Earlier diagnosis of peripheral neuropathy in primary care: A call to action

IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Journal of the Peripheral Nervous System Pub Date : 2024-01-24 DOI:10.1111/jns.12613
Hoda Gad, Sanjay Kalra, Rizaldy Pinzon, Rey-an Nino Gracia, Kitiyot Yotsombut, Ankia Coetzee, Jalal Nafach, Lee-Ling Lim, Pablo E. Fletcher, Vivien Lim, Rayaz A. Malik
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Abstract

Peripheral neuropathy (PN) often remains undiagnosed (~80%). Earlier diagnosis of PN may reduce morbidity and enable earlier risk factor reduction to limit disease progression. Diabetic peripheral neuropathy (DPN) is the most common PN and the 10 g monofilament is endorsed as an inexpensive and easily performed test for DPN. However, it only detects patients with advanced neuropathy at high risk of foot ulceration. There are many validated questionnaires to diagnose PN, but they can be time-consuming and have complex scoring systems. Primary care physicians (PCPs) have busy clinics and lack access to a readily available screening method to diagnose PN. They would prefer a short, simple, and accurate tool to screen for PN. Involving the patient in the screening process would not only reduce the time a physician requires to make a diagnosis but would also empower the patient. Following an expert meeting of diabetologists and neurologists from the Middle East, South East Asia and Latin America, a consensus was formulated to help improve the diagnosis of PN in primary care using a simple tool for patients to screen themselves for PN followed by a consultation with the physician to confirm the diagnosis.

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初级保健中周围神经病变的早期诊断:行动呼吁。
周围神经病变(PN)常常得不到诊断(约占 80%)。及早诊断周围神经病可降低发病率,并能及早减少风险因素,从而限制疾病的发展。糖尿病周围神经病变(DPN)是最常见的周围神经病变,10 克单丝被认为是一种廉价且易于操作的 DPN 检测方法。然而,它只能检测出足部溃疡风险较高的晚期神经病变患者。有许多经过验证的问卷可用于诊断 PN,但这些问卷耗时较长,而且评分系统复杂。初级保健医生(PCPs)的门诊工作繁忙,没有现成的筛查方法来诊断 PN。他们更希望有一种简短、简单、准确的工具来筛查 PN。让患者参与筛查过程不仅能减少医生做出诊断所需的时间,还能增强患者的能力。来自中东、东南亚和拉丁美洲的糖尿病学家和神经病学家召开了一次专家会议,会上达成了一项共识,即使用一种简单的工具让患者自我筛查 PN,然后与医生会诊以确诊,从而帮助改善初级保健中对 PN 的诊断。
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来源期刊
CiteScore
6.10
自引率
7.90%
发文量
45
审稿时长
>12 weeks
期刊介绍: The Journal of the Peripheral Nervous System is the official journal of the Peripheral Nerve Society. Founded in 1996, it is the scientific journal of choice for clinicians, clinical scientists and basic neuroscientists interested in all aspects of biology and clinical research of peripheral nervous system disorders. The Journal of the Peripheral Nervous System is a peer-reviewed journal that publishes high quality articles on cell and molecular biology, genomics, neuropathic pain, clinical research, trials, and unique case reports on inherited and acquired peripheral neuropathies. Original articles are organized according to the topic in one of four specific areas: Mechanisms of Disease, Genetics, Clinical Research, and Clinical Trials. The journal also publishes regular review papers on hot topics and Special Issues on basic, clinical, or assembled research in the field of peripheral nervous system disorders. Authors interested in contributing a review-type article or a Special Issue should contact the Editorial Office to discuss the scope of the proposed article with the Editor-in-Chief.
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