KDIGO 2024 Guideline on Lupus Nephritis (LN): A Roundtable Discussion

Introduction

This tutorial provides a comprehensive overview of the KDIGO 2024 Guidelines on Lupus Nephritis (LN) as discussed in a roundtable session at the 2024 ERA Congress. It highlights key points from expert presentations and a personal patient perspective, making it valuable for healthcare professionals, researchers, and patients interested in lupus nephritis management.

Step 1: Understand Lupus Nephritis

• Lupus nephritis is a serious complication of systemic lupus erythematosus (SLE), affecting kidney function.
• Key factors influencing the management of LN include:
  • Type of kidney involvement (e.g., proliferative vs. membranous)
  • Patient demographics (age, ethnicity, comorbidities)
  • Disease activity and severity

Step 2: Review the KDIGO Guideline Updates

• Familiarize yourself with the latest recommendations from the KDIGO guidelines:
  • Emphasize early diagnosis and treatment to prevent long-term kidney damage.
  • Employ stratified treatment approaches based on the severity of lupus nephritis.
  • Regularly monitor renal function and disease activity to adjust treatment as needed.

Step 3: Engage with Patient Perspectives

• Incorporate insights from patients living with lupus to enhance care:
  • Understand the emotional and physical challenges faced by patients.
  • Encourage open communication regarding treatment options and side effects.
  • Consider patient preferences and quality of life in decision-making.

Step 4: Collaborate with Multidisciplinary Teams

• Work with a team of specialists to provide comprehensive care:
  • Nephrologists, rheumatologists, and primary care providers should collaborate.
  • Involve dietitians and mental health professionals to address holistic patient needs.

Step 5: Stay Informed on Research and Clinical Trials

• Keep abreast of ongoing research and clinical trials in lupus nephritis:
  • New therapies and treatment protocols are continuously emerging.
  • Encourage patients to explore participation in clinical trials for access to innovative treatments.

Conclusion

The KDIGO 2024 guidelines on lupus nephritis emphasize early intervention, a multidisciplinary approach, and the importance of patient engagement. By understanding these key aspects, healthcare providers can improve patient outcomes and quality of life. Stay updated with research advancements to provide the best possible care for patients with lupus nephritis.