Lupus & antiphospholipid syndrome

Risk of end-stage renal disease in patients with early-onset lupus nephritis: A population-based cohort study

Semin Arthritis RheumPublished Retrospective cohort study

Main finding · Progression to ESRDResult — go to the resultHazard ratio 1.10 95 % CI 0.57–2.11

Authors' conclusion

The risk of ESRD was comparable between patients with EOLN and DOLN. However, among patients on aggressive immunosuppressive therapy, compared with EOLN, DOLN was associated with a higher risk of progression to ESRD.

Study context

Population
Incident systemic lupus erythematosus (SLE) patients who developed LN, nationwide Korean claims databases, 2008–2018
Participants
3,779 patients
Exposure
Early-onset LN vs delayed-onset LN
  • Early-onset lupus nephritis (EOLN)n = 2,281
  • Delayed-onset LN (DOLN)n = 1,489reference
Outcome
Progression to end-stage renal disease (ESRD)
Methodological detailspopulation-based, nationwide Korean claims databases, Cox proportional hazards with death as competing risk
  • Population-based
  • Nationwide Korean claims databases
  • Cox proportional hazards with death as competing risk

Main finding

As reported in the abstract

Hazard ratio

1.10

95 % CI 0.57–2.11

Events by group

EOLNvs DOLN
HR 1.10 (95 % CI 0.57–2.11)

Observational data: associations, not effects.

Further findings

OutcomeHR (95 % CI)
ESRD in patients on aggressive immunosuppressive therapy (subgroup)670 EOLN and 179 DOLN2.6 (1.11–6.10)

Original publication

Risk of end-stage renal disease in patients with early-onset lupus nephritis: A population-based cohort study. Semin Arthritis Rheum. Published 4 November 2023. doi:10.1016/j.semarthrit.2023.152308

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