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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">nefr</journal-id><journal-title-group><journal-title xml:lang="ru">Нефрология</journal-title><trans-title-group xml:lang="en"><trans-title>Nephrology (Saint-Petersburg)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1561-6274</issn><issn pub-type="epub">2541-9439</issn><publisher><publisher-name>Pavlov First Saint-Petersburg State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24884/1561-6274-2010-14-2-11-19</article-id><article-id custom-type="elpub" pub-id-type="custom">nefr-1213</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ПЕРЕДОВАЯ СТАТЬЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LEADING ARTICLE</subject></subj-group></article-categories><title-group><article-title>К ПРОБЛЕМЕ  МОДИФИКАЦИИ  КЛАССИФИКАЦИИ ХРОНИЧЕСКОЙ  БОЛЕЗНИ  ПОЧЕК</article-title><trans-title-group xml:lang="en"><trans-title>ABOUT A PROBLEM OF MODIFICATION OF CLASSIFICATION OF CHRONIC KIDNEY DISEASE</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Смирнов</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Smirnov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Научно-исследовательский институт нефрологии</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Добронравов</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Dobronravov</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Научно-исследовательский институт нефрологии</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Каюков</surname><given-names>И. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Kayukov</surname><given-names>I. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Научно-исследовательский институт нефрологии</p><p>197022, Санкт-Петербург, ул. Л.Толстого, 17, СПбГМУ им. акад. И.П. Павлова, Нефрокорпус, Тел. (812) - 3463926, 8(911) - 2603638.</p></bio><email xlink:type="simple">kaykov@nephrolog.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2010</year></pub-date><pub-date pub-type="epub"><day>10</day><month>02</month><year>2010</year></pub-date><volume>14</volume><issue>2</issue><fpage>11</fpage><lpage>19</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Смирнов А.В., Добронравов В.А., Каюков И.Г., 2010</copyright-statement><copyright-year>2010</copyright-year><copyright-holder xml:lang="ru">Смирнов А.В., Добронравов В.А., Каюков И.Г.</copyright-holder><copyright-holder xml:lang="en">Smirnov A.V., Dobronravov V.A., Kayukov I.G.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://journal.nephrolog.ru/jour/article/view/1213">https://journal.nephrolog.ru/jour/article/view/1213</self-uri><abstract><p>Рассмотрены ряд вопросов диагностики и стратификации хронической болезни почек. Приведены некоторые собственные данные, указывающие на необходимость поиска более адекватного способа оценки расчетной скорости клубочковой фильтрации (рСКФ), наиболее приемлемой для Российской популяции. Подтверждена целесообразность подразделения 3-й стадии СКФ на две подстадии и введение индексации стадий/подстадий СКФ по уровню альбуминурии/протеинурии.</p></abstract><trans-abstract xml:lang="en"><p>A number of questions of diagnosis and stratification of chronic kidney disease (CKD) is discussed. We present some of own evidence of the need to find a more adequate way of assessing the estimated glomerular filtration rate (rGFR), the most acceptable for the Russian population. Appropriateness of the division of the third stage of into two substages and the introduction of indexation of stages/substages according to GFR level of albuminuria/proteinuria.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>хроническая болезнь почек</kwd><kwd>диагностика</kwd><kwd>стратификация</kwd><kwd>классификация</kwd></kwd-group><kwd-group xml:lang="en"><kwd>chronic kidney disease</kwd><kwd>diagnosis</kwd><kwd>stratification</kwd><kwd>classification</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">National Kidney Foundation KD: Clinical practice guidelines for chronic Kidney disease: Evaluation, classification and stratification. Am J Kidney Dis 2002;39 [Suppl 1]: S1–S266</mixed-citation><mixed-citation xml:lang="en">National Kidney Foundation KD: Clinical practice guidelines for chronic Kidney disease: Evaluation, classification and stratification. 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