Clinical and Experimental Nephrology

, Volume 19, Issue 1, pp 34–53 | Cite as

Clinical practice guideline for pediatric idiopathic nephrotic syndrome 2013: general therapy

  • Yoshitsugu Kaku
  • Yasufumi Ohtsuka
  • Yasuhiro Komatsu
  • Toshiyuki Ohta
  • Takuhito Nagai
  • Hiroshi Kaito
  • Shuji Kondo
  • Yohei Ikezumi
  • Seiji Tanaka
  • Shinsuke Matsumoto
  • Mayumi Sako
  • Kazushi Tsuruga
  • Koichi Nakanishi
  • Koichi Kamei
  • Hiroshi Saito
  • Shuichiro Fujinaga
  • Yuko Hamasaki
  • Hiroko Chikamoto
  • Kenji IshikuraEmail author
  • Kazumoto Iijima


Pediatric idiopathic nephrotic syndrome is a very important disease in the field of pediatric nephrology. The Japanese Society for Pediatric Nephrology published the “Clinical Practice Guideline for Medical Treatment of Pediatric Idiopathic Nephrotic Syndrome (version 1.0) (in Japanese)” in 2005. The guideline, aiming to support appropriate decision and treatment for pediatric idiopathic nephrotic syndrome, illustrated standard regimens of medical treatment of pediatric idiopathic nephrotic syndrome at that time and has been credited with standardization and optimization of the treatment. In 2011, 6 years after the publication, the need to revise the guideline became recognized against the background of changes in care setting including introduction of rituximab. Additionally, development of guideline covering general therapies was required.

The Scientific Committee of the Japanese Society for Pediatric Nephrology established a new operation to revise the guideline and...


Bone Mineral Density Nephrotic Syndrome Idiopathic Nephrotic Syndrome Sodium Restriction Growth Deficiency 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



The development of this guideline was solely supported by the society budget of the Japanese Society for Pediatric Nephrology. All members engaged in the guideline development submitted Conflicts of Interest declaration forms, which are retained by the Japanese Society for Pediatric Nephrology. To avoid the influence of any conflicts of interest on the contents of this guideline, discussions were made in an open manner using a mailing list system. Opinions of multiple reviewers (councilor board members of the Japanese Society for Pediatric Nephrology and an epidemiologist as an outside reviewer) and public comments were used to refine the guideline.

Kazumoto Iijima, Yoshitsugu Kaku, and  Kenji Ishikura played an essential role in scientific discussion and preparation and review of the manuscript. The rest of the authors all contributed equally to the work. The authors thank for the contribution of Ms. Fujimi Kawai and Ms. Satomi Kojima, The Japan Medical Library Association, for expert consultation on the development of the guideline; Mr. Kyoshiro Yanagisawa and Ms. Yumi Yanagisawa for advice from a viewpoint of a patient and its guardian; Dr. Kaori Kikunaga, Tokyo Metropolitan Children’s Medical Center, for clerical and coordination duties; ASCA Corporation for translation and editorial supports in the preparation of the manuscript; and Dr. Noriko Kojimahara, Tokyo Women’s Medical University, Dr. Shuichi Ito, the National Center for Child Health and Development, and Dr. Shoji Kagami, the University of Tokushima, for proper and thorough review of the guideline.


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Copyright information

© Japanese Society of Nephrology and The Japanese Society for Pediatric Nephrology 2015

Authors and Affiliations

  • Yoshitsugu Kaku
    • 1
  • Yasufumi Ohtsuka
    • 2
  • Yasuhiro Komatsu
    • 3
  • Toshiyuki Ohta
    • 4
  • Takuhito Nagai
    • 5
  • Hiroshi Kaito
    • 6
  • Shuji Kondo
    • 7
  • Yohei Ikezumi
    • 8
  • Seiji Tanaka
    • 9
  • Shinsuke Matsumoto
    • 10
  • Mayumi Sako
    • 11
  • Kazushi Tsuruga
    • 12
  • Koichi Nakanishi
    • 13
  • Koichi Kamei
    • 14
  • Hiroshi Saito
    • 15
  • Shuichiro Fujinaga
    • 16
  • Yuko Hamasaki
    • 17
  • Hiroko Chikamoto
    • 18
  • Kenji Ishikura
    • 19
    Email author
  • Kazumoto Iijima
    • 6
  1. 1.Department of NephrologyFukuoka Children’s HospitalFukuokaJapan
  2. 2.Department of Pediatrics, Faculty of MedicineSaga UniversitySagaJapan
  3. 3.Division of Nephrology, Department of MedicineSt. Luke’s International HospitalTokyoJapan
  4. 4.Department of Pediatric NephrologyHiroshima Prefectural HospitalHiroshimaJapan
  5. 5.Department of NephrologyAichi Children’s Health and Medical CenterAichiJapan
  6. 6.Department of PediatricsKobe University Graduate School of MedicineKobeJapan
  7. 7.Department of Pediatrics, Institute of Health BioscienceTokushima UniversityTokushimaJapan
  8. 8.Department of PediatricsNiigata University Medical and Dental HospitalNiigataJapan
  9. 9.Department of Pediatrics and Child HealthKurume University Medical CenterFukuokaJapan
  10. 10.Department of PediatricsMatsudo City Hospital Children’s Medical CenterChibaJapan
  11. 11.Division for Clinical Trials, Department of Development Strategy, Center for Social and Clinical ResearchNational Research Institute for Child Health and DevelopmentTokyoJapan
  12. 12.Department of PediatricsHirosaki University Graduate School of MedicineHirosakiJapan
  13. 13.Department of PediatricsWakayama Medical UniversityWakayamaJapan
  14. 14.Department of Nephrology and RheumatologyNational Center for Child Health and DevelopmentTokyoJapan
  15. 15.Department of PediatricsNihon University School of MedicineTokyoJapan
  16. 16.Division of NephrologySaitama Children’s Medical CenterSaitamaJapan
  17. 17.Department of Pediatric NephrologyToho University Faculty of MedicineTokyoJapan
  18. 18.Department of Pediatric NephrologyTokyo Women’s Medical University, School of MedicineTokyoJapan
  19. 19.Department of NephrologyTokyo Metropolitan Children’s Medical CenterFuchuJapan

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