A new classification of Diabetic Nephropathy 2014: a report from Joint Committee on Diabetic Nephropathy
A new classification of Diabetic Nephropathy 2014: a report from Joint Committee on Diabetic Nephropathy
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DOI：
10.1007/s10157-014-1057-z
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发表时间：
2015-02-01
影响因子：
2.3
通讯作者：
Shide, Kenichiro
中科院分区：
文献类型：
--
作者：
Haneda, Masakazu;Utsunomiya, Kazunori;Shide, Kenichiro
糖尿病肾病联合委员会修订了其糖尿病肾病分类（2014年糖尿病肾病分类），以符合广泛使用的关键概念，如估计肾小球滤过率（eGFR）和慢性肾脏疾病。在修订《分类》时，委员会认真评价了日本厚生劳动省糖尿病肾病研究小组进行的一项研究报告，认为这与目前的修订有关。对该分类的主要修订总结如下：（1）eGFR取代了分类中的GFR;（2）第3阶段中的细分A和B（显性肾病）已重新整合;（3）4期肾功能衰竭（kidney failure）被重新定义为GFR低于30 mL/min/1.73 m（2），无论蛋白尿的程度如何;和（4）糖尿病肾病与非糖尿病肾病的鉴别诊断在糖尿病肾病的所有阶段都是至关重要的。
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.