Evidence map›Paper›PMID 42375364›Full record

ArticleFrontiers in immunology2026

Baseline neutrophil-to-lymphocyte ratio combined with SLEDAI predicts lupus low disease activity state at 1 year: a cohort study.

Yadan Zou, Ruohan Yu, Kun Yang, Lina Zhang, Jing Zhang, Ji Li, Ting Long, Yanfeng Zhang, Sheng-Guang Li

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Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

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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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Yadan Zou *Department of Rheumatology and Immunology, Peking University International Hospital, Beijing, China.
Ruohan Yu *Department of Rheumatology and Immunology, Peking University International Hospital, Beijing, China.
Kun YangSchool of Clinical Medicine, Shanxi Medical University, Taiyuan, China.
Lina ZhangDepartment of Rheumatology and Immunology, Peking University International Hospital, Beijing, China.
Jing ZhangDepartment of Rheumatology and Immunology, Peking University International Hospital, Beijing, China.
Ji LiDepartment of Rheumatology and Immunology, Peking University International Hospital, Beijing, China.
Ting LongDepartment of Rheumatology and Immunology, Peking University International Hospital, Beijing, China.
Yanfeng ZhangDepartment of Rheumatology and Immunology, Peking University International Hospital, Beijing, China.
Sheng-Guang LiDepartment of Rheumatology and Immunology, Peking University International Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Systemic lupus erythematosus (SLE) is a heterogeneous autoimmune disease in which treat-to-target management increasingly emphasizes attainment of Lupus Low Disease Activity State (LLDAS). Complete blood count (CBC)-derived inflammatory indices are inexpensive and readily available markers, but their value for predicting subsequent LLDAS remains unclear. Methods: This retrospective cohort study included 165 hospitalized patients with SLE at Peking University International Hospital between 2022 and 2024 who had baseline CBC data and completed 1-year follow-up. Baseline neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), monocyte-to-lymphocyte ratio (MLR), systemic immune-inflammation index (SII), and systemic inflammation response index (SIRI) were calculated from routine hematologic parameters. The primary outcome was LLDAS achievement at 1 year according to Asia Pacific Lupus Collaboration criteria. Univariable and multivariable logistic regression analyses were performed. Multivariable models adjusted for baseline SLEDAI-2K, age, sex, immunosuppressant use, and prednisone dose. Receiver operating characteristic (ROC) analysis, bootstrap internal validation, calibration, and decision curve analysis (DCA) were also conducted. Results: Compared with non-LLDAS patients, those who achieved LLDAS had lower baseline SLEDAI-2K, lower prevalence of renal involvement, lower neutrophil counts, higher hemoglobin levels, and lower baseline NLR, PLR, SII, and SIRI. In univariable analysis, higher baseline NLR (OR 0.69, 95% CI 0.57-0.83, Conclusion: Baseline CBC-derived inflammatory indices, particularly NLR, were associated with 1-year LLDAS attainment in SLE. NLR, combined with SLEDAI-2K, may provide a practical, low-cost adjunct for early risk stratification in treat-to-target-oriented SLE management.

Indexed as

Lupus Erythematosus, SystemicLymphocytesNeutrophilsAdultBiomarkersFemaleHumansMaleMiddle AgedRetrospective StudiesSeverity of Illness IndexBiomarkerscohort Studylow disease activity statelupusneutrophil-to-lymphocyte ratioSystemic

Identifiers

PMID42375364
PMCPMC13311026

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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.