Evidence map›Paper›PMID 35854166›Full record

ArticleClinical rheumatology2022

Renal response and its predictive factors of lupus nephritis: a 2-year real-world study of 56 hospital-based patients.

Keqian Du, Xuecheng Zhang, Junmei Feng, Sijie Zhong, Jun Qi, Zhiming Lin

Abstract read
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In one paragraph

Article in Clinical rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Lupus Nephritis Risk Factors and Biomarkers: An Update.International journal of molecular sciences · 2023
    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

6 authors at 3 institutions in 1 country.

Keqian Du *Department of Rheumatology, Third Affiliated Hospital of Sun Yat-Sen University, No. 600, Rd. Tianhe, Tianhe District, Guangzhou City, Guangdong Province, 510630, People's Republic of China.
Xuecheng Zhang *Department of Nephrology, BaoAn Central Hospital of Shenzhen, Shenzhen, 518100, People's Republic of China.
Junmei FengDivision of Rheumatology, NanFang Hospital of Southern Medical University, Guangzhou, 510080, People's Republic of China.
Sijie ZhongDepartment of Rheumatology, Third Affiliated Hospital of Sun Yat-Sen University, No. 600, Rd. Tianhe, Tianhe District, Guangzhou City, Guangdong Province, 510630, People's Republic of China.
Jun QiDepartment of Rheumatology, Third Affiliated Hospital of Sun Yat-Sen University, No. 600, Rd. Tianhe, Tianhe District, Guangzhou City, Guangdong Province, 510630, People's Republic of China. qijuns@foxmail.com.
Zhiming LinDepartment of Rheumatology, Third Affiliated Hospital of Sun Yat-Sen University, No. 600, Rd. Tianhe, Tianhe District, Guangzhou City, Guangdong Province, 510630, People's Republic of China. lzm-zj99@163.com.ORCID http://orcid.org/0000-0002-9341-4303
Sun Yat-sen University · CNBaotou Central Hospital · CNSouthern Medical University · CN

Funding

Distinguished young Scholar Candidates Program for The Third Affiliated Hospital of Sun Yat-sen University A2675Ten & Five Project of the Third Affiliated Hospital of Sun Yat-sen University SW201901
6 · The paper itself

Abstract

objectivesOur aim was to evaluate the renal response rate of patients with lupus nephritis (LN) undergoing standard treatment during a 2-year follow-up and to investigate its predictive factors.

methodsA prospective cohort study that enrolled 56 clinically diagnosed LN patients with urinary protein positivity was carried out. All patients underwent standard treatment. All patients were followed up at 6-month intervals for 2 years. Data on renal response and clinical characteristics were collected and analyzed.

resultsAmong 56 patients, 27 (48.2%) and 13 (23.2%) patients achieved complete renal response (CR) and partial renal response (PR) at 6 months after induction therapy, respectively, and 42 (75.0%) and 4 (7.1%) patients developed CR and PR at 2 years. Among patients who achieved PR at 6 months, 90.0% achieved CR at 24 months, while only 37.5% of the patients who were unresponsive at 6 months achieved CR. In the multivariable Cox proportional-hazards model, female (OR 6.51, 95% CI 1.23-34.52, p = 0.028), disease duration (OR 0.84, 95% CI 0.73-0.98, p = 0.021), achieving PR within 6 months (OR 8.09, 95% CI 2.06-31.73, p = 0.003), and urine protein/creatinine ratio (UPCR) (OR 0.998, 95% CI 0.996-1.000, p = 0.025) were found to be predictive factors of CR.

conclusionA total of 48.2% of patients achieved CR at 6 months of induction therapy, and the response rates gradually increased to 60.7%, 64.3%, and 75.0% at 12, 18, and 24 months. Besides, female, disease duration, partial response within 6 months, and UPCR were predictive factors for a complete renal response. Key Points • We evaluate the renal response rates in Chinese patients with lupus nephritis in the real world for 2 years. • A total of 48.2% and 75.0% of patients achieved a complete response after standard treatment for 6 months and 2 years. • Female, disease duration, partial response within 6 months, and UPCR are predictors of complete renal response.

Indexed as

Lupus NephritisCreatinineFemaleHospitalsHumansImmunosuppressive AgentsKidneyProspective StudiesRemission InductionRetrospective StudiesTreatment OutcomeCreatinineImmunosuppressive AgentsLupus nephritisRenal response rateSystemic lupus erythematosus

Identifiers

PMID35854166
OpenAlexW4285795322

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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.