Classification of Diabetic Nephropathy 2014

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  • Joint Committee on Diabetes Nephropathy
  • Haneda Masakazu
    The Japanese Diabetes Society Department of Medicine, Division of Metabolism and Biosystemic Science, Asahikawa Medical University
  • Utsunomiya Kazunori
    The Japanese Diabetes Society Department of Internal Medicine, Division of Diabetes, Endocrinology & Metabolism, Jikei University School of Medicine
  • Koya Daisuke
    The Japanese Diabetes Society Department of Diabetology & Endocrinology, Kanazawa Medical University
  • Babazono Tetsuya
    The Japanese Diabetes Society Department of Medicine, Diabetes Center ,Tokyo Women’s Medical University School of Medicine
  • Moriya Tatsumi
    The Japanese Diabetes Society Health Care Center, Kitasato University
  • Makino Hirofumi
    Japanese Society of Nephrology Okayama University Hospital
  • Kimura Kenjiro
    Japanese Society of Nephrology Nephrology and Hypertension, Department of Internal Medicine, St. Marinna University School of Medicine
  • Suzuki Yoshiki
    Japanese Society of Nephrology Health Administration Center, Niigata University
  • Wada Takashi
    Japanese Society of Nephrology Division of Nephrology, Department of Laboratory Medicine, Kanazawa University
  • Ogawa Susumu
    Japanese Society of Nephrology Center for the Advancement of Higher Education, Tohoku University. Division of Nephrology, Endocrinology and Vascular Medicine, Tohoku University Hospital
  • Inaba Masaaki
    The Japanese Society for Dialysis Therapy Department of Metabolism, Endocrinology, Molecular Medicine Faculty of Internal Medicine, Osaka City University Graduate School of Medicine
  • Kanno Yoshihiko
    The Japanese Society for Dialysis Therapy Department of Nephrology, Tokyo Medical University
  • Shigematsu Takashi
    The Japanese Society for Dialysis Therapy Division of Nephrology, Department of Internal Medicine, Wakayama Medical University
  • Masakane Ikuto
    The Japanese Society for Dialysis Therapy Department of Nephrology, Yabuki Hospital
  • Tsuchiya Ken
    The Japanese Society for Dialysis Therapy Department of Medicine IV, Tokyo Women’s Medical University
  • Honda Keiko
    Japan Society of Metabolism and Clinical Nutrition (Observer) Laboratory of Medicine Nutrition, Applied Nutrition, Kagawa Nutrition University
  • Ichikawa Kazuko
    Japan Society of Metabolism and Clinical Nutrition (Observer) Nutrition Department, Kawasaki Medical School Hospital
  • Shide Kenichiro
    Japan Society of Metabolism and Clinical Nutrition (Observer) Department of Metabolism and Clinical Nutrition, Kyoto University Hospital

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Other Title
  • 糖尿病性腎症病期分類2014の策定 (糖尿病性腎症病期分類改訂) について
  • 委員会報告 糖尿病性腎症病期分類2014の策定(糖尿病性腎症病期分類改訂)について
  • イインカイ ホウコク トウニョウビョウセイジンショウビョウキ ブンルイ 2014 ノ サクテイ(トウニョウビョウセイジンショウビョウキ ブンルイ カイテイ)ニ ツイテ

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Abstract

The Committee on Diabetic Nephropathy revised the classification of diabetic nephropathy in view of the current status of eGFR and CKD in Japan. To make revisions for the classification of diabetic nephropathy 2014, the Committee carefully evaluated the report of the Research Group on Diabetic Nephropathy, Ministry of Health, Labour, and Welfare of Japan. The major revisions made were as follows : 1. eGFR can be used for the evaluation of GFR ; 2. In stage 3 (overt nephropathy), A and B were combined; 3. Stage 4 (renal failure) was defined as GFR less than 30 mL/min/1.73 m2, regardless of albuminuria ; and 4. The importance of differential diagnosis was stressed in all stages.

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