Lupus & antiphospholipid syndrome

Efficacy of the Lupus-Cruces Nephritis protocol in different prognostic groups: a propensity score and cluster analysis

Rheumatology (Oxford)Published Observational comparative study

Authors' conclusion

The LCN protocol was superior to the SOC schemes in achieving CRR in patients with LN across different subpopulations and clinical clusters.

Study context

Population
Patients with LN from the Lupus-Cruces, historic Lupus-Cruces and Lupus-Bordeaux cohorts
Participants
147 patients
Exposure
Lupus-Cruces Nephritis (LCN) protocol vs standard of care (SOC)
  • LCNn = 47
  • SOCn = 100reference
Outcome
CRR among different subpopulations and clinical clusters
Methodological detailspropensity score adjusted analysis, Cox proportional hazards analysis, two-way clustering analysis, historic and external cohorts
  • Propensity score adjusted analysis
  • Cox proportional hazards analysis
  • Two-way clustering analysis
  • Historic and external cohorts

Main finding

As reported in the abstract

CRR at any time, by clinical cluster (univariate and PS-adjusted Cox regression)
LCN vs SOCHazard ratio (95% CI)P value
Cluster C1
10.7(1.65–69.6)
P = 0.013
Cluster C2
2.2(1.16–4.1)
P = 0.016
Cluster C3
6.1(2.99–12.51)
P < 0.001

Observational data: associations, not effects.

Further findings

CRR, whole cohort · 12 months

Original publication

Efficacy of the Lupus-Cruces Nephritis protocol in different prognostic groups: a propensity score and cluster analysis. Rheumatology (Oxford). Published 22 April 2026. doi:10.1093/rheumatology/keag214

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