Symptom scoring systems to diagnose distal polyneuropathy in diabetes: the Diabetic Neuropathy Symptom score

• DOI: 10.1046/j.1464-5491.2002.00819.x
• Publication Date: 2003-03-11T14:53:51Z
• Authors: J. W.G. Meijer; A. J. Smit; E. V. Sonderen; J. W. Groothoff; W. H. Eisma; T. P. Links
• Keywords: Diabetic Neuropathy

Abstract Aims To provide one of the diagnostic categories for distal diabetic polyneuro‐pathy,several symptom scoring systems are available, which often extensive andlack in validation. We validated a new four‐item Diabetic Neuropathy Symptom (DNS) scorefor diagnosing polyneuropathy. Methods compared score characteristics generally accepted NeuropathySymptom Score (NSS) with DNS score, and tested construct validity,predictive value reproducibility Examinationscore, Semmes–Weinstein monofilaments Vibration Perception Threshold(clinical standards) 73 patients diabetes (24 Type 1, 49 2;43 male/30 female; mean age 57 years (19–90);mean duration 15 (1–43)). Results Correlation between NSS was high (Spearman r = 0.88). Patient scoreswere more differentiated on score. The relation andDNS scores, respectively, clinical standards good 0.21–0.60). Reproducibility ofthe (Cohen weighted κ 0.78–0.95). DNSscore easier to perform practice. Conclusions is validated, fast easy perform, predictive valuewhen screening Diabet. Med. 19, 962–965 (2002)