Evidence map›Paper›PMID 33150774›Full record

ArticleJournal of Zhejiang University. Science. B

Diagnostic value of optic disc retinal nerve fiber layer thickness for diabetic peripheral neuropathy.

Xiao-Hong Wu, Jing-Wen Fang, Yin-Qiong Huang, Xue-Feng Bai, Yong Zhuang, Xiao-Yu Chen, Xia-Hong Lin

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Article in Journal of Zhejiang University. Science. B. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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4 citing papers in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Xiao-Hong WuDepartment of Endocrinology, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China.
Jing-Wen FangDepartment of Endocrinology, the First Hospital of Quanzhou, Quanzhou 362000, China.
Yin-Qiong HuangDepartment of Endocrinology, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China.
Xue-Feng BaiDepartment of Endocrinology, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China.
Yong ZhuangDepartment of Endocrinology, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China.
Xiao-Yu ChenDepartment of Endocrinology, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China.
Xia-Hong LinDepartment of Endocrinology, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the value of optic disc retinal nerve fiber layer (RNFL) thickness in the diagnosis of diabetic peripheral neuropathy (DPN).

methodsNinety patients with type 2 diabetes, including 60 patients without DPN (NDPN group) and 30 patients with DPN (DPN group), and 30 healthy participants (normal group) were enrolled. Optical coherence tomography (OCT) was used to measure the four quadrants and the overall average RNFL thickness of the optic disc. The receiver operator characteristic curve was drawn and the area under the curve (AUC) was calculated to evaluate the diagnostic value of RNFL thickness in the optic disc area for DPN.

resultsThe RNFL thickness of the DPN group was thinner than those of the normal and NDPN groups in the overall average ((101.07± 12.40) µm vs. (111.07±6.99) µm and (109.25±6.90) µm), superior quadrant ((123.00±19.04) µm vs. (138.93±14.16) µm and (134.47±14.34) µm), and inferior quadrant ((129.37±17.50) µm vs. (143.60±12.22) µm and (144.48±14.10) µm), and the differences were statistically significant. The diagnostic efficiencies of the overall average, superior quadrant, and inferior quadrant RNFL thicknesses, and a combined index of superior and inferior quadrant RNFL thicknesses were similar, and the AUCs were 0.739 (95% confidence interval (CI) 0.635-0.826), 0.683 (95% CI 0.576-0.778), 0.755 (95% CI 0.652-0.840), and 0.773 (95% CI 0.672-0.854), respectively. The diagnostic sensitivity of RNFL thickness in the superior quadrant reached 93.33%.

conclusionsThe thickness of the RNFL in the optic disc can be used as a diagnostic method for DPN.

Indexed as

AdultAgedArea Under CurveDiabetes Mellitus, Type 2Diabetic NeuropathiesDouble-Blind MethodFemaleGlycated HemoglobinGlycosylationHumansIntraocular PressureMaleMiddle AgedNerve FibersOptic DiskPeripheral Nervous System DiseasesGlycated Hemoglobinhemoglobin A1c protein, humanType 2 diabetes; Peripheral neuropathy; Retinal nerve fiber layer thickness; Optical coherence tomography; Diagnosis

Identifiers

PMID33150774
PMCPMC7691684

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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.