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Patients were classified into four JRPS classification grades based on the J-score. Renal survival was assessed using Kaplan\u2013Meier analysis and Cox regression, and predictive accuracy was compared with the RPS classification and total renal chronicity score using  receiver operating characteristic (ROC) curve\u00a0analysis\u00a0and the DeLong test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Over a median follow-up of 37\u00a0months, 76.6% of patients reached renal outcomes, including 40.3% progressing to end-stage kidney disease (ESKD). Higher JRPS classification grades were independently associated with adverse renal outcomes.\u00a0However, ROC analysis demonstrated that the JRPS classification exhibited inferior discriminative performance compared with the traditional RPS classification system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The JRPS classification was independently associated with renal outcomes but showed inferior discriminatory performance compared with the RPS classification. These findings suggest that JRPS classification may provide complementary pathological information rather than serving as a primary prognostic tool.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10157-025-02782-w","type":"journal-article","created":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T18:15:29Z","timestamp":1764180929000},"page":"275-285","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prognostic assessment of the Japanese Renal Pathology Society\u00a0classification   in Chinese patients with histologically confirmed diabetic kidney disease"],"prefix":"10.1007","volume":"30","author":[{"given":"Ying","family":"Shi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuyou","family":"Ye","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qian","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hujia","family":"Hua","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanggang","family":"Yuan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chengning","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huijuan","family":"Mao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6529-3801","authenticated-orcid":false,"given":"Suyan","family":"Duan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6902-9093","authenticated-orcid":false,"given":"Bo","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,11,26]]},"reference":[{"key":"2782_CR1","doi-asserted-by":"publisher","first-page":"204201882412429","DOI":"10.1177\/20420188241242947","volume":"15","author":"L Fabre","year":"2024","unstructured":"Fabre L, Bevilaqua Rangel \u00c9. 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