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10.1016/j.semarthrit.2017.07.007 http://scihub22266oqcxt.onion/10.1016/j.semarthrit.2017.07.007 C5927553!5927553 !28803673     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=28803673 &cmd=llinks): Failed to open stream: HTTP request failed! 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Tubulointerstitial damage predicts end stage renal disease in lupus nephritis with preserved to moderately impaired renal function: A retrospective cohort study |pdf=|usr=}}{{28803673 }} gab.com Text Tubulointerstitial damage predicts end stage renal disease in lupus nephritis with preserved to moderately impaired renal function: A retrospective cohort study JO: Semin Arthritis Rheum http://www.kidney.de/pget.php?&tw=1&pmid=28803673 #FOAvip OBJECTIVES: The presence of tubulointerstitial damage (TID) on renal biopsy is considered to be a late sequela of lupus nephritis (LN). The objective of this study was to determine if TID predicts progression to end stage renal disease (ESRD) in LN patients without advanced kidney disease. METHODS: All SLE patients with an index biopsy consistent with LN between January 2005 and July 2015, and eGFR ? 30mL/min/1.73m(2) were included. Moderate-to-severe TID was defined as the presence of moderate-to-severe tubular atrophy and/or interstitial fibrosis. Time to ESRD was defined as time from the index biopsy date to incident ESRD date; non-ESRD patients were censored at the time of death or the last visit before December 2015. Time-dependent analyses were conducted to evaluate whether moderate-to-severe TID was predictive of ESRD progression. RESULTS: Of the 131 LN patients with eGFR ? 30mL/min/1.73m(2), 17 (13%) patients progressed to ESRD. Moderate-to-severe TID was present in 13% of biopsies with eGFR ? 60mL/min/1.73m(2) and in 33% of biopsies with eGFR between 30 and 60mL/min/1.73m(2). Moderate-to-severe TID was associated with a higher risk of ESRD progression: adjusted hazard ratio (HR) = 4.1, 95% CI: 1.4-12.1, p = 0.01 for eGFR ? 30mL/min/1.73m(2); HR = 6.2, 95% CI: 1.7-23.2, p = 0.008 for eGFR ? 60mL/min/1.73m(2). There was no association between tubulointerstitial inflammation (TII) and ESRD progression. CONCLUSIONS: Moderate-to-severe TID, but not TII, was a strong predictor of ESRD progression independent of eGFR or glomerular findings, therefore, providing an important window for potential early interventions. Twit Text FOAVip Tubulointerstitial damage predicts end stage renal disease in lupus nephritis with preserved to moderately impaired renal function: A retrospective cohort study ????Semin Arthritis Rheum http://www.kidney.de/pget.php?&tw=1&pmid=28803673 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=28803673 #FOAvip English Wikipedia <ref>{{Cite pmid|28803673 }}</ref> Tubulointerstitial damage predicts end stage renal disease in lupus nephritis with preserved to moderately impaired renal function: A retrospective cohort study #MMPMID28803673 Broder A ; Mowrey WB ; Khan HN ; Jovanovic B ; Londono-Jimenez A ; Izmirly P ; Putterman C Semin Arthritis Rheum 2018[Feb]; 47 (4 ): 545-551 PMID28803673 show ga OBJECTIVES: The presence of tubulointerstitial damage (TID) on renal biopsy is considered to be a late sequela of lupus nephritis (LN). The objective of this study was to determine if TID predicts progression to end stage renal disease (ESRD) in LN patients without advanced kidney disease. METHODS: All SLE patients with an index biopsy consistent with LN between January 2005 and July 2015, and eGFR ? 30mL/min/1.73m(2) were included. Moderate-to-severe TID was defined as the presence of moderate-to-severe tubular atrophy and/or interstitial fibrosis. Time to ESRD was defined as time from the index biopsy date to incident ESRD date; non-ESRD patients were censored at the time of death or the last visit before December 2015. Time-dependent analyses were conducted to evaluate whether moderate-to-severe TID was predictive of ESRD progression. RESULTS: Of the 131 LN patients with eGFR ? 30mL/min/1.73m(2), 17 (13%) patients progressed to ESRD. Moderate-to-severe TID was present in 13% of biopsies with eGFR ? 60mL/min/1.73m(2) and in 33% of biopsies with eGFR between 30 and 60mL/min/1.73m(2). Moderate-to-severe TID was associated with a higher risk of ESRD progression: adjusted hazard ratio (HR) = 4.1, 95% CI: 1.4-12.1, p = 0.01 for eGFR ? 30mL/min/1.73m(2); HR = 6.2, 95% CI: 1.7-23.2, p = 0.008 for eGFR ? 60mL/min/1.73m(2). There was no association between tubulointerstitial inflammation (TII) and ESRD progression. CONCLUSIONS: Moderate-to-severe TID, but not TII, was a strong predictor of ESRD progression independent of eGFR or glomerular findings, therefore, providing an important window for potential early interventions. |Adolescent [MESH] |Adult [MESH] |Disease Progression [MESH] |Female [MESH] |Glomerular Filtration Rate/physiology [MESH] |Humans [MESH] |Kidney Failure, Chronic/*pathology/physiopathology [MESH] |Kidney/*pathology/physiopathology [MESH] |Lupus Nephritis/*pathology/physiopathology [MESH] |Male [MESH] |Middle Aged [MESH] |Nephritis, Interstitial/*pathology/physiopathology [MESH] |Retrospective Studies [MESH]Tubulointerstitial damage predicts end stage renal disease in lupus ne(epmc).pdf DeepDyve Pubget Overpricing