Lupus & antiphospholipid syndrome

Does baseline nephrotic range proteinuria determine the long-term outcomes of membranous lupus nephritis patients??: Nephrotic Range Proteinuria in Membranous Lupus Nephritis

Semin Arthritis RheumPublished Retrospective cohort study

Authors' conclusion

No significant differences in renal disease characteristics or long-term outcomes were found between MLN patients with nephrotic and subnephrotic baseline proteinuria.

Study context

Population
Patients with biopsy-proven membranous LN (membranous lupus nephritis (MLN))
Participants
88 patients
Exposure
Nephrotic vs subnephrotic baseline proteinuria in membranous LN
  • Nephroticn = 39
  • Subnephroticn = 49reference
Outcome
Adverse composite outcome:
  • End-stage kidney disease
  • Sustained ≥30 % decline in eGFR
  • Death
Methodological detailsKaplan-Meier curves, Cox regression
  • Kaplan-Meier curves
  • Cox regression

Main finding

As reported in the abstract

Adverse composite outcome

P = 0.78

Observational data: associations, not effects.

Further findings

LN flares · no difference between groups

P = 1.00

Baseline proteinuria, median

LN flares

Overall: flares in 35 patients (39.8 %)

Baseline characteristics

Subnephrotic: longer time to LN onset, less frequent hyperlipidemia, higher serum albumin, less diffuse podocyte effacement, less frequent CYC treatment
No significant differences in kidney function, urine sediment abnormalities or histopathology

Original publication

Does baseline nephrotic range proteinuria determine the long-term outcomes of membranous lupus nephritis patients??: Nephrotic Range Proteinuria in Membranous Lupus Nephritis. Semin Arthritis Rheum. Published 16 May 2025. doi:10.1016/j.semarthrit.2025.152756

Composed by AI from the published abstract and checked against it. How Briefs are made →

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