Evidence map›Paper›PMID 29625948›Full record

ArticleJMIR research protocols2018

Comparing the Diagnostic Accuracy of Simple Tests to Screen for Diabetic Peripheral Neuropathy: Protocol for a Cross-Sectional Study.

Kate Goddard, Prashanth Vas, Alistair Purves, Viktoria McMillan, Thomas Langford, Fiona Reid, Michael Edmonds

Abstract read
In one paragraph

Article in JMIR research protocols, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. The Diagnostic Utility of VibraTip for Distal Symmetrical Polyneuropathy in Type 2 Diabetes Mellitus.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2020
    Article
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

7 authors.

Kate GoddardKing's Technology Evaluation Centre, King's College London, London, United Kingdom.ORCID http://orcid.org/0000-0002-5862-6044
Prashanth VasKing's College London Hospital NHS Trust, London, United Kingdom.ORCID http://orcid.org/0000-0001-7448-2995
Alistair PurvesKing's College London Hospital NHS Trust, London, United Kingdom.ORCID http://orcid.org/0000-0002-4805-4417
Viktoria McMillanKing's Technology Evaluation Centre, King's College London, London, United Kingdom.ORCID http://orcid.org/0000-0002-3995-3509
Thomas LangfordKing's Technology Evaluation Centre, King's College London, London, United Kingdom.ORCID http://orcid.org/0000-0002-7774-7327
Fiona ReidKing's Technology Evaluation Centre, King's College London, London, United Kingdom.ORCID http://orcid.org/0000-0002-0762-8111
Michael EdmondsKing's College London Hospital NHS Trust, London, United Kingdom.ORCID http://orcid.org/0000-0002-8931-0069

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVarious tests are used to detect diabetic peripheral neuropathy by assessing sense perception in the feet. Tests vary in terms of time and resources required. Simple tests are those that can be conducted quickly and easily in primary care without laboratory equipment. There are some limitations to these simple tests, an example being the variable amplitude of the 128 Hz tuning fork. A new test, VibraTip (McCallan Medical, UK), might be a valuable alternative as it emits a consistent amplitude and may offer improved diagnostic accuracy.

objectiveThe aims of this study are to estimate the diagnostic accuracy of the VibraTip device for diabetic peripheral neuropathy against the reference standard of sural nerve conduction velocity measurement, and to assess whether the VibraTip offers superior diagnostic accuracy to other routine tests based on vibration or touch.

methodsThe study will prospectively recruit adults with type 2 diabetes who are due to attend a routine follow-up clinic. A cross-sectional study design will be employed to assess the diagnostic accuracy of 5 standard index tests for peripheral neuropathy, including VibraTip. The reference test will be sural nerve conduction velocity measurement.

resultsFunding is being sought to conduct this research. The outcomes assessed will be the diagnostic accuracy of the 5 index tests against sural nerve conduction velocity measurement, including sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio, and negative likelihood ratio. Receiver operating characteristic curves will be constructed and compared for each test.

conclusionsThis study will be the first within-study comparison of 5 simple tests for screening diabetic peripheral neuropathy and will address uncertainties in the potential benefits of using VibraTip in comparison with the other tests.

Indexed as

diabetes mellitusdiabetic footdiabetic neuropathiesperipheral nervous system diseasespredictive value of testssensitivity and specificitysensory thresholds

Identifiers

PMID29625948
PMCPMC5910530

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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.