A new classification of Diabetic Nephropathy 2014: a report from Joint Committee on Diabetic Nephropathy

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• 作者：Masakazu Haneda ; Kazunori Utsunomiya ; Daisuke Koya…
• 关键词：Diabetic nephropathy ; Chronic kidney disease (CKD) ; Albuminuria ; Proteinuria ; Glomerular filtration rate (GFR)
• 刊名：Clinical and Experimental Nephrology
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：19
• 期：1
• 页码：1-5
• 全文大小：223 KB
• 参考文献：1. Haneda M, Utsunomiya K, et al. On the Development of the Classification of Diabetic Nephropathy 2014 (Revised Classification of Diabetic Nephropathy). J Japan Diab Soc. 2014;57:529-4 (in Japanese).
  2. Haneda M, Utsunomiya K, Koya D, et al. On the Development of the Classification of Diabetic Nephropathy 2014 (Revised Classification of Diabetic Nephropathy). Jpn J Nephrol. 2014;56:547-2 (in Japanese).
  3. Haneda M, Utsunomiya K, Koya D, et al. On the Development of the Classification of Diabetic Nephropathy 2014 (Revised Classification of Diabetic Nephropathy). J Jpn Soc Dial Ther. 2014;47:415- (in Japanese). CrossRef
  4. Haneda M, Utsunomiya K, Koya D, et al. On the Development of the Classification of Diabetic Nephropathy 2014 (Revised Classification of Diabetic Nephropathy). Clin Nutr. 2014;17:325-0 (in Japanese).
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  11. Wada T, Haneda M, Furuichi K, Babazono T, Yokoyama H, Iseki K, Araki SI, Ninomiya T, Hara S, Suzuki Y, Iwano M, Kusano E, Moriya T, Satoh H, Nakamura H, Shimizu M, Toyama T, Hara A, Makino H, The Research Group of Diabetic Nephropathy, Ministry of Health, Labour and Welfare of Japan. Clinical impact of albuminuria and glomerular filtration rate on renal and cardiovascular events, and all-cause mortality in Japanese patients with type 2 diabetes. Clin Exp Nephrol. 2014;18:613-0. CrossRef
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• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Nephrology
  Internal Medicine
  Urology and Andrology
  
• 出版者：Springer Japan
• ISSN：1437-7799

文摘

The Joint Committee on Diabetic Nephropathy has revised its Classification of Diabetic Nephropathy (Classification of Diabetic Nephropathy 2014) in line with the widespread use of key concepts such as the estimated glomerular filtration rate (eGFR) and chronic kidney disease. In revising the Classification, the Committee carefully evaluated, as relevant to current revision, the report of a study conducted by the Research Group of Diabetic Nephropathy, Ministry of Health, Labour and Welfare of Japan. Major revisions to the Classification are summarized as follows: (1) eGFR is substituted for GFR in the Classification; (2) the subdivisions A and B in stage 3 (overt nephropathy) have been reintegrated; (3) stage 4 (kidney failure) has been redefined as a GFR less than 30?mL/min/1.73?m2, regardless of the extent of albuminuria; and (4) stress has been placed on the differential diagnosis of diabetic nephropathy versus non-diabetic kidney disease as being crucial in all stages of diabetic nephropathy.