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Validity and reliability of the Polish version of the Michigan Neuropathy Screening Instrument

World Journal of Diabetes 2023年第4期14卷 435-446页

作者： Edyta Sutkowska Dominik Marciniak Magdalena Koszewicz Edyta Dziadkowiak Slawomir Budrewicz Karolina Biernat natalia kuciel Justyna Mazurek Katarzyna Hap University Rehabilitation Centre Wroclaw Medical UniversityWroclaw 50-556Poland Department of Drugs Form Technology Wroclaw Medical UniversityWroclaw 50-556Poland Department of Neurology Wroclaw Medical UniversityWroclaw 50-556Poland

BACKGROUND Diabetic sensorimotor polyneuropathy is an important risk factor for foot ulceration and ***,patients with diabetes should be screened for this disorder according to local *** obstacle to the diagnosis of this disease may be the lack of unified diagnostic criteria due to the lack of properly validated scales used for *** To validate both sections(A and B)of the Michigan Neuropathy Screening Instrument(MNSI)in Polish(PL)patients with *** A cross-sectional study using a test(A1,B1)and re-test(A2,B2)formula was performed in 80 patients with *** gold standard used for neuropathy detection was a nerve conduction study(NCS)which was performed in all *** of the MNSI-PL was assessed using the Cronbach’s alpha,Kuder-Richardson formula 20(KR-20),split-half reliability,the Gottman split-half tests,and correlation between first and second half was *** was assessed using an intraclass correlation coefficient(ICC).For external validation,we used simple linear correlation,binomial regression,and agreement between two different tools using a Bland-Altman plot *** The scale was internally consistent(Cronbach’s alpha for the full scale:0.81 for A and 0.87 for B).MNSI-PL scores in test/retest showed high stability(ICC=0.73 for A and ICC=0.97 for B).The statistically important correlations between MNSI-PL and NCS were found for B1,B2,and A1(P<0.005).The cut-off points of≥3 for section A(sensitivity of 90%-100%;specificity of 33%-40%)and≥2 for section B(sensitivity of 81%-84%;specificity of 60%-70%)were obtained during neuropathy *** The MNSI-PL is a reliable and valid instrument in screening for diabetic neuropathy.

关键词： Michigan Neuropathy Screening Instrument Validity Reliability Diabetic neuropathy Chronic complications

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