Abstract
Knowledge about prognosis assists physicians in informing patients about possible outcomes and in determining treatment. New subsets of patients with distinct prognoses that merit further evaluation or special therapy can be identified. Fortunately, the prognosis for an individual with newly diagnosed systemic lupus erythematosus (SLE) has improved markedly over the past several decades [34, 66, 77]. With the extent that new treatment regimens have been developed or will be developed in the future, the predictive markers of the past may not be the predictive markers of today or tomorrow.
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References
Appel GB, Cohen DJ, Pirani CL, Meltzer JI, Estes D (1987) Long-term follow-up of patients with lupus nephritis. Am J Med 83:877
Asherson RA (1992) The catastrophic antiphospholipid syndrome. J Rheumatol 19:508
Austin III HA, Muenz LR, Joyce KM, Antonovych TA, Kullick ME, Klippel JH, Decker JL, Balow JE (1983) Prognostic factors in lupus nephritis. Am J Med 75:382
Austin III HA, Muenz LR, Joyce KM Antonovych TT, Balow JE (1984) Diffuse proliferative lupus nephritis: identification of specific pathologic features affecting renal outcome. Kidney Int 25:689
Balow JE, Austin III HA, Muenz LR, Joyce KM Antonovych TT, Klippel JH, Sternberg AD, Plotz PH, Decker JL (1984) Effect of treatment on the evolution of renal abnormalities in lupus nephritis. N Engl J Med 311:49
Banfi G, Mazzucco G, Di Belgiojoso GB, Bosisio MB, Stratta P, Confaloniere R, Ferrario F, Imbasciati E, Monga G (1985) Morphological parameters in lupus nephritis: their relevance for classification and relationship with clinical and histological findings and outcome. Q J Med 55:153
Budman DR, Sternberg AD (1976) Hypertension and renal disease in systemic lupus erythematosus. Arch Intern Med 36:1003
Cheigh JS, Kim R, Stenzel KR, Tapia L, Sullivan JF, Stubenbord W, Riggio RR, Rubin AL (1990) Systemic lupus erythematosus in patients with end-stage renal disease: long-term follow-up on the prognosis of patients and the evolution of lupus activity. Am J Kidney Dis 16:189
Clarke AE, Bloch DA, Danoff DS, Esdaile JM (1995) Decreasing costs and improving outcomes in SLE. J Rheumatol 22 (in press)
Clarke AE, Esdaile JM, Bloch DA, Lacaille D, Danoff DS, Fries JF (1993) A Canadian study of the total medical costs for patients with systemic lupus erythematosus and the predictors of costs. Arthritis Rheum 36:1548
Denburg SD, Denburg JA, Carbotte RM, Fisk JD, Hanly JG (1993) Cognitive deficits in systemic lupus erythematosus. Rheum Dis Clinic North Am 19:81
Derksen RHWM, Hené RJ, Kater L (1992) The long-term clinical outcome of 56 patients with biopsyproven lupus nephritis followed at a single canter. Lupus 1:97
Edworthy SM, Bloch DA, McShane DJ, Segal MR, Fries JF (1989) A “State Model” of renal function in systemic lupus erythematosus: its value in the prediction of outcome in 292 patients. J Rheumatol 16:29
Esdaile JM, Levinton C, Federgreen W, Hayslett JP, Kashgarian M (1989) The clinical and renal biopsy predictors of long-term outcome in lupus nephritis: a study of 87 patients and review of the literature. Q J Med 72:779
Esdaile JM, Federgreen W, Quintal R, Suissa S, Hayslett JP, Kashgarian M (1991) Predictors of one year outcome in lupus nephritis. Q J Med 81:907
