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Diagnosis
Neuropathic sensory symptoms did not accurately detect polyneuropathy in type 2 diabetes mellitus

https://doi.org/10.1136/ebm.5.6.184

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    (2000) Diabet Med 17, 105. Franse LV, Valk GD, Dekker JH. , et al. . “Numbness of the feet” is a poor indicator for polyneuropathy in type 2 diabetic patients. . . Feb;. :. –10. .
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 QUESTION: How accurate are sensory symptoms for predicting polyneuropathy detected by clinical neurological examination in patients with type 2 diabetes mellitus?

    Design

    Blinded comparison of a neuropathic sensory symptom questionnaire with a clinical neurological examination.

    Setting

    26 general practices in the Netherlands.

    Patients

    588 patients (mean age 67 y, 53% women) with type 2 diabetes who received diabetes care in general practice. Patients were excluded if they received diabetes care in a hospital outpatient clinic or had other aetiological factors that might affect sensory functions of the skin of the lower extremities.

    Description of test and diagnostic standard

    Patients completed a 34 item diabetes symptom checklist that measured the physical and psychological symptoms related to type 2 diabetes; 10 items …

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    Footnotes

    • Source of funding: no external funding.

    • For correspondence: Dr L Franse, Institute for Research in Extramural Medicine, Vrije Universiteit, Van der Boechorststraat 7, 1081 BT Amsterdam, the Netherlands. Fax +31 20 4448361.