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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 …