Lupus & antiphospholipid syndrome

Referral and evaluation for kidney transplantation among patients with lupus nephritis-related end-stage kidney disease

LupusPublished Retrospective cohort study

Authors' conclusion

Among incident patients with ESKD, having a primary diagnosis of LN-ESKD versus other-ESKD is associated with higher rates of early transplant access outcomes.

Study context

Population
Adults who began treatment for ESKD in the Southeast, Northeast, New York or Ohio River Valley US regions, 1/1/2012–12/31/2019, followed through 6/30/2021; referral and evaluation data from 28 of 48 transplant centers0.4% LN-ESKD
Participants
192,318 adults
Exposure
LN-ESKD vs other-ESKD
Outcome
Referral and evaluation start at a transplant center
Methodological detailsregistry-based (United States Renal Data System), Cox models, adjusted analyses
  • Registry-based (United States Renal Data System)
  • Cox models
  • Adjusted analyses

Main finding

As reported in the abstract

LN-ESKD vs Other-ESKDHazard ratio (95% CI)
Referral; adjusted
1.09(0.99–1.19)
Evaluation start; adjusted
1.13(1.00–1.28)
LN-ESKD referred before study end
58%
LN-ESKD referred who started evaluation
66%

Observational data: associations, not effects.

Further findings

Time from ESKD start to referral (referred patients)

Time from ESKD start to referral (referred patients)

Similar between groups

Original publication

Referral and evaluation for kidney transplantation among patients with lupus nephritis-related end-stage kidney disease. Lupus. Published 29 November 2023. doi:10.1177/09612033231219739

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

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