Lupus & antiphospholipid syndrome

Multiplicative Impact of Adverse Social Determinants of Health on Outcomes in Lupus Nephritis: A Meta‐analysis and Systematic Review

Arthritis Care Res (Hoboken)Published Systematic review and meta-analysis

Authors' conclusion

Adverse SDoH is associated with poor LN outcomes. Having two or more adverse SDoH, specifically in different SDoH domains, had a multiplicative impact leading to worse LN outcomes, widening disparities.

Study context

Population
Studies measuring associations between social determinants of health (SDoH) and lupus nephritis (LN) outcomes13 studies in meta-analysis
Comparison
Patients with vs without adverse SDoH
Outcome
Poor LN outcomes including death, end-stage kidney disease, or CVD

Pooled result

As reported in the abstract

Poor LN outcomes, any adverse SDoH

Pooled odds of poor outcomes higher with any adverse SDoH (fold)

1.47

Further pooled results

Poor LN outcomes by SDoH domain

Individual domain, fold higher odds
1.64
Health care domain, fold higher odds
1.77

Poor LN outcomes with two or more adverse SDoH

Black patients with public insurance and fragmented care, fold higher odds
12
Multiplicative impact of having two or more adverse SDoH

Original publication

Multiplicative Impact of Adverse Social Determinants of Health on Outcomes in Lupus Nephritis: A Meta‐analysis and Systematic Review. Arthritis Care Res (Hoboken). Published 23 June 2024. doi:10.1002/acr.25359

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

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