title: A new classification of Diabetic Nephropathy 2014: a report from Joint Committee on Diabetic Nephropathy.
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. 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.
authors.affiliation: Division of Metabolism and Biosystemic Science, Department of Medicine, Asahikawa Medical University, 1-1-1 Higashi-Nijyo, Midorigaoka, Asahikawa, Hokkaido, 078-8510, Japan.
authors.forename: Masakazu
authors.initials: M
authors.lastname: Haneda
authors.forename: Kazunori
authors.initials: K
authors.lastname: Utsunomiya
authors.forename: Daisuke
authors.initials: D
authors.lastname: Koya
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Babazono
authors.forename: Tatsumi
authors.initials: T
authors.lastname: Moriya
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Makino
authors.forename: Kenjiro
authors.initials: K
authors.lastname: Kimura
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Suzuki
authors.forename: Takashi
authors.initials: T
authors.lastname: Wada
authors.forename: Susumu
authors.initials: S
authors.lastname: Ogawa
authors.forename: Masaaki
authors.initials: M
authors.lastname: Inaba
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Kanno
authors.forename: Takashi
authors.initials: T
authors.lastname: Shigematsu
authors.forename: Ikuto
authors.initials: I
authors.lastname: Masakane
authors.forename: Ken
authors.initials: K
authors.lastname: Tsuchiya
authors.forename: Keiko
authors.initials: K
authors.lastname: Honda
authors.forename: Kazuko
authors.initials: K
authors.lastname: Ichikawa
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Shide
mesh_terms: D003928:Diabetic Nephropathies / Q000145:classification* / Q000175:diagnosis; D018450:Disease Progression; D005919:Glomerular Filtration Rate; D006801:Humans; D051437:Renal Insufficiency / Q000145:classification / Q000209:etiology