Evidence map›Paper›PMID 40813629›Full record

ArticleBMC nephrology2025

Trends in chronic kidney disease mortality among patients with systemic lupus erythematosus: a U.S. population-based study (1999-2020).

Maria Qadri, Shafiq Ur Rahman, Hammad Javaid, Kritick Bhandari, Rahman Syed, Ameer Afzal Khan, Zaryab Bacha, Rizwana Noor, Maryem Filal

RetractedErratum issuedAbstract readRetracted Publication
In one paragraph

Article in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Maria QadriJinnah Sindh Medical University, Karachi, Pakistan.
Shafiq Ur RahmanDepartment of Medicine, Saidu Group of Teaching Hospital/Saidu Medical College, Swat, Pakistan.
Hammad JavaidKing Edward Medical University, Lahore, Pakistan.
Kritick BhandariKIST Medical College and Teaching Hospital, Gwarko, Imadol, Lalitpur, 44600, Nepal. bhandarikritick@gmail.com.
Rahman SyedSwat Medical College, Swat, Pakistan.
Ameer Afzal KhanSaidu Medical College, Swat, Pakistan.
Zaryab BachaKhyber Medical College, Peshawar, Pakistan.
Rizwana NoorKhyber Medical College, Peshawar, Pakistan.
Maryem FilalCadi Ayyad University Faculty of Medicine and Pharmacy, Marrakech, Morocco.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite advancements in treatment, chronic kidney disease (CKD) remains a major cause of morbidity and mortality in systemic lupus erythematosus (SLE). However, a comprehensive analysis of mortality trends and demographic disparities remains limited. This study aims to evaluate mortality related to CKD among patients diagnosed with SLE, acknowledging that the specific cause of CKD (e.g., lupus nephritis vs. other etiologies) cannot be determined from available data.

methodsThe CDC WONDER database was used to obtain mortality data for U.S. adults (≥ 25 years) due to chronic renal failure in SLE from 1999 to 2020. Crude and age-adjusted mortality rates (AAMRs) per 100,000 individuals were calculated and stratified by gender, race, year, state, census region, urbanization, and place of death. Trends in AAMRs were evaluated using Joinpoint regression to estimate annual percent change (APC) and average annual percent change (AAPC).

resultsBetween 1999 and 2020, a total of 5204 deaths were attributed to chronic renal failure in patients with SLE. The overall AAMR for CKD in SLE patients increased from 0.076 to 0.104 during this period, with a pronounced rise from 2018 to 2020 (APC: 15.06). Females exhibited higher AAMR than males (0.116 vs. 0.013). Additionally, AAMRs were highest among non-Hispanic (NH) African Americans and lowest among NH Whites (0.265 vs. 0.036). Regionally, the highest AAMRs were recorded in the West, South Carolina, and Metropolitan areas. The highest crude death rate (CDR) was observed in the 55–85 + age group.

conclusionsMortality from CKD among patients with SLE has risen over the past two decades, especially from 2018 to 2020. These discrepancies underscore the need for targeted healthcare strategies and legislative measures to reduce the growing mortality burden.

Indexed as

Lupus Erythematosus, SystemicRenal Insufficiency, ChronicAdultAgedFemaleHumansKidney Failure, ChronicLupus NephritisMaleMiddle AgedUnited StatesCDC WONDERChronic renal failureEpidemiologyMortality trendsSystemic lupus erythematosus

Identifiers

PMID40813629
PMCPMC12355843

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.