For children with systemic lupus erythematosus (SLE), the proportion of admissions with adverse renal outcomes decreased during 2006-2019, but racial disparities in outcomes persisted, according to a study published in Arthritis & Rheumatology. Joyce C. Chang, MD, MSCE, and colleagues examined temporal trends in renal outcomes and racial disparities among hospitalized children with SLE. Data were included for 20,893 admissions for 7,434 patients with SLE: 32%, 16%, 12%, and 8% were Black, Hispanic White, Hispanic other, and Asian, respectively. Over time, the proportions of admissions with adverse renal outcomes decreased. Black children had a persistently higher risk for adverse renal outcomes at any admission (OR, 2.5 vs non-Hispanic Whites). The risk for incident renal outcomes remained higher for Black and Asian children, driven by end-stage renal disease among Black children and dialysis among Asian children (OR, 1.6 and 1.7, respectively).
