Lupus & antiphospholipid syndrome

Long-term renal outcomes, cardiovascular events and severe infections in patients with lupus nephritis: MassiLUP cohort 2001–2022

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

Despite free access to treatment and care in France, the long-term prognosis of patients with LN remains burdened both by the risk of CKD, and the risks of cardiovascular and infectious events.

Study context

Population
Patients with a first flare of biopsy-proven LN, 2001–2022, University Hospital of Marseille, France (MassiLUP)82.7% female
Participants
168 patients
Outcome
Survival without CKD (stages 3, 4 and 5)
Follow-up
5 and 10 years
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Survival without CKD

Survival without chronic kidney disease (CKD) at 5 years

82.9%

Survival without CKD at 10 years

74.6%

Patients who developed CKD

41

24.4%

Patients who reached ESKD

19

11.3%

Observational data: associations, not effects.

Further findings

Survival without cardiovascular event · 5 and 10 years

Patients with a cardiovascular event
34 (20.2%)
At 5 years
85.7%
At 10 years
77.3%

Survival without severe infection (hospitalization or zoster) · 5 and 10 years

Patients with a severe infection
59 (35.1%)
At 5 years
76.3%
At 10 years
63.8%

Survival without cancer · 5 and 10 years

Patients with a cancer
12 (7.1%)
At 5 years
96.3%
At 10 years
92.9%

Deaths

Patients who died (three severe infections and one stroke)
4

Original publication

Long-term renal outcomes, cardiovascular events and severe infections in patients with lupus nephritis: MassiLUP cohort 2001–2022. Rheumatology (Oxford). Published 13 October 2025. doi:10.1093/rheumatology/keaf532

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