Evidence map›Paper›PMID 34219529›Full record

ReviewLupus2021

Principles of pediatric lupus nephritis in a prospective contemporary multi-center cohort.

Kathleen M Vazzana, Ankana Daga, Beatrice Goilav, Ekemini A Ogbu, Daryl M Okamura, Catherine Park, Rebecca E Sadun, Emily A Smitherman, Brian R Stotter, Abhijit Dasgupta and 5 more

Open access · greenAbstract readReview
In one paragraph

Review in Lupus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
5.1field-weighted citation impact, top 4% 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

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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

15 authors at 12 institutions in 2 countries.

Kathleen M VazzanaLupus Genomics and Global Disparities Unit, Systemic Autoimmunity Branch, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, USA.ORCID https://orcid.org/0000-0001-5035-6505
Ankana DagaDivision of Nephrology, Boston Children's Hospital, Boston, MA, USA.
Beatrice GoilavDivision of Nephrology, The Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY, USA.
Ekemini A OgbuDepartment of Pediatrics, 1466Johns Hopkins University, Division of Pediatric Allergy, Immunology and Rheumatology, Johns Hopkins University, Baltimore, MD, USA.ORCID https://orcid.org/0000-0003-2126-1587
Daryl M OkamuraDivision of Nephrology, Seattle Children's Hospital, Seattle, WA, USA.
Catherine ParkDivision of Nephrology, Children's National Hospital, Washington, DC, USA.
Rebecca E SadunDivsion of Rheumatology, Duke University, Durham, NC, USA.
Emily A SmithermanDivision of Rheumatology, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, USA.
Brian R StotterDivision of Pediatric Nephrology, Hypertension & Pheresis, Department of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA.
Abhijit DasguptaARAASTAT, Germantown, MD, USA.
Andrea M KnightDivision of Pediatric Rheumatology, 7979Hospital for Sick Children, Hospital for Sick Children, Toronto, Canada.
Aimee O HershDivision of Pediatric Rheumatology, Department of Pediatrics, University of Utah, Salt Lake City, UT, USA.
Scott E WenderferDivision of Pediatric Nephrology, Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.ORCID https://orcid.org/0000-0002-8991-8277
Laura B LewandowskiLupus Genomics and Global Disparities Unit, Systemic Autoimmunity Branch, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, USA.
CARRA Registry investigators
National Institutes of Health · USAlbert Einstein College of Medicine · USBaylor College of Medicine · USBoston Children's Hospital · USChildren's National · USDuke University · USHospital for Sick Children · CAJohns Hopkins University · USSeattle Children's Hospital · USUniversity of Alabama at Birmingham · USUniversity of Utah · USWashington University in St. Louis · US

Funding

Genetics and pathophysiology of systemic lupus erythematosus in global populationsZIAAR041214 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI LEWANDOWSKI, LAURA · 2021 to 2025
$4.5M
Intramural NIH HHS Z99 AR999999Intramural NIH HHS ZIA AR041214
6 · The paper itself

Abstract

Lupus nephritis (LN) is a life-threatening manifestation of systemic lupus erythematosus (SLE) and is more common in children than adults. The epidemiology and management of childhood-onset SLE (cSLE) have changed over time, prompting the need to reassess expected outcomes. The purpose of this study is to use the Childhood Arthritis and Rheumatology Research Alliance (CARRA) prospective registry to validate historical principles of LN in a contemporary, real-world cohort. After an extensive literature review, six principles of LN in cSLE were identified. The CARRA registry was queried to evaluate these principles in determining the rate of LN in cSLE, median time from cSLE diagnosis to LN, short-term renal outcomes, and frequency of rituximab as an induction therapy. Of the 677 cSLE patients in the CARRA registry, 32% had documented LN. Decline in kidney function was more common in Black cSLE patients than non-Black patients (

Indexed as

Lupus Erythematosus, SystemicLupus NephritisAge of OnsetChildCohort StudiesHumansKidneyLongitudinal Studieschildhood onset lupuslupus nephritisPediatric lupus nephritispediatric rheumatology

Identifiers

PMID34219529
PMCPMC10461610
OpenAlexW3177643339

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.