{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T07:18:10Z","timestamp":1787987890950,"version":"build-2784847793"},"reference-count":23,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["U01DP06491"],"award-info":[{"award-number":["U01DP06491"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012051","name":"Lupus Research Alliance","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012051","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006260","name":"Rheumatology Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006260","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["kireports.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Kidney International Reports"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.ekir.2026.103778","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T08:10:44Z","timestamp":1768291844000},"page":"103778","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Evaluating Chronicity Scores for Outcomes in Patients With Lupus Nephritis"],"prefix":"10.1016","volume":"11","author":[{"given":"Mar\u00eda C.","family":"Cu\u00e9llar-Guti\u00e9rrez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika","family":"Navarro-Mendoza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime","family":"Flores-Gouyonnet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Figueroa-Parra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrina A.","family":"Williamson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta Casal","family":"Moura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando C.","family":"Fervenza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew C.","family":"Hanson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia S.","family":"Crowson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Al\u00ed","family":"Duarte-Garc\u00eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjeev","family":"Sethi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ekir.2026.103778_bib1","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1002\/art.42375","article-title":"Incidence, prevalence, and mortality of lupus nephritis: a population-based study over four decades using the lupus midwest network","volume":"75","author":"Hocao\u01e7lu","year":"2023","journal-title":"Arthritis Rheumatol"},{"key":"10.1016\/j.ekir.2026.103778_bib2","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1002\/art.43212","article-title":"2024 American College of Rheumatology (ACR) guideline for the screening, treatment, and management of lupus nephritis","volume":"77","author":"Sammaritano","year":"2025","journal-title":"Arthritis Rheumatol"},{"key":"10.1016\/j.ekir.2026.103778_bib23","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1002\/acr.25528","article-title":"2024 American College of Rheumatology (ACR) guideline for the screening, treatment, and management of lupus nephritis","volume":"77","author":"Sammaritano","year":"2025","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"10.1016\/j.ekir.2026.103778_bib3","first-page":"743","article-title":"Role of pathology indices in the management of severe lupus glomerulonephritis","volume":"42","author":"Schwartz","year":"1992","journal-title":"Lupus Nephritis Collaborative study group. Kidney Int"},{"key":"10.1016\/j.ekir.2026.103778_bib4","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1016\/j.kint.2017.11.023","article-title":"Revision of the International Society of Nephrology\/Renal Pathology Society classification for lupus nephritis: clarification of definitions, and modified National Institutes of Health activity and chronicity indices","volume":"93","author":"Bajema","year":"2018","journal-title":"Kidney Int"},{"key":"10.1016\/j.ekir.2026.103778_bib5","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1038\/ki.1984.75","article-title":"Diffuse proliferative lupus nephritis: identification of specific pathologic features affecting renal outcome","volume":"25","author":"Austin","year":"1984","journal-title":"Kidney Int"},{"key":"10.1016\/j.ekir.2026.103778_bib6","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1016\/j.kint.2017.01.002","article-title":"A proposal for standardized grading of chronic changes in native kidney biopsy specimens","volume":"91","author":"Sethi","year":"2017","journal-title":"Kidney Int"},{"key":"10.1016\/j.ekir.2026.103778_bib7","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1038\/ki.2012.409","article-title":"Inclusion of renal vascular lesions in the 2003 ISN\/RPS system for classifying lupus nephritis improves renal outcome predictions","volume":"83","author":"Wu","year":"2013","journal-title":"Kidney Int"},{"key":"10.1016\/j.ekir.2026.103778_bib8","doi-asserted-by":"crossref","first-page":"2213","DOI":"10.1681\/ASN.2017121260","article-title":"The prognostic value of histopathologic lesions in native kidney biopsy specimens: results from the Boston Kidney biopsy cohort study","volume":"29","author":"Srivastava","year":"2018","journal-title":"J Am Soc Nephrol"},{"key":"10.1016\/j.ekir.2026.103778_bib9","doi-asserted-by":"crossref","first-page":"1710","DOI":"10.1093\/ndt\/gfab250","article-title":"Kidney biopsy chronicity grading in antineutrophil cytoplasmic antibody-associated vasculitis","volume":"37","author":"Casal Moura","year":"2022","journal-title":"Nephrol Dial Transplant"},{"key":"10.1016\/j.ekir.2026.103778_bib10","doi-asserted-by":"crossref","first-page":"1400","DOI":"10.1002\/art.40930","article-title":"2019 