Lupus & antiphospholipid syndrome

Interstitial fibrosis increases the risk of end-stage kidney disease in patients with lupus nephritis

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

However, IF, rather than II or TA, was found to increase the risk of ESKD in our cohort.

Study context

Population
Patients with biopsy-proven LN (mean age 36 years; 90.1% female)biopsy-proven LN
Participants
151 patients
Exposure
Tubulointerstitial lesion scores as risk factors for end-stage kidney disease (ESKD)
Outcome
ESKD
Methodological detailsbiopsy-proven LN, multivariate analysis, Kaplan-Meier analysis
  • Biopsy-proven LN
  • Multivariate analysis
  • Kaplan-Meier analysis

Main finding

As reported in the abstract

Independent risk factors of ESKD (multivariate) · mean follow-up 58 months

Interstitial fibrosis (IF), HR (95% CI 1.58-6.49), P = 0.001

3.2

Serum creatinine, HR (95% CI 1.42-2.03), P < 0.001

1.7

Progressed to ESKD during follow-up

47

31.1%

Observational data: associations, not effects.

Further findings

Patients with tubulointerstitial lesions
120 (79.5%)
ESKD before renal biopsy
nine (6.0%)

Original publication

Interstitial fibrosis increases the risk of end-stage kidney disease in patients with lupus nephritis. Rheumatology (Oxford). Published 2 May 2024. doi:10.1093/rheumatology/keae226

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.