Evidence map›Paper›PMID 42549490›Full record

ArticleEuropean journal of neurology2026

The Diagnostic Accuracy of the Second Revision of the European Academy of Neurology/Peripheral Nerve Society Guideline for Diagnosing Chronic Inflammatory Demyelinating Polyradiculoneuropathy.

Iris N van Doorn, Adája E Baars, Luuk Wieske, Bart C Jacobs, Krista Kuitwaard, W Ludo van der Pol, Pieter A van Doorn, Ivo N van Schaik, Filip Eftimov, H Stephan Goedee and 2 more

Abstract read
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Article in European journal of neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

12 authors.

Iris N van DoornDepartment of Neurology, Amsterdam UMC, University of Amsterdam, Amsterdam Neuroscience, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0001-5336-712X
Adája E BaarsDepartment of Neurology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0001-7842-0871
Luuk WieskeDepartment of Neurology, Amsterdam UMC, University of Amsterdam, Amsterdam Neuroscience, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0002-2522-4081
Bart C JacobsDepartment of Neurology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0002-8985-2458
Krista KuitwaardDepartment of Neurology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0002-1003-500X
W Ludo van der PolDepartment of Neurology, Brain Center, University Medical Center, Utrecht, the Netherlands.ORCID https://orcid.org/0000-0002-8970-2740
Pieter A van DoornDepartment of Neurology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0003-2584-3357
Ivo N van SchaikDepartment of Neurology, Amsterdam UMC, University of Amsterdam, Amsterdam Neuroscience, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0002-9135-6664
Filip EftimovDepartment of Neurology, Amsterdam UMC, University of Amsterdam, Amsterdam Neuroscience, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0002-0146-0776
H Stephan GoedeeDepartment of Neurology, Brain Center, University Medical Center, Utrecht, the Netherlands.ORCID https://orcid.org/0000-0001-9591-1672
Judith DrenthenDepartment of Neurology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0002-2165-6573
Camiel VerhammeDepartment of Neurology, Amsterdam UMC, University of Amsterdam, Amsterdam Neuroscience, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0002-0444-574X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiagnosing chronic inflammatory demyelinating polyneuropathy (CIDP) relies on clinical and electrodiagnostic features. In 2021, the European Academy of Neurology/Peripheral Nerve Society (EAN/PNS) revised the CIDP guideline, superseding the 2010 European Federation of Neurological Societies (EFNS)/PNS guideline. This study compares the diagnostic accuracy of both guidelines and evaluates the impact of specific criterion changes and nerve conduction study (NCS) extensiveness.

methodsPatients with CIDP were included if they fulfilled the 2010 EFNS/PNS electrodiagnostic criteria for at least possible CIDP or had a presumptive clinical CIDP diagnosis with objective treatment response. Matched controls were patients with suspected chronic immune-mediated neuropathy who received a diagnosis other than CIDP. Diagnostic accuracy was evaluated using two thresholds: one including possible CIDP and one restricted to (probable/definite) CIDP. The impact of electrodiagnostic criteria changes and NCS extensiveness on diagnostic performance was assessed.

resultsWe included 339 patients and 339 matched controls. Sensitivity of the 2010 EFNS/PNS guideline was 92% when including possible CIDP and 91% for probable/definite CIDP, with specificities of 67% and 78%, respectively. For the 2021 EAN/PNS guideline, sensitivity was 94% when including possible CIDP and 83% for CIDP, with specificities of 66% and 86%, respectively. Differences were due to sensory criteria and changes in conduction block criteria. Unilateral NCS would miss 77 possible CIDP diagnoses.

conclusionSensitivity and specificity were comparable when including possible CIDP, but the 2021 EAN/PNS guideline showed lower sensitivity and higher specificity for CIDP alone. Modifying criteria, including removal of sensory abnormalities, and more extensive NCS enhanced accuracy.

Indexed as

Polyradiculoneuropathy, Chronic Inflammatory DemyelinatingPractice Guidelines as TopicAdultAgedElectrodiagnosisEuropeFemaleHumansMaleMiddle AgedNerve Conduction StudiesNeural ConductionSensitivity and SpecificitySocieties, Medicalchronic inflammatory demyelinating polyneuropathydiagnostic techniques and procedureselectrodiagnosisnerve conduction studiessensitivity and specificity

Identifiers

PMID42549490
PMCPMC13434837

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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.