Evidence map›Paper›PMID 37358717›Full record

ArticlePediatric nephrology (Berlin, Germany)2023

Long-term outcomes with rituximab as add-on therapy in severe childhood-onset lupus nephritis.

Eugene Yu-Hin Chan, Sze-Wa Wong, Fiona Fung-Yee Lai, Tsz-Wai Ho, Pak-Chiu Tong, Wai-Ming Lai, Alison Lap-Tak Ma, Desmond Yat-Hin Yap

Abstract read
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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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
7.5field-weighted citation impact, top 2% 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

18 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
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  3. Review
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  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Renal vascular lesions in childhood-onset lupus nephritis.Pediatric nephrology (Berlin, Germany) · 2025
    Article
  13. Article
  14. Do we really need cyclophosphamide for lupus nephritis?Pediatric nephrology (Berlin, Germany) · 2024
    Article
  15. Renal disease in pediatric rheumatology.Current opinion in rheumatology · 2024
    Review
  16. Article
  17. Article
  18. Lupus Nephritis in Children: Novel Perspectives.Medicina (Kaunas, Lithuania) · 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

8 authors at 2 institutions in 2 countries.

Eugene Yu-Hin ChanPaediatric Nephrology Centre, Hong Kong Children's Hospital, Kowloon Bay, Hong Kong SAR. genegene.chan@gmail.com.ORCID http://orcid.org/0000-0002-1463-6005
Sze-Wa WongPaediatric Nephrology Centre, Hong Kong Children's Hospital, Kowloon Bay, Hong Kong SAR.
Fiona Fung-Yee LaiPaediatric Nephrology Centre, Hong Kong Children's Hospital, Kowloon Bay, Hong Kong SAR.
Tsz-Wai HoPaediatric Nephrology Centre, Hong Kong Children's Hospital, Kowloon Bay, Hong Kong SAR.
Pak-Chiu TongPaediatric Nephrology Centre, Hong Kong Children's Hospital, Kowloon Bay, Hong Kong SAR.
Wai-Ming LaiPaediatric Nephrology Centre, Hong Kong Children's Hospital, Kowloon Bay, Hong Kong SAR.
Alison Lap-Tak MaPaediatric Nephrology Centre, Hong Kong Children's Hospital, Kowloon Bay, Hong Kong SAR. malta@ha.org.hk.
Desmond Yat-Hin YapPaediatric Nephrology Centre, Hong Kong Children's Hospital, Kowloon Bay, Hong Kong SAR. desmondy@hku.hk.
Duchess of Kent Children's Hospital · CNQueen Mary Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-term data pertaining to rituximab as add-on therapy in childhood-onset lupus nephritis (cLN) is scarce.

methodsA retrospective cohort study was conducted on all patients with proliferative cLN, diagnosed ≤ 18 years and between 2005 and 2021, who received rituximab for LN episodes that were life/organ threatening and/or treatment resistant to standard immunosuppression.

resultsFourteen patients with cLN (female, n = 10) were included, with median follow-up period of 6.9 years. LN episodes (class III, n = 1; class IV, n = 11; class IV + V, n = 2) requiring rituximab occurred at 15.6 years (IQR 12.8-17.3), urine protein:creatinine ratio was 8.2 mg/mg (IQR 3.4-10.1) and eGFR was 28 mL/min/1.73 m

conclusionAdd-on rituximab is an effective and safe rescue therapy for cLN patients with life-/organ-threatening manifestations or treatment-resistance. A higher resolution version of the Graphical abstract is available as Supplementary information.

Indexed as

Lupus Erythematosus, SystemicLupus NephritisFemaleHumansImmunosuppressive AgentsRenal DialysisRetrospective StudiesRituximabTreatment OutcomeImmunosuppressive AgentsRituximabChildhood-onset lupus nephritisDialysisRefractoryRituximabSystemic lupus erythematosus

Identifiers

PMID37358717
OpenAlexW4382011592

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.