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

Gad, Hoda and Kalra, Sanjay and Pinzon, Rizaldy and Gracia, Rey-an Nino and Yotsombut, Kitiyot and Coetzee, Ankia and Nafach, Jalal and Lim, Lee-Ling and Fletcher, Pablo E. and Lim, Vivien and Malik, Rayaz A. (2024) Earlier diagnosis of peripheral neuropathy in primary care: A call to action. Journal of the Peripheral Nervous System, 29 (1). pp. 28-37. ISSN 1085-9489, DOI https://doi.org/10.1111/jns.12613.

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Official URL: https://doi.org/10.1111/jns.12613

Abstract

Peripheral neuropathy (PN) often remains undiagnosed (similar to 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.

Item Type: Article
Funders: Procter & Gamble, PG Health
Uncontrolled Keywords: early-diagnosis; peripheral neuropathy; primary care
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 11 Nov 2024 06:13
Last Modified: 11 Nov 2024 06:13
URI: http://eprints.um.edu.my/id/eprint/45742

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