JOURNAL OF SHANGHAI JIAOTONG UNIVERSITY (MEDICAL SCIENCE) ›› 2021, Vol. 41 ›› Issue (11): 1518-1523.doi: 10.3969/j.issn.1674-8115.2021.11.018
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Qun-feng WANG1(), Li CAO2, Xing-hua LUAN2()
Online:
2021-11-28
Published:
2021-09-22
Contact:
Xing-hua LUAN
E-mail:wangqf@rjlab.cn;green_lxh@sina.com
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CLC Number:
Qun-feng WANG, Li CAO, Xing-hua LUAN. Review of clinical application of peripheral neuropathy scales[J]. JOURNAL OF SHANGHAI JIAOTONG UNIVERSITY (MEDICAL SCIENCE), 2021, 41(11): 1518-1523.
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URL: https://xuebao.shsmu.edu.cn/EN/10.3969/j.issn.1674-8115.2021.11.018
Scale | Sensitivity/% | Specificity/% | Accuracy/% | Reference |
---|---|---|---|---|
MNSI | 78.00 | 92.00 | 83.00 | [ |
MDNS | 92.90 | 51.60 | 82.90 | [ |
NSC | 85.96 | 77.03 | 80.92 | [ |
NIS | 59.65 | 98.65 | 81.68 | [ |
TCSS | 77.60 | 87.10 | 79.80 | [ |
Tab 1 Comparison of sensitivity, specificity and accuracy of DPN test scale
Scale | Sensitivity/% | Specificity/% | Accuracy/% | Reference |
---|---|---|---|---|
MNSI | 78.00 | 92.00 | 83.00 | [ |
MDNS | 92.90 | 51.60 | 82.90 | [ |
NSC | 85.96 | 77.03 | 80.92 | [ |
NIS | 59.65 | 98.65 | 81.68 | [ |
TCSS | 77.60 | 87.10 | 79.80 | [ |
Type of PN | Scale | Evaluation item | Average completion time/min | Clinical application | Pros and cons | Reference |
---|---|---|---|---|---|---|
CIDP | I-RODS | 24 items | 2–3 | Applicable to all CIDP | Advantages: high responsiveness, can accurately distinguish the degree of disability, there is no floor effect, and the slightest recurrence can be captured. Disadvantage: there is a ceiling effect | [ |
ONLS | An arm disability scale and a leg disability scale | 4–5 | CIDP degree of disability | Advantages: fast, simple, good content validity, small upper limit effect | [ | |
CMT | CMTNS | 9 items | 3 | Length-dependent motor and sensory impairments in hereditary neuropathy, quantifying CMT disability | Advantages: reliability, effectiveness. Disadvantages: there are limitations in the use of length-independent multifocal diseases; changes in age will increase the score | [ |
CMTNS2 | 9 items | 3 | Quantify CMT disability and standardize assessment | Advantages: the upper and lower limit effects are low, and the sensitivity of detection over time is high | [ | |
DPN | MNSI | 15 questions and 8 physical examinations | 4–5 | Early large-scale screening to monitor the progress of the disease | Advantages: simple, fast, and feasible. Disadvantages: unable to identify subclinical and autonomic neuropathy | [ |
MDNS | 20 items | 15 | Diagnosis and staging | Advantages: fast and sensitive | [ | |
TCSS | 13 items | 11 | Early screening and diagnosis, early DPN treatment evaluation | Advantages: early monitoring methods | [ | |
COMPASS-31 | 31 items | 10 | Early detection and management of CAN | Advantages: short time, convenient and high sensitivity | [ | |
NP | DN4 | 10 items | 2.5 | Neuropathic pain screening | Advantages: strong screening ability | [ |
Tab 2 Comparison of score scales for four kinds of PN
Type of PN | Scale | Evaluation item | Average completion time/min | Clinical application | Pros and cons | Reference |
---|---|---|---|---|---|---|
CIDP | I-RODS | 24 items | 2–3 | Applicable to all CIDP | Advantages: high responsiveness, can accurately distinguish the degree of disability, there is no floor effect, and the slightest recurrence can be captured. Disadvantage: there is a ceiling effect | [ |
ONLS | An arm disability scale and a leg disability scale | 4–5 | CIDP degree of disability | Advantages: fast, simple, good content validity, small upper limit effect | [ | |
CMT | CMTNS | 9 items | 3 | Length-dependent motor and sensory impairments in hereditary neuropathy, quantifying CMT disability | Advantages: reliability, effectiveness. Disadvantages: there are limitations in the use of length-independent multifocal diseases; changes in age will increase the score | [ |
CMTNS2 | 9 items | 3 | Quantify CMT disability and standardize assessment | Advantages: the upper and lower limit effects are low, and the sensitivity of detection over time is high | [ | |
DPN | MNSI | 15 questions and 8 physical examinations | 4–5 | Early large-scale screening to monitor the progress of the disease | Advantages: simple, fast, and feasible. Disadvantages: unable to identify subclinical and autonomic neuropathy | [ |
MDNS | 20 items | 15 | Diagnosis and staging | Advantages: fast and sensitive | [ | |
TCSS | 13 items | 11 | Early screening and diagnosis, early DPN treatment evaluation | Advantages: early monitoring methods | [ | |
COMPASS-31 | 31 items | 10 | Early detection and management of CAN | Advantages: short time, convenient and high sensitivity | [ | |
NP | DN4 | 10 items | 2.5 | Neuropathic pain screening | Advantages: strong screening ability | [ |
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