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

被引：84

作者：

Haneda, Masakazu ^{[1
]}

Utsunomiya, Kazunori ^{[2
]}

Koya, Daisuke ^{[3
]}

Babazono, Tetsuya ^{[4
]}

Moriya, Tatsumi ^{[5
]}

Makino, Hirofumi ^{[6
]}

Kimura, Kenjiro ^{[7
]}

Suzuki, Yoshiki ^{[8
]}

Wada, Takashi ^{[9
]}

Ogawa, Susumu ^{[10
,11
]}

Inaba, Masaaki ^{[12
]}

Kanno, Yoshihiko ^{[13
]}

Shigematsu, Takashi ^{[14
]}

Masakane, Ikuto ^{[15
]}

Tsuchiya, Ken ^{[16
]}

Honda, Keiko ^{[17
]}

Ichikawa, Kazuko ^{[18
]}

Shide, Kenichiro ^{[19
]}

机构：

[1] Asahikawa Med Univ, Div Metab & Biosystem Sci, Dept Med, Asahikawa, Hokkaido 0788510, Japan

[2] Jikei Univ Sch Med, Div Diabet Endocrinol & Metab, Dept Internal Med, Minato Ku, Tokyo 1058461, Japan

[3] Kanazawa Med Univ, Dept Diabetol & Endocrinol, Kanazawa, Ishikawa 9200293, Japan

[4] Tokyo Womens Med Univ, Dept Med, Ctr Diabet, Shinjuku Ku, Tokyo 1628666, Japan

[5] Kitasato Univ, Hlth Care Ctr, Minami Ku, Sagamihara, Kanagawa 2520374, Japan

[6] Okayama Univ Hosp, Kita Ku, Okayama, Okayama 7008558, Japan

[7] St Marianna Univ Sch Med, Div Nephrol & Hypertens, Dept Internal Med, Miyamae Ku, Kawasaki, Kanagawa 2168511, Japan

[8] Niigata Univ, Hlth Adm Ctr, Nishi Ku, Niigata, Niigata 9502181, Japan

[9] Kanazawa Univ, Div Nephrol, Dept Lab Med, Kanazawa, Ishikawa 9208641, Japan

[10] Tohoku Univ, Ctr Adv Higher Educ, Sendai, Miyagi 980, Japan

[11] Tohoku Univ Hosp, Div Nephrol Endocrinol & Vasc Med, Aoba Ku, Sendai, Miyagi 9808574, Japan

[12] Osaka City Univ Grad Sch Med, Dept Metab, Endocrinol, Mol Med,Fac Med,Abeno Ku, Osaka, Osaka 5458585, Japan

[13] Tokyo Med Univ, Dept Nephrol, Shinjuku Ku, Tokyo 1600023, Japan

[14] Wakayama Med Univ, Div Nephrol, Dept Internal Med, Wakayama 6418509, Japan

[15] Yabuki Hosp, Dept Nephrol, Yamagata, Yamagata 9900885, Japan

[16] Tokyo Womens Med Univ, Dept Internal Med 4, Shinjuku Ku, Tokyo 1628666, Japan

[17] Kagawa Nutr Univ, Div Med Nutr, Dept Appl Nutr, Sakado, Saitama 3500288, Japan

[18] Kawasaki Med Sch Hosp, Dept Nutr, Kurashiki, Hiroshima 7010192, Japan

[19] Kyoto Univ Hosp, Dept Metab & Clin Nutr, Sakyo Ku, Kyoto, Kyoto 6068507, Japan

来源：

CLINICAL AND EXPERIMENTAL NEPHROLOGY | 2015年 / 19卷 / 01期

关键词：

Diabetic nephropathy; Chronic kidney disease (CKD); Albuminuria; Proteinuria; Glomerular filtration rate (GFR);

D O I：

10.1007/s10157-014-1057-z

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

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 m(2), 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.

引用

页码：1 / 5

页数：5

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