Lupus nephritis is associated with more corticosteroid-associated organ damage but less corticosteroid non-associated organ damage
DC Field | Value | Language |
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dc.contributor.author | Joo, Young-bin | - |
dc.contributor.author | Won, Soyoung | - |
dc.contributor.author | Choi, Chan-beom | - |
dc.contributor.author | Bae, Sang-cheol | - |
dc.date.accessioned | 2021-07-30T05:12:15Z | - |
dc.date.available | 2021-07-30T05:12:15Z | - |
dc.date.created | 2021-05-12 | - |
dc.date.issued | 2017-05 | - |
dc.identifier.issn | 0961-2033 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/3542 | - |
dc.description.abstract | Objective The objective of this study was to investigate the association of lupus nephritis on organ damage and mortality in patients with systemic lupus erythematosus (SLE). Methods A total of 1112 patients with SLE were investigated. Lupus nephritis was defined as a proteinuria based on the 1997 American College of Rheumatology criteria. Damage was assessed using the Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index. The associations of lupus nephritis with overall, non-renal, corticosteroid-associated, and non-associated damage were analyzed using logistic regression. The age-adjusted and sex-adjusted standardized mortality ratio was evaluated in patients with and without lupus nephritis. Results The prevalence of lupus nephritis in patients with SLE was 46.3%. Patients with lupus nephritis had a higher percentage of overall cumulative damage than patients without lupus nephritis (51.5% vs. 35.7%, p < 0.001). The odds ratio was 1.40 after adjusting for age at SLE diagnosis, sex, disease duration, anti-malarial agents, immunosuppressive agents and cumulative corticosteroid dose. Among non-renal damage, the odds of corticosteroid-associated damage were higher (2.06, 95% confidence interval (CI) 1.43–2.96) whereas the odds of non-associated damage were lower (0.50, 95% CI 0.35–0.75) in patients with lupus nephritis. The standardized mortality ratios of patients with and without lupus nephritis were 5.17 (95% CI 3.49–7.38) and 2.32 (95% CI 1.47–3.48), respectively. Conclusion In patients with SLE, the presence of lupus nephritis is associated with increased corticosteroid-associated damage but less corticosteroid non-associated damage. Also, mortality is significantly higher in patients with lupus nephritis than in those without lupus nephritis. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | SAGE PUBLICATIONS LTD | - |
dc.title | Lupus nephritis is associated with more corticosteroid-associated organ damage but less corticosteroid non-associated organ damage | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Choi, Chan-beom | - |
dc.contributor.affiliatedAuthor | Bae, Sang-cheol | - |
dc.identifier.doi | 10.1177/0961203316671813 | - |
dc.identifier.scopusid | 2-s2.0-85018341722 | - |
dc.identifier.wosid | 000399305000005 | - |
dc.identifier.bibliographicCitation | LUPUS, v.26, no.6, pp.598 - 605 | - |
dc.relation.isPartOf | LUPUS | - |
dc.citation.title | LUPUS | - |
dc.citation.volume | 26 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 598 | - |
dc.citation.endPage | 605 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Rheumatology | - |
dc.relation.journalWebOfScienceCategory | Rheumatology | - |
dc.subject.keywordPlus | DISEASE-ACTIVITY | - |
dc.subject.keywordPlus | KOREAN PATIENTS | - |
dc.subject.keywordPlus | ERYTHEMATOSUS | - |
dc.subject.keywordPlus | PREDNISONE | - |
dc.subject.keywordPlus | INDEX | - |
dc.subject.keywordPlus | GLUCOCORTICOIDS | - |
dc.subject.keywordPlus | TIME | - |
dc.subject.keywordAuthor | Systemic lupus erythematosus | - |
dc.subject.keywordAuthor | lupus nephritis | - |
dc.subject.keywordAuthor | organ damage | - |
dc.subject.keywordAuthor | corticosteroid | - |
dc.identifier.url | https://journals.sagepub.com/doi/10.1177/0961203316671813 | - |
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