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

糖尿病性腎症合同委員会; 羽田 勝計; 宇都宮 一典; 古家 大祐; 馬場園 哲也; 守屋 逹美; 槇野 博史; 木村 健二郎; 鈴木 芳樹; 和田 隆志; 小川 晋; 稲葉 雅章; 菅野 義彦; 重松 隆; 政金 生人; 土谷 健; 本田 佳子; 市川 和子; 幣 憲一郎

doi:10.11213/tonyobyo.57.529

Report of the Committee

Classification of Diabetic Nephropathy 2014

Joint committee on diabetes nephropathy, Masakazu Haneda, Kazunori Utsunomiya, Daisuke Koya, Tetsuya Babazono, Tatsumi Moriya, Hirofumi Makino, Kenjiro Kimura, Yoshiki Suzuki, Takashi Wada, Susumu Ogawa, Masaaki Inaba, Yoshihiko Kanno, Takashi Shigematsu, Ikuto Masakane, Ken Tsuchiya, Keiko Honda, Kazuko Ichikawa, Kenichiro Shide

Author information

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

JOURNAL FREE ACCESS

2014 Volume 57 Issue 7 Pages 529-534

DOI https://doi.org/10.11213/tonyobyo.57.529

Details

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.

Corresponding author

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