Esdaile JN, MacKenzie T, Barré P, Danoff D, Osterland CK, Somerville P, Quintal H, Kashgarian M, Suissa S (1992) Can experienced clinicians predict the outcome of lupus nephritis? Lupus 205:244
Esdaile JM, Joseph L, MacKenzie T, Kashgarian M, Hayslett JP (1993) The pathogenesis and prognosis of lupus nephritis: information from repeat renal biopsy. Semin Arthritis Rheum 23:135
Esdaile JM, Abrahamowicz M, MacKenzie T, Hayslett JP, Kashgarian M (1994) The time-dependence of long-term prediction in lupus nephritis. Arthritis Rheum 37:359
Esdaile JM, Joseph L, MacKenzie T, Kashgarian M, Hayslett JP (1995) The benefit of early treatment with immunosuppressive agents in lupus nephritis. J Rheumatol (in press)
Eustace S, Hutchinson M, Bresnihan B (1991) Acute cerebrovascular episodes in systemic lupus erythematosus. Q J Med 81:739
Finn D, Allen P, Hoffstein P, Goldman D, Petri M (1993) Economic costs of systemic lupus erythe matosus (SLE): a five year prospective study (abstract). Arthritis Rheum 36 [Supp]:S192
Font J, Cervera R, Navarro M, Pallares L, Lopez-Soto A, Vivancos J, Ingelmo M (1992) Systemic lupus erythematosus in men: clinical and immunological characteristics. Am Rheum Dis 51:1050
Futrell N, Millikan C (1989) Frequency, etiology, and prevention of stroke in patients with systemic lupus erythematosus. Stroke 20:583
Fraenkel L, MacKenzie T, Joseph L, Kashgarian M, Hayslett JP, Esdaile JM (1992) Response to therapy as a predictor of outcome in lupus nephritis (abstract). Arthritis Rheum 35:S180.
Ganczarczyk L, Urowitz MB, Gladman DD (1989) “Latent lupus”. J Rheumatol 16:475
Ginzler EM, Shorn K (1988) Outcome and prognosis in systemic lupus erythematosus. Rheum Dis Clinic North Am 14:57
Ginzler EM, Diamond HS, Weiner M, Schlesinger M, Fries JF, Wasner C, Medsger Jr TA, Ziegler G, Klippel JR, Hadler NM, Albert DA, Hess EV, Spencer-Green G, Grayzel A, Worth D, Hahn BH, Barnett EV (1982) A multicenter study of outcome in systemic lupus erythematosus. I. Entry variables as predictors of prognosis. Arthritis Rheum 25:601
Gladman DD, Urowitz MB (1987) Morbidity in systemic lupus erythematosus. J Rheumatol 14 [Suppl 13]:223
Goss JA, Cole BR, Jendrisak MD, McCullough CS, So SKS, Windus DW, Hanto DW (1991) Renal transplantation for systemic lupus erythematosus and recurrent lupus nephritis: a single-center experience and a review of the literature. Transplantation 52:805
Goulet J-R, MacKenzie T, Levinton C, Hayslett JP, Ciampi A, Esdaile JM (1993) The longterm prognosis of lupus nephritis: the impact of disease activity. J Rheumatol 20:59
Gruppo Italiano per lo studio della nefrite lupica (GISNEL) (1992) Lupus nephritis: prognostic factors and probability of maintaining life-supporting renal function 10 years after the diagnosis. Am J Kidney Dis 19:473
Harris EN (1994) Antiphospholipid antibodies and the antiphospholipid syndrome. Springer Semin Immunopathol 16:223
Hochberg MC, Boyd RE, Ahearn JM, Arnett FC, Bias WB, Provost TT, Stevens NW (1985) Systemic lupus erythematosus: a review of clinico-Iaboratory features and immunogenetic markers in 150 patients with emphasis on demographic subsets. Medicine 64:285
Jonsson H, Nived O, Sturfelt G (1989) Outcome in systemic lupus erythematosus: a prospective study of patients from a defined population. Medicine 68:141
Kaplan D, Ginzler EN, Feldman J (1991) Arthritis and nephritis in patients with systemic erythematosus. J Rheumatol 18:223