European League Against Rheumatism\/American College of Rheumatology classification criteria for systemic lupus erythematosus","volume":"71","author":"Aringer","year":"2019","journal-title":"Arthritis Rheumatol"},{"key":"10.1016\/j.ekir.2026.103778_bib11","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1136\/annrheumdis-2020-216924","article-title":"2019 Update of the Joint European League Against Rheumatism and European Renal Association-European Dialysis and Transplant Association (EULAR\/ERA-EDTA) recommendations for the management of lupus nephritis","volume":"79","author":"Fanouriakis","year":"2020","journal-title":"Ann Rheum Dis"},{"key":"10.1016\/j.ekir.2026.103778_bib12","doi-asserted-by":"crossref","first-page":"1739","DOI":"10.1177\/09612033211034234","article-title":"The relationship between the modified National Institute of Health activity and chronicity scoring system, and the long-term prognosis for lupus nephritis: a retrospective single-center study","volume":"30","author":"Nakagawa","year":"2021","journal-title":"Lupus"},{"key":"10.1016\/j.ekir.2026.103778_bib13","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1016\/j.semarthrit.2019.06.002","article-title":"Clinical characteristics and renal prognosis associated with interstitial fibrosis and tubular atrophy (IFTA) and vascular injury in lupus nephritis biopsies","volume":"49","author":"Leatherwood","year":"2019","journal-title":"Semin Arthritis Rheum"},{"key":"10.1016\/j.ekir.2026.103778_bib14","doi-asserted-by":"crossref","first-page":"1897","DOI":"10.1007\/s40620-021-01007-z","article-title":"The extent of tubulointerstitial inflammation is an independent predictor of renal survival in lupus nephritis","volume":"34","author":"Gomes","year":"2021","journal-title":"J Nephrol"},{"key":"10.1016\/j.ekir.2026.103778_bib15","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1186\/s12882-025-04108-0","article-title":"Factors associated with worsening interstitial fibrosis\/tubular atrophy in lupus nephritis patients undergoing clinically indicated repeat kidney biopsy","volume":"26","author":"Shao","year":"2025","journal-title":"BMC Nephrol"},{"key":"10.1016\/j.ekir.2026.103778_bib16","doi-asserted-by":"crossref","first-page":"1579","DOI":"10.1016\/j.ekir.2025.02.009","article-title":"The evolution of crescents in lupus nephritis","volume":"10","author":"Malvar","year":"2025","journal-title":"Kidney Int Rep"},{"key":"10.1016\/j.ekir.2026.103778_bib17","doi-asserted-by":"crossref","first-page":"438","DOI":"10.2215\/CJN.0000000000000398","article-title":"Histologic and clinical factors associated with kidney outcomes in IgA vasculitis nephritis","volume":"19","author":"Barbour","year":"2024","journal-title":"Clin J Am Soc Nephrol"},{"key":"10.1016\/j.ekir.2026.103778_bib18","doi-asserted-by":"crossref","first-page":"4787","DOI":"10.1093\/rheumatology\/keaf194","article-title":"Histologic predictors of kidney outcomes in lupus nephritis: reevaluating the role of segmental glomerulosclerosis in the chronicity index","volume":"64","author":"Tinajero-S\u00e1nchez","year":"2025","journal-title":"Rheumatology (Oxford)"},{"key":"10.1016\/j.ekir.2026.103778_bib19","doi-asserted-by":"crossref","first-page":"734","DOI":"10.2215\/CJN.10601016","article-title":"Clinical and histopathologic characteristics associated with renal outcomes in lupus nephritis","volume":"12","author":"Rijnink","year":"2017","journal-title":"Clin J Am Soc Nephrol"},{"key":"10.1016\/j.ekir.2026.103778_bib20","doi-asserted-by":"crossref","first-page":"2621","DOI":"10.3390\/ijms26062621","article-title":"Molecular and cellular mediators of renal fibrosis in lupus nephritis","volume":"26","author":"Ramasamy","year":"2025","journal-title":"Int J Mol Sci"},{"key":"10.1016\/j.ekir.2026.103778_bib21","doi-asserted-by":"crossref","first-page":"1420","DOI":"10.1016\/j.ekir.2019.06.011","article-title":"A systematic review of interpathologist agreement in histologic classification of lupus nephritis","volume":"4","author":"Dasari","year":"2019","journal-title":"Kidney Int Rep"},{"key":"10.1016\/j.ekir.2026.103778_bib22","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1093\/ndt\/gfm555","article-title":"Interobserver agreement of scoring of histopathological characteristics and classification of lupus nephritis","volume":"23","author":"Grootscholten","year":"2008","journal-title":"Nephrol Dial Transplant"}],"container-title":["Kidney International Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2468024926000094?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2468024926000094?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T11:05:08Z","timestamp":1777633508000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2468024926000094"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["S2468024926000094"],"URL":"https:\/\/doi.org\/10.1016\/j.ekir.2026.103778","relation":{},"ISSN":["2468-0249"],"issn-type":[{"value":"2468-0249","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Evaluating Chronicity Scores for Outcomes in Patients With Lupus Nephritis","name":"articletitle","label":"Article Title"},{"value":"Kidney International Reports","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ekir.2026.103778","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 International Society of Nephrology. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"103778"}}