Evidence map›Paper›PMID 24661818›Full record

ArticleJournal of diabetes and its complications

The diagnostic utility of Sudoscan for distal symmetric peripheral neuropathy.

A Gordon Smith, Margaret Lessard, Sandra Reyna, Mariana Doudova, J Robinson Singleton

3 registry-linked trialsOpen access · greenAbstract readEvaluation Study
In one paragraph

Article in Journal of diabetes and its complications. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 79 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 2 pooled it
7.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02767583 nacompletednot on this map

Assessment of the Prevalence of Small Fiber Peripheral Neuropathy Among Non-diabetic Obese Patients

TypeinterventionalSponsorFondation Hôpital Saint-JosephRan2015 to 2017Enrolled16ConditionsNeuropathologyArmsExams
NCT03495089 nacompletednot on this map

Feasibility and Effectiveness of Electrochemical Dermal Conductance Measurement for the Screening of Diabetic Neuropathy in Primary Care.

TypeinterventionalSponsorFundacio d'Investigacio en Atencio Primaria Jordi Gol i GurinaRan2015 to 2018Enrolled147ConditionsNeuropathy, Diabetic, Diabetes Mellitus, Type 2Armsdermal electrochemical conductance (DEC), Monofilament testing
NCT06030297 nacompletednot on this map

Diode Laser as a Biomarker for Neuropathic Pain of Peripheral Origin.

TypeinterventionalSponsorUniversity of UtahRan2023 to 2026Enrolled75ConditionsPeripheral NeuropathyArmsDiode Laser fiber type Selective Stimulator, ZTlido 1.8 % Topical System, PeriCam PSI NR, Medoc Quantitative Sensory Testing, Inactive Topical System
3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 2 syntheses or guidelines pooled it, 139 citations in OpenAlex.

  1. Pooled it
  2. Sudomotor function testing by electrochemical skin conductance: does it really measure sudomotor function?Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2019
    Pooled it
  3. Trial
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  9. Sudoscan® and QSART in the composite autonomic severity scale: complementary approaches to sudomotor assessment in multiple sclerosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
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  13. Review
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19 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

A Gordon SmithUniversity of Utah Department of Neurology. Electronic address: Gordon.smith@hsc.utah.edu.
Margaret LessardUniversity of Utah Department of Neurology.
Sandra ReynaUniversity of Utah Department of Neurology.
Mariana DoudovaUniversity of Utah Department of Neurology.
J Robinson SingletonUniversity of Utah Department of Neurology.
University of Utah · US

Funding

The Utah Diabetic Neuropathy StudyR01DK064814 · NIDDK · UNIVERSITY OF UTAH · PI SINGLETON, JOHN ROBINSON, SMITH, A. GORDON · 2004 to 2019
$7.8M
NIDDK NIH HHS R01 DK064814NIDDK NIH HHS R01DK064814
6 · The paper itself

Abstract

aimsDiagnosis of early distal symmetric polyneuropathy (DSP) is challenging. Nerve conduction studies (NCS) are often normal. Skin biopsy for intraepidermal nerve fiber density (IENFD) has better sensitivity, but is invasive. Sudoscan is a novel technology that measures electrochemical skin conductance (ESC; microSiemens, μS), which is thought to be proportionate to the number of functional sweat glands. This study evaluated Sudoscan's diagnostic utility for DSP.

methods55 patients with suspected DSP (22 with diabetes, 2 prediabetes, 31 idiopathic) and 42 controls underwent the Utah Early Neuropathy Scale (UENS) and Sudoscan. Each was offered skin biopsy. DSP participants underwent quantitative sudomotor axon reflex testing (QSART) and NCS.

resultsFeet and hands ESCs were reduced among DSP participants compared to controls (64±22 vs. 76±14 μS p<0.005, and 58±19 vs. 66±18 μS p<0.04). There was no difference between diabetic and idiopathic DSP. Receiver operating characteristic curve analysis revealed feet ESC and IENFD had similar areas under the curve (0.761 and 0.752). ESC correlated with Sural amplitude (0.337, p<0.02), UENS (-0.388, p<0.004), and MNSI (-0.398, p<0.005).

conclusionsSudoscan is a promising diagnostic test for diabetic and idiopathic DSP, with diagnostic performance similar to IENFD.

Indexed as

Down-RegulationGalvanic Skin ResponseAgedCohort StudiesDiabetic NeuropathiesFemaleFootHandHospitals, UniversityHumansMaleMass ScreeningMiddle AgedOutpatient Clinics, HospitalPeripheral Nervous System DiseasesPrediabetic StateDiabetesPeripheral neuropathySkin biopsySudomotor

Identifiers

PMID24661818
PMCPMC4219320
OpenAlexW2076406153

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.