Kasinath BS, Neilson EG, Hebert L, Schwartz MM, Lewis EJ, and the Lupus Nephritis Collaborative Study Group (1986) Short-term prognosis of severe proliferative lupus nephritis. Am J Kidney Dis 8:239
Kaslow RA (1982) High rate of death caused by systemic lupus eraematosus among U.S. residents Asian descent. Arthritis Rheum 25:414
Kaufman LD, Gomez-Remo JJ, Heinicke MH, Gorevic PD (1989) Male lupus: retrospective analysis of the clinical and laboratory features of 52 patients, with a review of the literature. Semin Arthritis Rheum 18:189
Kovacs JA, Urowitz NW, Gladman DD (1993) Dilemmas in neuropsychiatric lupus. Rheum Dis Clinic North Am 19:795
Lacaille D, Clarke AE, Bloch DA, Danoff D, Esdaile JM (1994) The impact of disease activity, treatment and disease severity on short-term costs of systemic lupus erythematosus. J Rheumatol 421:(in press)
Laitman RS, Glicklich D, Sablay LB, Grayzel Al, Barland P, Bank (1989) Effect of long-term normalization of serum complement levels on the course of lupus nephritis. Am J Med 87:132
Leaker B, Fairley KF, Dowling J. Kincaid-Smith P (1987) Lupus nephritis: clinical and pathological correlation. Q J Med 62:163
Lee HS, Spargo BH (1985) A renal biopsy study of lupus nephritis in the United States and Korea. Am J Kidney Dis 5:24
Levey AS, Lan S-P, Corwin BL, Kasinath BS, Lachin J. Neilson EG, Hunsicker LG, Lewis EJ and the Lupus Nephritis Collaborative Study Group (1992) Progression and remission of renal disease in the lupus nephritis collaborative study: results of treatment with prednisone and short-term oral cyclophosphamide. Ann Intern Med 116:114
Liang MH, Stern S, Esdaile JM (1988) Towards an operational definition of SLE activity for clinical research. In: Klippel JH(Ed), Systemic Lupus Erythematosus. Rheum Dis Clin North Am 14:57
Liang MR, Partridge AJ, Daltroy LR Straaton KV, Galper SH, Holman HR (1991) Strategies for reducing excess morbidity and mortality in blacks with systemic lupus erythematosus. Arthritis Rheum 34:1187
Lockshin MD (1994) Lupus pregnancies and neonatal lupus. Springer Semin Immunopathol 16:247
Magil AB, Puterman ML, Ballon HS, Chan V, Lirenman DS, Rae A, Sutton RAL (1988) Prognostic factors in diffuse proliferative lupus glomerulonephritis. Kidney Int 34:511
McCurdy DK, Lehman TJA, Bernstein B, Hanson V, King KK, Nadorra R, Landing BH (1992) Lupus nephritis: prognostic factors in children. Pediatrics 89:240
McDonald, J Stewart J, Urowitz MB, Gladman DD (1992) Peripheral vascular disease in patients with systemic lupus erythematosus. Ann Rheum Dis 51:56
McLaughlin J. Bombardier C, Gladman D, Urowitz MB, Farewell V, Chang C-H, Cole E, Ritchie S, Churg J (1988) Kidney biopsy in systemic lupus erithematosus. III. Multivariate survival analyses of biopsy results (abstract). Arthritis Rheum 31 [Supp]:S28
McLaughlin J. Gladman DD, Urowitz MB, Bombardier C, Farewell VT, Cole E (1991) Kidney biopsy in systemic lupus erythematosus. II. Survival analyses according to biopsy results. Arthritis Rheum 34:1268
Miller MH, Urowitz MB, Gladman DD, Killinger DW (1983) Systemic lupus erythematosus in males. Medicine 62:327
Nath KA (1992) Tubulointerstitial changes as a major determinant in the progression of renal dammage. Am J Kidney Dis 20:1
Nossent HC, Henzen-Logmans SC, Vroom TM, Berden JHM, Swaak TJG (1990) Contribution of renal biopsy data in predicting outcome in lupus nephritis. Arthritis Rheum 33:970
