Evidence map›Paper›PMID 37221349›Full record

ArticlePediatric nephrology (Berlin, Germany)2023

International cohort of 382 children with lupus nephritis - presentation, treatment and outcome at 24 months.

Chiara De Mutiis, Scott E Wenderfer, Biswanath Basu, Arvind Bagga, Alvaro Orjuela, Tanmoy Sar, Amita Aggarwal, Avinash Jain, Hui-Kim Yap, Sharon Teo and 22 more

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In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. New Insights on Childhood Lupus Nephritis.International journal of nephrology and renovascular disease · 2025
    Review
  9. Review
  10. Renal disease in pediatric rheumatology.Current opinion in rheumatology · 2024
    Review
  11. Early-onset lupus nephritis.Clinical kidney journal · 2024
    Review
  12. 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

32 authors at 20 institutions in 10 countries.

Chiara De MutiisPaediatric Unit, Maggiore Hospital, Azienda USL, Bologna, Italy. chiarademutiis@yahoo.com.ORCID http://orcid.org/0000-0003-2969-7094
Scott E WenderferPediatric Nephrology, Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
Biswanath BasuDivision of Pediatric Nephrology, Department of Pediatrics, Nilratan Sircar Medical College and Hospital, Kolkata, India.
Arvind BaggaDivision of Nephrology, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Alvaro OrjuelaPediatric Nephrology, Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
Tanmoy SarDivision of Pediatric Nephrology, Department of Pediatrics, Nilratan Sircar Medical College and Hospital, Kolkata, India.
Amita AggarwalDepartment of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Avinash JainDepartment of Clinical Immunology and Rheumatology, Sawai Mansingh Medical College, Jaipur, India.
Hui-Kim YapDepartment of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Sharon TeoKhoo Teck Puat-National University Children's Medical Institute, National University Hospital, Singapore, Singapore.
Shuichi ItoDepartment of Pediatrics, Yokohama City University, Fukuura, Kanazawa-Ku, Yokohama, Kanagawa, Japan.
Ai OhnishiDepartment of Pediatrics, Yokohama City University, Fukuura, Kanazawa-Ku, Yokohama, Kanagawa, Japan.
Naomi IwataDepartment of Infection and Immunology, Aichi Children's Health and Medical Center, Obu, Japan.
Ozgur KasapcopurDepartment of Pediatric Rheumatology, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey.
Mehmet YildizDepartment of Pediatric Rheumatology, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey.
Audrey LaurentDepartment of Pediatric Nephrology, Rheumatology and Dermatology, Hospices Civils de Lyon, Lyon, France.
Antonio MastrangeloPediatric Nephrology, Dialysis and Transplant Unit, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
Masao OguraDivision of Nephrology and Rheumatology, National Center for Child Health and Development, Tokyo, Japan.
Yuko ShimaDepartment of Pediatrics, Wakayama Medical University, Wakayama, Japan.
Pornpimol RianthavornDivision of Nephrology, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Clovis A SilvaPediatric Rheumatology Unit, Children's Institute, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Vitor TrindadePediatric Rheumatology Unit, Children's Institute, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Alessandra GianvitiDivision of Nephrology and Dialysis, Children's Hospital Bambino Gesù, IRCCS, Rome, Italy.
Miyazono AkinoriDepartment of Pediatrics, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.
Riku HamadaDepartment of Nephrology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.
Junya FujimuraDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Shogo MinamikawaDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Naohiro KamiyoshiDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Hiroshi KaitoDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Shingo IshimoriDepartment of Pediatrics, Aijinkai Takatsuki General Hospital, Osaka, Japan.
Francesco IannuzzellaNephrology and Dialysis Unit, Arcispedale Santa Maria Nuova, Reggio Emilia, Italy.
Kjell TullusPaediatric Nephrology, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK.
Kobe University · JPBaylor College of Medicine · USHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRIstanbul University-Cerrahpaşa · TRNil Ratan Sircar Medical College and Hospital · INYokohama City University · JPAll India Institute of Medical Sciences · INAzienda USL di Bologna · ITBambino Gesù Children's Hospital · ITChulalongkorn University · THFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITGreat Ormond Street Hospital for Children NHS Foundation Trust · GBHospices Civils de Lyon · FRKagoshima University · JPKhoo Teck Puat Hospital · SGNational Center For Child Health and Development · JPNational University of Singapore · SGOspedale Santa Maria · ITSanjay Gandhi Post Graduate Institute of Medical Sciences · INSMS Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildren with lupus have a higher chance of nephritis and worse kidney outcome than adult patients.

methodsWe retrospectively analyzed clinical presentation, treatment and 24-month kidney outcome in a cohort of 382 patients (≤ 18 years old) with lupus nephritis (LN) class ≥ III diagnosed and treated in the last 10 years in 23 international centers.

resultsThe mean age at onset was 11 years 9 months and 72.8% were females. Fifty-seven percent and 34% achieved complete and partial remission at 24-month follow-up, respectively. Patients with LN class III achieved complete remission more often than those with classes IV or V (mixed and pure). Only 89 of 351 patients maintained stable complete kidney remission from the 6

conclusionOur data show that the rate of complete remission in patients with LN is still not high enough. Severe kidney involvement at diagnosis was the most important risk factor for not achieving stable remission while different induction treatments did not impact outcome. Randomized treatment trials involving children and adolescents with LN are needed to improve outcome for these children. A higher resolution version of the Graphical abstract is available as Supplementary information.

Indexed as

Lupus NephritisAdolescentChildCyclophosphamideFemaleHumansImmunosuppressive AgentsKidneyMaleMycophenolic AcidRemission InductionRetrospective StudiesTreatment OutcomeCyclophosphamideImmunosuppressive AgentsMycophenolic AcidChildrenInduction treatmentKidney outcomeLupus nephritis

Identifiers

PMID37221349
OpenAlexW4377694558

What OpenQuestion holds

Textmetadata
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.