumatology (ACR) classification criteria, laboratory results, disease activity [British Isles Lupus Assessment Group (BILAG) and Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2 K) scores] and damage [Systemic Lupus International Collaborating Clinics (SLICC) damage index] were evaluated at diagnosis and last follow up.

resultsA total of 418 JSLE patients were included in this study: 43 (10.3%) with pre-pubertal disease onset; 240 (57.4%) with peri-pubertal onset and 135 (32.3%) were diagnosed during adolescence. At diagnosis, adolescent JSLE patients presented with a higher number of ACR criteria when compared with pre-pubertal and peri-pubertal patients [pBILAG2004 scores: 9(4-20] vs. 7(3-13] vs. 7(3-14], respectively,

conclusionsDisease presentations and laboratory findings vary significantly between age groups within a national cohort of JSLE patients. Patients diagnosed during adolescence exhibit greater disease activity and "classic" autoantibody, immune cell and complement patterns when compared with younger patients. This supports the hypothesis that pathomechanisms may vary between patient age groups.

Indexed as

Disease ProgressionSeverity of Illness IndexAdolescentAge of OnsetChildClinical Laboratory TechniquesCohort StudiesFemaleHumansLupus Erythematosus, SystemicMaleSex FactorsUnited KingdomAge groupchildhoodjuvenile-onset SLEphenotypeSLE

Identifiers

PMID32233733
PMCPMC7528537
OpenAlexW3015162299

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.