Nossent HC,. Swaak TJG, Berden JHM, for the Dutch Working Party on SLE (1990) Systemic lupus erythematosus: analysis of disease activity in 55 patients with end-stage renal failure treated with hemodialysis or contmuous ambulatory peritoneal dialysis. Am J Med 89:169
Nossent HC, Swaak TJG, Berden JHM and the Dutch working party on systemic lupus erythematosus (1991) Systemic lupus erythematosus after renal transplantation: patient and graft survival and disease activity. Ann Intern Med 114:183
Ostrov BE, Min W, Eichenfield AR Goldsmith DP, Kaplan B, Athreya BH (1989) Hypertension in children with systemic lupus erythematosus. Semin Arthritis Rheum 19:90
Panush RS, Greer JM, Morshedian KK (1993) What is lupus? What is not lupus? Rheum Dis Clinic North AM 19:223
Petri M, Genovese M. (1992) Incidence of and risk factors for hospitalizations in systemic lupus erythematosus: a prospective study of the Hopkins lupus cohort. J Rheumatol 19:1559
Petri M, Bockenstedt L, Colman J, Whiting-O‘Keefe Q, Fitz G, Sebastian A, Hellmann D (1988) Serial assessment of glomerular filtration rate in lupus nephropathy. Kidney Int 34:832
62, Petri M, Perez-Guttmann S, Longenecker JC, Hochberg M (1991) Morbidity of systemic lupus erythematosus: role of race and socioeconomic status. Am J Med 91:345
Petri M, Pence D, Bone LR, Hochberg MC (1992) Coronary artery disease risk factors in the John Hopkins lupus cohort: prevalence, recognition by patients, and preventative practices. Medicine 71:291
Petri M, Perez-Gutthann S, Pence D, Hochberg MC (1992) Risk factors for coronary artery disease in patients with systemic lupus erythematosus. Am J Med 93:513
Pillemer SR, Austin III HA, Tsokos GC, Balow JE (1988) Lupus nephritis: association between serology and biopsy measures. J Rheumatol 15:284
Pistiner M, Wallace DJ, Nessim S, Metzger AL, Klinenberg JR (1991) Lupus erythematosus in the 1980s: a survey of 570 patients. Semin Arthritis Rheum 21:55
Reveille JD, Bartolucci A, Alarcon GS (1990) Prognosis in systemic lupus erythematosus: negative impact of increasing age at onset black race, and thrombocytopenia, as well as causes of death. Arthritis Rheum 33:37
Rubin LA, Urowitz MB, Gladman DD (1985) Mortality in systemic lupus erythematosus: the bimodal pattern revisited. Q J Med 55:87
Rush PJ, Baumal R, Shore A, Balfe JW, Schreiber M (1986) Correlation of renal histology with outcome in cffildren with lupus nephritis. Kidney Int 29:1066
Schwartz MM, Kawala KS, Corwin HL, Lewis EJ (1987) The prognosis of segmental glomerulonephritis in systemic lupus erythematosus. Kidney Int 32:274
Seleznick MJ, Fries JF (1991) Variables associated with decreased survival in systemic lupus erythematosus. Semin Arthritis Rheum 21:73
Sibley JT, Olszynski WP, Decoteau WE, Sundaram MB (1992) The incidence and prognosis of central nervous system disease in systemic lupus erythematosus. J Rheumatol 19:47
Sontheimer RD (1989) Subacute cutaneous lupus erythematosus: a decade‘s perspective. Med Clinic North AM 73:1073
Sthoeger ZM, GeItner D, Rider A, Bentwich Z. (1987) Systemic lupus erythematosus in 49 Israeli males: a retrospective study. Clin Exp Rheumatol 5:233
Sturfelt G, Eskilsson J, Nived O, Truedsson L, Valind S (1992) Cardiovascular disease in systemic lupus erythematosus: a study of 75 patients from a defined population. Medicine 71:216
