Evidence map›Paper›PMID 32258166›Full record

ArticleJournal of diabetes research2020

Clinical Examination and Self-Reported Upper Extremity Impairments in Patients with Long-Standing Type 1 Diabetes Mellitus.

Kerstin Gutefeldt, Simon Lundstedt, Ingrid S M Thyberg, Margareta Bachrach-Lindström, Hans J Arnqvist, Anna Spångeus

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 28% 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.

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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
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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

6 authors at 1 institution in 1 country.

Kerstin GutefeldtDepartment of Endocrinology, Linköping University Hospital, Linköping, Sweden.ORCID https://orcid.org/0000-0002-4157-660X
Simon LundstedtDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Ingrid S M ThybergDepartment of Rheumatology and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Margareta Bachrach-LindströmDivision of Nursing Sciences, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Hans J ArnqvistDepartment of Endocrinology, Linköping University Hospital, Linköping, Sweden.
Anna SpångeusDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0002-7130-9158
Linköping University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aims of the current study were (1) to determine the prevalence of upper extremity impairments (UEIs) in patients with type 1 diabetes by clinical investigation; (2) to investigate if self-reported impairments were concordant with clinical findings and if key questions could be identified; and (3) to investigate if answers to our self-reported questionnaire regarding UEIs are reliable.

methodsPatients with type 1 diabetes were invited to participate in a cross-sectional study of clinical and self-reported (12 items) UEIs in adjunction to ordinary scheduled clinical visit. Before the visit, a questionnaire on UEIs was filled in twice (test-retest) followed by clinical testing at the planned visit.

resultsIn total, 69 patients aged 45 ± 14 years and with diabetes duration 26 ± 15 were included in the study. In the clinical examination, two-thirds (65%) of the patients showed one or more UEI, with failure to perform hand against back as the most common clinical finding (40%) followed by positive Phalen's test (27%), Tinel's test (26%), and Prayer's sign (24%). UEIs observed by clinical examination were often bilateral, and multiple impairments often coexisted. Self-reported shoulder stiffness was associated with impaired shoulder mobility and with Prayer's sign. Self-reported reduced hand strength was associated to lower grip force, Prayer's sign, trigger finger, fibrosis string structures, and reduced thenar strength as well as reduced shoulder mobility. In addition, self-reporting previous surgery of carpal tunnel and trigger finger was associated with several clinical UEIs including shoulder, hand, and finger. The test-retest of the questionnaire showed a high agreement of 80-98% for reported shoulder, hand, and finger impairments.

conclusionUEIs are common in type 1 diabetes. Self-reported shoulder stiffness and reduced hand strength might be used to capture patients with UEIs in need of clinical investigation and enhanced preventive and therapeutic strategies, as well as rehabilitative interventions.

Indexed as

AdultCross-Sectional StudiesDiabetes Mellitus, Type 1Diabetic NeuropathiesFemaleHand StrengthHumansJoint DiseasesMaleMiddle AgedPhysical ExaminationPrevalenceShoulder PainSurveys and QuestionnairesUpper Extremity

Identifiers

PMID32258166
PMCPMC7086441
OpenAlexW3011140879

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.