Vasculitis & polymyalgia rheumatica

IgA vasculitis nephritis—outcomes in adult-onset disease

Rheumatology (Oxford)Published Retrospective cohort study

Main finding · ESKD at presentationResult — go to the resultχ2 11.6

Authors' conclusion

Elderly patients with IgAV are more likely to have ESKD at presentation, but there is no difference in renal survival between age groups, among those presenting with independent renal function.

Study context

Population
Adults with renal biopsy-confirmed igA vasculitis (IgAV) nephritismedian follow-up 44 months
Participants
202 adults
Exposure
Younger adults vs middle-aged adults vs elderly patients
Outcome
Progression to end stage kidney disease (ESKD)
Methodological detailsobservational, multicentre
  • Observational
  • Multicentre

Main finding

ESKD at presentation

χ2

11.6

P = 0.002

By group

As reported in the abstract

Observational data: associations, not effects.

Further findings

Risk factors for development of end stage kidney disease (ESKD)

Male gender, Black ethnicity, diabetes, histological chronic renal damage and eGFR < 30 ml/min were risk factors for ESKD

Treatment received

Received GC
68.3%
Additional immunosuppression
56.9%

Original publication

IgA vasculitis nephritis—outcomes in adult-onset disease. Rheumatology (Oxford). Published 25 January 2024. doi:10.1093/rheumatology/keae030

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