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The slipping slipper sign: a simple test with high specificity and positive predictive value for peripheral neuropathy among diabetic patients

Gayle, Krystal A T ; Tulloch-Reid, Marshall K ; Wilks, Rainford J ; Ferguson, Trevor S

Clinics and practice, 2012-04, Vol.2 (2), p.e51 [Periódico revisado por pares]

Italy: PAGEPress Publications

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  • Título:
    The slipping slipper sign: a simple test with high specificity and positive predictive value for peripheral neuropathy among diabetic patients
  • Autor: Gayle, Krystal A T ; Tulloch-Reid, Marshall K ; Wilks, Rainford J ; Ferguson, Trevor S
  • Assuntos: Brief Report ; diabetic foot ; diabetic neuropathy ; Jamaica ; slipping slipper sign
  • É parte de: Clinics and practice, 2012-04, Vol.2 (2), p.e51
  • Notas: Conflict of interests: the authors declare no potential conflict of interests.
    Contributions: KATG, data analysis and interpretation, manuscript first draft; TSF, paper conception, data collection and analysis, manuscript revision; MKTR, data analysis and interpretation, manuscript revision; RJW, study oversight, data interpretation, manuscript revision.
  • Descrição: This study evaluated the ability of the slipping slipper sign (defined as unknowingly losing a slipper while walking) to identify diabetic neuropathy in Jamaican patients. A single question was used to ascertain the presence of the slipping slipper sign (SSS) among 69 patients attending a diabetes clinic. Nurses assessed pain, vibration and pressure perception among the same patients in order to detect diabetic neuropathy. The sensitivity, specificity and positive predictive value for the SSS were calculated. Eight participants (men=5, women=3) reported positive SSS. The SSS had a sensitivity of 28.6%, specificity of 100% and positive predictive value (PPV) 100% for neuropathy on at least one of the three tests. These findings indicate that the SSS has high specificity and PPV for diabetic neuropathy but the sensitivity is low. The sign may be a useful adjuvant to conventional methods of screening for severe neuropathy.
  • Editor: Italy: PAGEPress Publications
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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