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

Journal of Diabetes Investigation

Masakazu Haneda²  Kazunori Utsunomiya¹³  Daisuke Koya⁵  Tetsuya Babazono⁴  Tatsumi Moriya⁹  Hirofumi Makino³  Kenjiro Kimura⁷  Yoshiki Suzuki¹¹  Takashi Wada¹²  Susumu Ogawa^2,14  Masaaki Inaba^2,16  Yoshihiko Kanno^2,15  Takashi Shigematsu^2,17  Ikuto Masakane^2,10  Ken Tsuchiya⁴  Keiko Honda^1,2  Kazuko Ichikawa^2,8  Kenichiro Shide^2,6 

[1] Kagawa Nutrition University, Saitama, Japan;Department of Medicine, Asahikawa Medical University, Hokkaido, Japan;Okayama University Hospital, Okayama, Japan;Tokyo Women's Medical University, Tokyo, Japan;Kanazawa Medical University, Ishikawa, Japan;Kyoto University Hospital, Kyoto, Japan;St. Marianna University School of Medicine, Kanagawa, Japan;Kawasaki Medical School Hospital, Hiroshima, Japan;Kitasato University, Kanagawa, Japan;Yabuki Hospital, Yamagata, Japan;Niigata University, Niigata, Japan;Kanazawa University, Ishikawa, Japan;Jikei University School of Medicine, Tokyo, Japan;Tohoku University Hospital, Miyagi, Japan;Tokyo Medical University, Tokyo, Japan;Osaka City University Graduate School of Medicine, Osaka, Japan;Wakayama Medical University, Wakayama, Japan

关键词: Albuminuria;    Diabetic nephropathy;    Glomerular filtration rate;   

DOI  :  10.1111/jdi.12319

来源: Wiley

【 摘 要 】

Abstract

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 (CKD). 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, Labor and Welfare of Japan. Major revisions to the Classification are summarized as follows: (i) eGFR is substituted for GFR in the Classification; (ii) the subdivisions A and B in stage 3 (overt nephropathy) have been reintegrated; (iii) stage 4 (kidney failure) has been redefined as a GFR <30 mL/min/1.73 m², regardless of the extent of albuminuria; and (iv) 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.

【 授权许可】

CC BY-NC-ND   
© 2014 Japan Diabetes Society, Japanese Society of Nephrology, Japanese Society for Dialysis Therapy, and Japan Society of Metabolism and Clinical Nutrition. Journal of Diabetes Investigation published by Asian Association of the Study of Diabetes (AASD) and Wiley Publishing Asia Pty Ltd

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