{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T22:03:05Z","timestamp":1784239385896,"version":"3.55.0"},"reference-count":11,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T00:00:00Z","timestamp":1784160000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T00:00:00Z","timestamp":1784160000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Diabetes is often assumed to cause chronic kidney disease (CKD) in patients with diabetes, though non\u2010diabetic pathology may coexist. We reviewed 84 patients with diabetes who underwent native kidney biopsy (2017\u20132023). Indications included active urinary sediment, nephrotic\u2010range proteinuria and rapid renal decline. Non\u2010diabetic pathology was found in 49% and mixed lesions in 21%, mainly IgA nephropathy, acute tubular necrosis and interstitial nephritis. Biopsy altered management in 23% of cases. These findings support the value of biopsy in patients with diabetes.<\/jats:p>","DOI":"10.1111\/imj.70552","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T21:07:00Z","timestamp":1784236020000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Non\u2010diabetic kidney disease in patients with diabetes undergoing native kidney biopsy"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0980-608X","authenticated-orcid":false,"given":"Rizza Antoinette","family":"So","sequence":"first","affiliation":[{"name":"Department of Renal Medicine Royal North Shore Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Wan","sequence":"additional","affiliation":[{"name":"Department of Renal Medicine Royal North Shore Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Siriwardana","sequence":"additional","affiliation":[{"name":"Department of Renal Medicine Royal North Shore Hospital  Sydney New South Wales Australia"},{"name":"The George Institute for Global Health University of New South Wales  Sydney New South Wales Australia"},{"name":"Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryony A.","family":"Beal","sequence":"additional","affiliation":[{"name":"Department of Renal Medicine Royal North Shore Hospital  Sydney New South Wales Australia"},{"name":"The George Institute for Global Health University of New South Wales  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren E.","family":"Heath","sequence":"additional","affiliation":[{"name":"Department of Renal Medicine Royal North Shore Hospital  Sydney New South Wales Australia"},{"name":"The George Institute for Global Health University of New South Wales  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"O\u2019Lone","sequence":"additional","affiliation":[{"name":"Department of Renal Medicine Royal North Shore Hospital  Sydney New South Wales Australia"},{"name":"Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Mather","sequence":"additional","affiliation":[{"name":"Department of Renal Medicine Royal North Shore Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol","family":"Pollock","sequence":"additional","affiliation":[{"name":"Department of Renal Medicine Royal North Shore Hospital  Sydney New South Wales Australia"},{"name":"Kolling Institute, Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9276-8380","authenticated-orcid":false,"given":"Brendon L.","family":"Neuen","sequence":"additional","affiliation":[{"name":"Department of Renal Medicine Royal North Shore Hospital  Sydney New South Wales Australia"},{"name":"The George Institute for Global Health University of New South Wales  Sydney New South Wales Australia"},{"name":"Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,16]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"crossref","first-page":"S117","DOI":"10.1016\/j.kint.2023.10.018","article-title":"KDIGO 2024 clinical practice guideline for the evaluation and Management of Chronic Kidney Disease","volume":"105","author":"Kidney disease: improving global outcomes 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AG","year":"2024","journal-title":"Kidney Med"},{"key":"e_1_2_5_7_1","doi-asserted-by":"crossref","first-page":"1718","DOI":"10.2215\/CJN.02510213","article-title":"The modern spectrum of renal biopsy findings in patients with diabetes","volume":"8","author":"Sharma SG","year":"2013","journal-title":"Clin J Am Soc Nephrol"},{"key":"e_1_2_5_8_1","first-page":"380","article-title":"Risk factors for non\u2010diabetic renal disease in diabetic patients","volume":"13","author":"Bermejo S","year":"2020","journal-title":"Clin Kidney J"},{"key":"e_1_2_5_9_1","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1186\/s12902-022-01082-8","article-title":"Clinical predictors for nondiabetic kidney diseases in patients with type 2 diabetes mellitus: a retrospective study from 2017 to 2021","volume":"22","author":"Zeng YQ","year":"2022","journal-title":"BMC Endocr Disord"},{"key":"e_1_2_5_10_1","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1093\/ckj\/sfx111","article-title":"Clinical and pathological characteristics of non\u2010diabetic renal disease in type 2 diabetes patients","volume":"11","author":"Kritmetapak K","year":"2018","journal-title":"Clin Kidney J"},{"key":"e_1_2_5_11_1","doi-asserted-by":"crossref","first-page":"727","DOI":"10.2215\/CJN.0000000000000135","article-title":"Long\u2010term outcomes in IgA nephropathy","volume":"18","author":"Pitcher D","year":"2023","journal-title":"Clin J Am Soc Nephrol"},{"key":"e_1_2_5_12_1","doi-asserted-by":"crossref","DOI":"10.3390\/jcm13040947","article-title":"An update on current therapeutic options in IgA nephropathy","volume":"13","author":"Lim RS","year":"2024","journal-title":"J Clin Med"}],"container-title":["Internal Medicine 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