Objective. Renal involvement is a major complication of systemic lupus erythematosus (SLE) and is a strong determinant of morbidity and mortality. There have been no previous studies of the epidemiology of lupus nephritis. Our aim was to establish the prevalence and incidence of biopsy-proven lupus nephritis in the northwest of England in 2001 and to examine the influence of age, sex, and ethnicity. Conclusion. This first estimate of the prevalence and incidence of biopsy-proven lupus nephritis demonstrates dramatic differences in prevalence according to ethnicity, with an increasing gradient from the white to the Indo-Asian, Afro-Caribbean, and Chinese populations.

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TAB and the ESR are strongly predictive of DiD. However, SLEs are not being used to their full potential, and the quality of completion of reports on SLEs and feedback needs to be improved in order to better identify and manage DiD.

Objectives This study aims to develop a comprehensive list of stressors relevant to junior doctors and will also report findings exploring the associations between burnout and stressors, which include work and non‐work–related stressors as well as pandemic‐related stressors. Methods An anonymous online questionnaire was sent to 1000 randomly selected junior doctors in the North‐West of England. The questionnaire included 37 questions on general and pandemic‐specific stressors, and the Maslach Burnout Inventory Health Services Survey. The main outcomes of interest were junior doctor ratings of stressors and scores for burnout (emotional exhaustion [EE], depersonalisation [DP], and personal accomplishment [PA]). Stepwise regression analysis was undertaken to assess associations between stressors and burnout. Results In total, 326 responses were collected (response rate = 33%). Of the top 10 stressors rated by junior doctors, 60% were related to the pandemic. Multiple stressors were found to be associated with the burnout dimensions. Fatigue ( β = .43), pandemic‐related workload increase ( β = .33), and feeling isolated ( β = .24) had the strongest associations with EE, whereas fatigue ( β = .21), uncertainty around COVID‐19 information ( β = .22) and doing unproductive tasks ( β = .17) had the strongest associations with DP. Working beyond normal scope due to COVID‐19 ( β = −.26), not confident in own ability ( β = −.24) and not feeling valued ( β = −.20) were found to have the strongest associations with PA. Conclusions Junior doctors experience a combination of general stressors and additional stressors emerging from the pandemic which significantly impact burnout. Monitoring these stressors and targeting them as part of interventions could help mitigating burnout in junior doctors.

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