Diagnostic Accuracy of Monofilament Tests for Detecting Diabetic Peripheral Neuropathy: A Systematic Review and Meta-Analysis
Joint Authors
Wang, Pu
Wang, Fengyi
Zhang, Jiaqi
Yu, Jiadan
Liu, Shaxin
Zhang, Rengang
Ma, Xichao
Yang, Yonghong
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-10-08
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
Objective.
To systematically evaluate the diagnostic accuracy of monofilament tests for detecting diabetic peripheral neuropathy.
Methods.
We searched EMBASE (OvidSP), MEDLINE (OvidSP), the Cochrane Library, and Web of Science to identify diagnostic accuracy trials of monofilament tests for detecting diabetic peripheral neuropathy.
We used a hierarchical summary receiver operating characteristics (HSROC) model to conduct the meta-analysis of diagnostic accuracy of monofilament tests for detecting diabetic peripheral neuropathy.
Results.
A total of 19 comparative trials met the inclusion criteria and were part of the qualitative synthesis.
Eight trials using nerve conduction studies as the reference standard were selected for the meta-analysis.
The pooled sensitivity and specificity of monofilament tests for detecting diabetic peripheral neuropathy were 0.53 (95% confidence interval (CI) 0.32 to 0.74) and 0.88 (95% CI 0.78 to 0.94), respectively.
The pooled positive likelihood ratio and negative likelihood ratio were 4.56 (95% CI 2.93 to 7.10) and 0.53 (95% CI 0.35 to 0.81), respectively.
Conclusions.
Our review indicated that monofilament tests had limited sensitivity for screening diabetic peripheral neuropathy.
The clinical use of the monofilament test in the evaluation of diabetic peripheral neuropathy cannot be encouraged based on currently available evidence.
American Psychological Association (APA)
Wang, Fengyi& Zhang, Jiaqi& Yu, Jiadan& Liu, Shaxin& Zhang, Rengang& Ma, Xichao…[et al.]. 2017. Diagnostic Accuracy of Monofilament Tests for Detecting Diabetic Peripheral Neuropathy: A Systematic Review and Meta-Analysis. Journal of Diabetes Research،Vol. 2017, no. 2017, pp.1-12.
https://search.emarefa.net/detail/BIM-1174953
Modern Language Association (MLA)
Wang, Fengyi…[et al.]. Diagnostic Accuracy of Monofilament Tests for Detecting Diabetic Peripheral Neuropathy: A Systematic Review and Meta-Analysis. Journal of Diabetes Research No. 2017 (2017), pp.1-12.
https://search.emarefa.net/detail/BIM-1174953
American Medical Association (AMA)
Wang, Fengyi& Zhang, Jiaqi& Yu, Jiadan& Liu, Shaxin& Zhang, Rengang& Ma, Xichao…[et al.]. Diagnostic Accuracy of Monofilament Tests for Detecting Diabetic Peripheral Neuropathy: A Systematic Review and Meta-Analysis. Journal of Diabetes Research. 2017. Vol. 2017, no. 2017, pp.1-12.
https://search.emarefa.net/detail/BIM-1174953
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1174953