Evidence map›Paper›PMID 35054037›Full record

ReviewJournal of clinical medicine2022

Induction and Maintenance Treatment of Lupus Nephritis: A Comprehensive Review of Meta-Analyses.

Jae Il Shin, Han Li, Seoyeon Park, Jae Won Yang, Keum Hwa Lee, Yongsuk Jo, Seongeun Park, Jungmin Oh, Hansol Kim, Hyo Jin An and 14 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Lupus Nephritis from Pathogenesis to New Therapies: An Update.International journal of molecular sciences · 2024
    Review
  9. Article
  10. Article
  11. Journal of traditional and complementary medicine · 2023
    Article
  12. Article
  13. 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

24 authors at 11 institutions in 6 countries.

Jae Il ShinDepartment of Pediatrics, Yonsei University College of Medicine, Seoul 03722, Korea.ORCID 0000-0003-2326-1820
Han LiUniversity of Florida College of Medicine, Gainesville, FL 32610, USA.ORCID 0000-0002-9800-9948
Seoyeon ParkYonsei University College of Medicine, Seoul 03722, Korea.
Jae Won YangDepartment of Nephrology, Yonsei University Wonju College of Medicine, Wonju 26426, Korea.ORCID 0000-0003-3689-5865
Keum Hwa LeeDepartment of Pediatrics, Yonsei University College of Medicine, Seoul 03722, Korea.ORCID 0000-0002-1511-9587
Yongsuk JoYonsei University College of Medicine, Seoul 03722, Korea.
Seongeun ParkYonsei University College of Medicine, Seoul 03722, Korea.
Jungmin OhYonsei University College of Medicine, Seoul 03722, Korea.
Hansol KimYonsei University College of Medicine, Seoul 03722, Korea.
Hyo Jin AnYonsei University College of Medicine, Seoul 03722, Korea.
Gahee JeongEwha Womans University College of Medicine, Seoul 07804, Korea.
Haerang JungEwha Womans University College of Medicine, Seoul 07804, Korea.
Hyun Jung LeeEwha Womans University College of Medicine, Seoul 07804, Korea.
Jae Seok KimDepartment of Nephrology, Yonsei University Wonju College of Medicine, Wonju 26426, Korea.ORCID 0000-0002-1350-3526
Seoung Wan NamDepartment of Rheumatology, Yonsei University Wonju College of Medicine, Wonju 26426, Korea.
Ai KoyanagiResearch and Development Unit, Parc Sanitari Sant Joan de Deu, Sant Boi de Llobregat, 08830 Barcelona, Spain.ORCID 0000-0002-9565-5004
Louis JacobResearch and Development Unit, Parc Sanitari Sant Joan de Deu, Sant Boi de Llobregat, 08830 Barcelona, Spain.ORCID 0000-0003-1071-1239
Jimin HwangDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
Dong Keon YonMedical Science Research Institute, Kyung Hee University College of Medicine, Seoul 02447, Korea.ORCID 0000-0003-1628-9948
Seung-Won LeeDepartment of Data Science, Sejong University College of Software Convergence, Sungkyunkwan University School of Medicine, Seoul 05006, Korea.ORCID 0000-0001-5632-5208
Kalthoum TizaouiLaboratory of Microorganisms and Active Biomolecules, Sciences Faculty of Tunis, University Tunis El Manar, Tunis 1068, Tunisia.
Andreas KronbichlerDepartment of Medicine, University of Cambridge, Cambridge CB2 0QQ, UK.ORCID 0000-0002-2945-2946
Ji Hong KimDepartment of Pediatrics, Yonsei University College of Medicine, Seoul 03722, Korea.ORCID 0000-0001-5352-5423
Lee SmithCentre for Health, Performance, and Wellbeing, Anglia Ruskin University, Cambridge CB1 1PT, UK.ORCID 0000-0002-5340-9833
Yonsei University · KREwha Womans University · KRAnglia Ruskin University · GBInstitució Catalana de Recerca i Estudis Avançats · ESJohns Hopkins University · USKyung Hee University Medical Center · KRSejong University · KRTunis University · TNUniversité de Versailles Saint-Quentin-en-Yvelines · FRUniversity of Cambridge · GBUniversity of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLupus nephritis (LN) is present in over 50% of patients with systemic lupus erythematosus (SLE) which is managed with immunosuppressive and immunomodulatory therapies. However, several novel therapeutic approaches for LN are under investigation due to the adverse effects spectrum of conventional therapy; Methods: We performed a comprehensive review of meta-analyses aggregating the comparative efficacies of various pharmacotherapies for LN. We conducted a literature search and retrieved a total of 23 meta-analyses and network meta-analyses for summarization. Pharmacotherapies were evaluated across six major outcomes: remission, relapse, mortality, end stage kidney disease (ESKD) progression, infection, and malignancy.

resultCalcineurin inhibitors (CNI), particularly tacrolimus (TAC), in combination with glucocorticoids (GC) outperformed cyclophosphamide (CPA) with GC in the rate of remission, either complete or partial remission, and in terms of infectious complications. In maintenance therapy, MMF was superior to azathioprine (AZA) as the MMF-treated patients had lower relapse rate.

interpretationThis review aggregates evidence of therapy for clinicians and sheds light on comparative efficacies of alternative LN treatments. As more promising agents are entering the market, such as voclosporin, belimumab, and obinutuzumab, LN management might undergo significant changes during the next years.

Indexed as

calcineurin inhibitorend-stage kidney diseaseglucocorticoidslupus nephritissystemic lupus erythematosus

Identifiers

PMID35054037
PMCPMC8780781
OpenAlexW4206166467

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.