Table 2. Diagnostic utility of peripheral neuropathy screening tools and quantitative sensory testing in detecting moderate to severe peripheral neuropathy.
Sensitivity [95%CI] | Specificity [95%CI] | PPV | NPV | Acc | LR+ | LR- | AUC | Cutoff | |
Neuropathy Severity Score | 66.7 [29, 104] | 91.7 [81, 103] | 66.7 | 91.7 | 86.7 | 8 | 0.4 | 0.83 | ≥6 |
Subjective-PNS – Maximum Score | 66.7 [29, 104] | 91.7 [81, 103] | 66.7 | 91.7 | 86.7 | 8 | 0.4 | 0.83 | ≥5 |
Subjective-PNS) - Total Score | 83.3 [53, 113] | 83.3 [68, 98] | 55.6 | 95.2 | 83.3 | 5 | 0.2 | 0.86 | ≥6 |
Single Question Neuropathy Screen | 83.3 [53, 113] | 70.8 [53, 89] | 41.7 | 94.4 | 73.3 | 2.9 | 0.2 | 0.77 | ---- |
Brief-PNS | 0 [0,0] | 91.7 [81, 103] | 0 | 78.6 | 73.3 | 0 | 1.1 | 0.46 | ---- |
Monofilament | 100 [100,100] | 87.5 [74, 101] | 66.7 | 100 | 90 | 8 | 0 | 0.94 | ≥2 |
Graduated Tuning Fork | 83.3 [53, 113] | 87.5 [74, 101] | 62.5 | 95.4 | 86.7 | 6.7 | 0.2 | 0.85 | ---- |
Two-Point Discrimination | 75 [40, 109] | 58.3 [39, 78] | 23.1 | 93.3 | 60.7 | 1.8 | 0.4 | 0.70 | ≥4 |
Abbreviations: Acc: Accuracy; PNS: Peripheral Neuropathy Screen.