Validity and reliability of a point-of-care nerve conduction device in diabetes patients

J Diabetes Investig. 2019 Sep;10(5):1291-1298. doi: 10.1111/jdi.13007. Epub 2019 Feb 8.

Abstract

Aims/introduction: Although nerve conduction study (NCS) using a standard electromyography system (EMGS) is considered to be the gold standard in evaluating diabetic polyneuropathy, this examination requires expensive equipment and well-trained technicians. We aimed to validate a point-of-care device, NC-stat/DPNCheck™, that has been developed for widespread use of NCS in diabetic polyneuropathy.

Materials and methods: Diabetes patients underwent two kinds of NCS: DPNCheck™ and electromyography system. Inter-/intrarater reliability of DPNCheck™ were also determined by the intraclass correlation coefficient.

Results: A total of 57 patients were evaluated. The parameters of NCS between the two methods correlated well (r = 0.7734 for the sural nerve conduction velocity, r = 0.6155 for the amplitude of sural nerve action potential). The intraclass correlation coefficients were excellent (intrarater: the velocity 0.767, the amplitude 0.811; interrater: the velocity 0.974, the amplitude 0.834).

Conclusions: The point-of-care device has excellent reproducibility and good agreement with standard electromyography system. The device might be useful to evaluate diabetic polyneuropathy.

Keywords: Diabetic polyneuropathy; Nerve conduction study; Point-of-care device.

MeSH terms

  • Diabetes Mellitus, Type 1 / complications*
  • Diabetic Neuropathies / diagnosis*
  • Diabetic Neuropathies / etiology
  • Electrodiagnosis / instrumentation*
  • Electrodiagnosis / methods
  • Female
  • Follow-Up Studies
  • Humans
  • Japan
  • Male
  • Middle Aged
  • Neural Conduction / physiology*
  • Point-of-Care Systems / standards*
  • Prognosis
  • Reproducibility of Results