{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T05:34:40Z","timestamp":1740807280851,"version":"3.38.0"},"reference-count":15,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2020,6,30]],"date-time":"2020-06-30T00:00:00Z","timestamp":1593475200000},"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":[[2020,10]]},"abstract":"<jats:p> In this study, we aimed to evaluate long-term patient survival according to demographic data, clinical manifestations of systemic lupus erythematosus (SLE) and previous and current treatments, collected retrospectively. Patient selection required a minimum of four American College of Rheumatology revised criteria for SLE, biopsy-proven lupus nephritis (LN) available for reclassification according to the modified National Institutes of Health proposal for activity and chronicity indices and a minimum follow-up of at least three years since the last renal biopsy. Selection criteria were fulfilled in 25 patients followed for a median of 21 years. Based on the last renal biopsy, an equal number of patients were thus classified as class I\/II and IV ( n=8) and class III and V ( n\u2009=\u20094). The mortality rate for LN was 14%. Having ever been diagnosed with glomerulonephritis (GN) type III or type IV but not class IV alone ( p\u2009=\u20090.046), a higher histological chronicity index at the last renal biopsy ( p\u2009=\u20090.022), not attaining renal remission one year after induction therapy ( p\u2009=\u20090.004), end-stage renal disease on dialysis ( p\u2009=\u20090.033) and the extra-renal Systemic Lupus International Collaborating Clinics Damage Index score ( p\u2009=\u20090.017) were all significantly associated with mortality. Our results may provide important clues for strict observation protocols in particular categories of LN patients with long-standing disease. <\/jats:p>","DOI":"10.1177\/0961203320937472","type":"journal-article","created":{"date-parts":[[2020,7,1]],"date-time":"2020-07-01T06:03:14Z","timestamp":1593583394000},"page":"1616-1622","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Rubrics for mortality: a real-world observational long-term lupus nephritis cohort"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8917-6592","authenticated-orcid":false,"given":"Maria Francisca","family":"Moraes-Fontes","sequence":"first","affiliation":[{"name":"Unidade de Doen\u00e7as Auto-imunes, Hospital Curry Cabral, Centro Hospitalar Universit\u00e1rio de Lisboa Central, Lisbon, Portugal"}]},{"given":"Ana Carolina","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Unidade de Doen\u00e7as Auto-imunes, Hospital Curry Cabral, Centro Hospitalar Universit\u00e1rio de Lisboa Central, Lisbon, Portugal"},{"name":"Servi\u00e7o de Medicina Interna, Hospital do Divino Esp\u00edrito Santo de Ponta Delgada, S\u00e3o Miguel, A\u00e7ores, Portugal"}]},{"given":"Nuno","family":"Riso","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Medicina Interna, Hospital do Divino Esp\u00edrito Santo de Ponta Delgada, S\u00e3o Miguel, A\u00e7ores, Portugal"}]},{"given":"Helena","family":"Viana","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Nefropatologia, Servi\u00e7o de Nefrologia, Hospital de Curry Cabral, Centro Hospitalar Universit\u00e1rio de Lisboa Central, Lisbon, Portugal"}]},{"given":"Fernanda","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Nefropatologia, Servi\u00e7o de Nefrologia, Hospital de Curry Cabral, Centro Hospitalar Universit\u00e1rio de Lisboa Central, Lisbon, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2020,6,30]]},"reference":[{"key":"bibr1-0961203320937472","doi-asserted-by":"publisher","DOI":"10.5402\/2012\/989218"},{"key":"bibr2-0961203320937472","doi-asserted-by":"publisher","DOI":"10.1097\/01.md.0000091181.93122.55"},{"key":"bibr3-0961203320937472","doi-asserted-by":"publisher","DOI":"10.1002\/art.34473"},{"key":"bibr4-0961203320937472","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kev311"},{"key":"bibr5-0961203320937472","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASN.0000108969.21691.5D"},{"key":"bibr6-0961203320937472","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2017.11.023"},{"key":"bibr7-0961203320937472","doi-asserted-by":"publisher","DOI":"10.1136\/lupus-2020-000389"},{"key":"bibr8-0961203320937472","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780400928"},{"key":"bibr9-0961203320937472","first-page":"239","volume":"37","author":"Chow TK","year":"2015","journal-title":"Malays J Pathol"},{"key":"bibr10-0961203320937472","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780390303"},{"key":"bibr11-0961203320937472","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kez516"},{"key":"bibr12-0961203320937472","doi-asserted-by":"publisher","DOI":"10.1177\/0961203313514623"},{"key":"bibr13-0961203320937472","doi-asserted-by":"publisher","DOI":"10.20344\/amp.11598"},{"key":"bibr14-0961203320937472","doi-asserted-by":"publisher","DOI":"10.1136\/lupus-2015-000123"},{"key":"bibr15-0961203320937472","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2017-212732"}],"container-title":["Lupus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0961203320937472","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0961203320937472","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0961203320937472","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T14:20:49Z","timestamp":1740752449000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0961203320937472"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,30]]},"references-count":15,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["10.1177\/0961203320937472"],"URL":"https:\/\/doi.org\/10.1177\/0961203320937472","relation":{},"ISSN":["0961-2033","1477-0962"],"issn-type":[{"type":"print","value":"0961-2033"},{"type":"electronic","value":"1477-0962"}],"subject":[],"published":{"date-parts":[[2020,6,30]]}}}