Swaak AJG, Nossent JC, Bronsveld W, Van Rooyen A, Nieuwenhuys EJ, Theuns L, Smeenk RJT (1989) Systemic lupus erythematosus. I. Outcome and survival: Dutch experience with 110 patients studied prospectively. Ann Rheum Dis 8:447
Swaak AJG, Nossent JC, Smeenk RJT (1991) Prognostic factors in systemic lupus erythematosus. Rheumatol Int 11:127
Tateno S, Hiki Y, Hamaguchi K, Tsuchida R Shigematsu R Kobayashi Y (1991) Study of lupus nephritis in males. Q J Med M 81:103
Turner-Stokes L, Jones M, Addison I, Mansell NM, Isenberg DA (1989) Does rheumatoid factor protect lupus patients from the developement of nephritis? Ann Rheum Dis 48:14
Wallace DJ, Podell TE, Weiner JM Cox MB, Klinenberg JR, Forouzesh S, Dubois EL (1982) Lupus nephritis: experience with 230 patients in a private practice from 1950 to 1980. Am J Med 72:209
Wallace DJ, Goldfinger D, Savage G, Nichols S, Goodman D, Fichman M, Stewart M, Klinenberg JR (1988) Predictive value of clinical laboratory, pathologic, and treatment variables in steroid/immunosuppressive resistant lupus nephritis. J Clin Apheresis 4:30
Wallace DJ, Pistiner M, Nessim S, Metzger A, Klineberg JR (1992) Cutaneous lupus erythematosus without systemic lupus erythematosus: clinical and laboratory features. Semin Arthritis Rheum 21:221
Ward MM, Studenski S (1990) Clinical manifestations of systemic lupus erythematosus: identification of racial and socioeconomic influences. Arch Intern Med 150:849
Ward MM, Studenski S (1990) Age associated clinical manifestations of systemic lupus erythematosus: a multivariate regression analysis. J Rheumatol 17:476
Ward MM, Studenski S (1990) Systemic lupus erythematosus in men: a multivariate analysis of gender differences in clinical manifestations. J Rheumatol 17:220
Ward MM, Studenski S (1991) The time course of acute psychiatric episodes in systemic lupus erythematosus. J Rheumatol 18:535
Ward MM, Studenski S (1992) Clinical prognostic factors in lupus nephritis: the importance of hypertension and smoking. Arch Intern Med 152:2082
Wernick RM, Smith DL, Houghton DC, Phillips DS, Booth JL, Runcker DN, Johnson DS, Brown KK, Gaboury CL (1993) Reliability of histologic scoring for lupus nephritis: a community-based evaluation. Ann Intern Med 119:805
Whiting-O‘Keefe, Henke JE, Shearn MA, Hopper J Jr, Biava CG, Epstein WV (1982) The information content from renal biopsy in systemic lupus erythematosus. Ann Intern Med 96:718
Whiting-O‘Keefe, Henke JE, Shearn MA, Hopper J Jr, Epstein WV (1982) Recognition of information in renal biopsies of patients with lupus nephritis. Ann Intern Med 96:723
Wilson HA, Hamilton ME, Spyker DA, Brunner CM, O‘Brien WM, Davis IV JS, Winfield JB (1981) Age influences the clinical and serologic expression of systemic lupus erythematosus. Arthritis Rheum 24:1230
Wong KL, Woo EKW, Yu YL, Wong RWS (1991) Neurological manifestations of systemic lupus erythematosus: a prospective study. Q J Med 81:857
Yamamoto T, Nagase M, Hishida A, Honda N (1993) Interstitial inflammatory and chronic tubulointerstitial lesions in lupus nephritis: comparison with those in IgA nephropathy. Lupus 2:26
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Esdaile, J.M. (1995). Prognosis in systemic lupus erythematosus. In: Miescher, P.A. (eds) Systemic Lupus Erythematosus. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79622-7_15
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