{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T19:37:47Z","timestamp":1784662667754,"version":"3.55.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T00:00:00Z","timestamp":1747699200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Lupus"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The proportion of lupus patients with end-stage kidney disease (ESKD) undergoing preemptive kidney transplantation (PKT) is &lt;5%, due to concern for poor outcomes. In this study, we estimate trends and the likelihood of PKT in lupus patients compared to non-lupus patients approaching ESKD. Additionally, we compare kidney allograft failure (KAF) and all-cause mortality in lupus and non-lupus recipients of PKT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We included 33,415 lupus and 3,001,746 non-lupus incident ESKD patients from the United States Renal Data System (USRDS). Patients were stratified in 6 groups: lupus, polycystic kidney disease (PKD), other glomerular diseases (GD), diabetes (DM), hypertension (HTN), and other diseases (OD). Trends of PKT were assessed with Cochran-Armitage tests. KAF and mortality were compared stratifying by primary diagnosis leading to ESKD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      PKT trends increased in the lupus (3.02% to 4.65%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001), PKD (3.14% to 16.71%,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), and GD (3.94% to 5.90%,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001) groups, but decreased in the DM (2.11% to 0.71%,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), HTN (1.15% to 0.92%,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001) and OD (3.89% to 3.60%,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001) groups. KAF rate (per 100 patient-years) was similarly low in lupus (4.40), PKD (2.47), GD (4.28) and OD (4.84) recipients, and similarly high in DM (6.24) and HTN (7.42) recipients. Lupus compared to DM recipients of PKT had significantly lower risk of KAF in adjusted Cox models (Hazard Ratio [95% CI] 0.85 [0.76 to 0.95]). Mortality rate was similarly low in lupus (2.59), PKD (2.20), GD (2.62) and OD (2.99) recipients, and similarly high in HTN (6.39) and DM (6.49) recipients. Lupus compared to DM recipients of PKT had significantly lower risk of all-cause mortality in adjusted models (0.56 [0.50 to 0.64]).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PKT trends increased from 1985 to 2019 in patients with lupus, PKD and GD. PKT patients with lupus have lower risk of KAF and mortality compared to patients with DM.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09612033251344189","type":"journal-article","created":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T07:36:16Z","timestamp":1747726576000},"page":"775-786","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Trends of preemptive kidney transplantation in lupus compared to other primary diseases leading to end stage kidney disease in the United States of America"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0189-4691","authenticated-orcid":false,"given":"Gabriel","family":"Contreras","sequence":"first","affiliation":[{"name":"Department of Medicine, Katz Family Division of Nephrology and Hypertension, University of Miami Miller School of Medicine, Miami, FL, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9351-4048","authenticated-orcid":false,"given":"Javier","family":"Pagan","sequence":"additional","affiliation":[{"name":"Department of Medicine, Katz Family Division of Nephrology and Hypertension, University of Miami Miller School of Medicine, Miami, FL, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tali","family":"Elfassy","sequence":"additional","affiliation":[{"name":"Department of Medicine, Katz Family Division of Nephrology and Hypertension, University of Miami Miller School of Medicine, Miami, FL, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6730-8622","authenticated-orcid":false,"given":"Miguel","family":"Bandes","sequence":"additional","affiliation":[{"name":"Department of Medicine, Katz Family Division of Nephrology and Hypertension, University of Miami Miller School of Medicine, Miami, FL, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2876-0282","authenticated-orcid":false,"given":"Nicolas","family":"Bustamante","sequence":"additional","affiliation":[{"name":"Escuela de Medicine, Universidad de Ciencias M\u00e9dicas, San Jos\u00e9, Costa Rica"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9337-4332","authenticated-orcid":false,"given":"Mariella","family":"Ortigosa-Goggins","sequence":"additional","affiliation":[{"name":"Department of Medicine, Katz Family Division of Nephrology and Hypertension, University of Miami Miller School of Medicine, Miami, FL, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura Aponte","family":"Becerra","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Nephrology, Yale University, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jair","family":"Munoz Mendoza","sequence":"additional","affiliation":[{"name":"Department of Medicine, Katz Family Division of Nephrology and Hypertension, University of Miami Miller School of Medicine, Miami, FL, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8563-4608","authenticated-orcid":false,"given":"Yelena","family":"Drexler","sequence":"additional","affiliation":[{"name":"Department of Medicine, Katz Family Division of Nephrology and Hypertension, University of Miami Miller School of Medicine, Miami, FL, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawn","family":"Alonso","sequence":"additional","affiliation":[{"name":"Department of Medicine, Katz Family Division of Nephrology and Hypertension, University of Miami Miller School of Medicine, Miami, FL, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Roth","sequence":"additional","affiliation":[{"name":"Department of Medicine, Katz Family Division of Nephrology and Hypertension, University of Miami Miller School of Medicine, Miami, FL, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,5,20]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.30293"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2018.05.014"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.03140319"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000003136"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1159\/000167615"},{"key":"e_1_3_7_7_2","first-page":"1116","article-title":"Recurrence of SLE in transplanted kidneys: a follow-up transplant biopsy study","volume":"7","author":"Nyberg G","year":"1992","unstructured":"Nyberg G, Blohm\u00e9 I, Persson H, et al. Recurrence of SLE in transplanted kidneys: a follow-up transplant biopsy study. Nephrol Dial Transplant 1992; 7: 1116\u20131123.","journal-title":"Nephrol Dial Transplant"},{"key":"e_1_3_7_8_2","first-page":"787","article-title":"Renal replacement therapy in lupus nephritis","volume":"16","author":"Moroni G","year":"2003","unstructured":"Moroni G, Tantardini F, Ponticelli C. Renal replacement therapy in lupus nephritis. J Nephrol 2003; 16: 787\u2013791.","journal-title":"J Nephrol"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.TP.0000053750.59630.83"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAJ.0b013e31827f4ee3"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2009101093"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22482"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2011.08.092"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.7326\/M18-1570"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2015.04.011"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/9781118032985.ch3"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200103083441004"},{"key":"e_1_3_7_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2016.07.028"},{"key":"e_1_3_7_19_2","first-page":"367","article-title":"Outcome of preemptive renal transplantation versus waiting time on dialysis","author":"Nishikawa K","year":"2002","unstructured":"Nishikawa K, Terasaki PI. Outcome of preemptive renal transplantation versus waiting time on dialysis. Clin Transpl 2002: 367\u2013377.","journal-title":"Clin Transpl"},{"key":"e_1_3_7_20_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199912023412303"},{"key":"e_1_3_7_21_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-78938-3"},{"key":"e_1_3_7_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2013.11.085"},{"key":"e_1_3_7_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2016.09.008"},{"key":"e_1_3_7_24_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40001-024-02089-8"},{"key":"e_1_3_7_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(99)70419-1"},{"key":"e_1_3_7_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/0961203317699287"}],"container-title":["Lupus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09612033251344189","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09612033251344189","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09612033251344189","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:28:57Z","timestamp":1777678137000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09612033251344189"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,20]]},"references-count":25,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1177\/09612033251344189"],"URL":"https:\/\/doi.org\/10.1177\/09612033251344189","relation":{},"ISSN":["0961-2033","1477-0962"],"issn-type":[{"value":"0961-2033","type":"print"},{"value":"1477-0962","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,20]]}}}