The Diagnostic Performance of a Clinical Diagnosis of Diabetic Kidney Disease

Background: Diabetic kidney disease (DKD), a common cause of CKD and failure, is usually diagnosed clinically. However, there little evidence comparing the performance clinical diagnosis to biopsy-proven diagnosis. Purpose study: Diagnostic was determined in group patients with diabetes chronic who underwent biopsy after an initial Methods: A data analysis 54 were part study cohort for prospective cardiovascular outcomes had undergone DKD or non-DKD (NDKD) at enrolment used. We sensitivity, specificity, positive negative predictive values DKD. Results: total 37 43 clinically also DKD, whilst only 1 11 NDKD Sensitivity 97.4%, specificity 62.5%, value 86%, 90.9%. Comparable obtained when restricted those primary rather than secondary found biopsy. Conclusion: has high sensitivity unlikely overlook cases but may lead overdiagnosis.