PMID- 27186185 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160517 LR - 20220410 IS - 1734-1922 (Print) IS - 1896-9151 (Electronic) IS - 1734-1922 (Linking) VI - 12 IP - 2 DP - 2016 Apr 1 TI - Evaluation of sural nerve automated nerve conduction study in the diagnosis of peripheral neuropathy in patients with type 2 diabetes mellitus. PG - 390-3 LID - 10.5114/aoms.2016.59265 [doi] AB - INTRODUCTION: New tests for improved diagnosis of diabetic peripheral neuropathy (DPN) are useful. MATERIAL AND METHODS: We evaluated the utility of automated nerve conduction study (NCS) of the sural nerve with a new portable device for the diagnosis of DPN in patients with type 2 diabetes mellitus (T2DM). This study included 114 T2DM patients (58 men) with mean age 64.60 +/-8.61 years. Exclusion criteria were B12 depletion, alcohol abuse and other causes of peripheral neuropathy. The reference method was the Neuropathy Disability Score (NDS) with a threshold NDS >/= 3. Sural nerve automated NCS was carried out with the portable NC-stat DPNCheck device. Sensory nerve conduction velocity and sensory nerve action potential amplitude were measured bilaterally. Automated NCS was considered abnormal when >/= 1 of the two aforementioned neurophysiological parameters was abnormal in at least one leg. RESULTS: Examination with NC-stat DPNCheck exhibited 90.48% sensitivity, 86.11% specificity, 79.17% positive predictive value (PPV) and 93.94% negative predictive value (NPV). The positive likelihood ratio (LR+) was 6.51 and the negative likelihood ratio (LR-) was 0.11. CONCLUSIONS: Sural nerve automated NCS with the NC-stat DPNCheck device exhibits high sensitivity and specificity for the diagnosis of DPN in T2DM. FAU - Chatzikosma, Georgia AU - Chatzikosma G AD - Diabetes Centre, Second Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, Greece. FAU - Pafili, Kalliopi AU - Pafili K AD - Diabetes Centre, Second Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, Greece. FAU - Demetriou, Maria AU - Demetriou M AD - Diabetes Centre, Second Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, Greece. FAU - Vadikolias, Konstantinos AU - Vadikolias K AD - Diabetes Centre, Second Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, Greece. FAU - Maltezos, Efstratios AU - Maltezos E AD - Diabetes Centre, Second Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, Greece. FAU - Papanas, Nikolaos AU - Papanas N AD - Diabetes Centre, Second Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, Greece. LA - eng PT - Journal Article DEP - 20160412 PL - Poland TA - Arch Med Sci JT - Archives of medical science : AMS JID - 101258257 PMC - PMC4848369 OTO - NOTNLM OT - diabetes mellitus OT - diabetic neuropathy OT - diagnosis OT - nerve conduction study EDAT- 2016/05/18 06:00 MHDA- 2016/05/18 06:01 PMCR- 2016/04/01 CRDT- 2016/05/18 06:00 PHST- 2014/08/05 00:00 [received] PHST- 2014/09/03 00:00 [accepted] PHST- 2016/05/18 06:00 [entrez] PHST- 2016/05/18 06:00 [pubmed] PHST- 2016/05/18 06:01 [medline] PHST- 2016/04/01 00:00 [pmc-release] AID - 27370 [pii] AID - 10.5114/aoms.2016.59265 [doi] PST - ppublish SO - Arch Med Sci. 2016 Apr 1;12(2):390-3. doi: 10.5114/aoms.2016.59265. Epub 2016 Apr 12.