Lupus & antiphospholipid syndrome

Association between serum uric acid level and systemic lupus erythematosus kidney outcome: An observational study in Southern Chinese population and a meta-analysis

LupusPublished Retrospective cohort study and systematic review and meta-analysis

Authors' conclusion

Our study found overall and especially in women that higher SUA in LN patients were associated with increased risk of renal progression. Meta-analysis yielded consistent results.

Study context

Population
Biopsy-proven lupus nephritis (LN) patients, Southern Chinese populationbiopsy-proven LN
Participants
123 patients
Comparison
Higher vs lower serum uric acid level in biopsy-proven LN
  • Hyperuricemian = 72
Outcome
Progression of LN (renal outcome)
Methodological detailsretrospective observational, Cox proportional hazard regression, restricted cubic spline analyses
  • Retrospective observational
  • Cox proportional hazard regression
  • Restricted cubic spline analyses

Pooled result

As reported in the abstract

LN progression
Cox proportional hazard regression model
Hazard ratio (95% CI)
Increased serum uric acid level (continuous variable)
1.003(1.001–1.005)
Increased serum uric acid level (categorical variable)
1.780(1.201–2.639)

Further pooled results

Kidney function progression in LN (meta-analysis)

WMD (95% CI)
Continuous SUA1.73 (0.97–2.49)
OR (95% CI)
Categorical SUA1.55 (1.20–2.01)

LN progression in men (subgroup)

Relationship not maintained in men

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Association between serum uric acid level and systemic lupus erythematosus kidney outcome: An observational study in Southern Chinese population and a meta-analysis. Lupus. Published 17 November 2022. doi:10.1177/09612033221140267

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