Consistency Analysis Between SUDOSCAN Examinations and Electromyography Results in Patients with Diabetes

Abstract

Objective To evaluate the consistency between SUDOSCAN examinations and electromyography (EMG) results in patients with diabetes. Methods A total of 326 patients with diabetes (201 males and 125 females) who were hospitalized in the endocrinology ward of the Affiliated Hospital of Nanjing University of Chinese Medicine (Jiangsu Province Hospital of Chinese Medicine) from June 2020 to February 2021 were selected as participants. All the patients were tested using a SUDOSCAN conductance analyzer for electrical skin conductivities and EMG for nerve conduction. The differences and consistencies between the results of the two examinations were analyzed. McNemar’s test was used to analyze the differences between the results, and Cohen’s kappa test was utilized to test the consistencies. Results A total of 174 patients had abnormal SUDOSCAN results, and 152 patients had normal SUDOSCAN results. The EMG results of 299 patients were abnormal, and the EMG results of 27 patients were normal. The McNemar test result was P = 0.000, and the differences between the results of the SUDOSCAN and EMG examinations were statistically significant ( P < 0.01). No significant consistency was found between the SUDOSCAN and EMG results, meaning that the consistency between the two examination results was not statistically significant ( P = 0.868, P > 0.05). The difference between the results was statistically significant ( P < 0.05), and the consistency was poor (kappa = 0.005). Conclusion Differences existed between the SUDOSCAN examination and EMG results, and the results of the two examination methods were inconsistent, indicating that SUDOSCAN examinations cannot replace EMG examinations for DSPN.

Peripheral Neuropathy in Diabetes Mellitus: Pathogenetic Mechanisms and Diagnostic Options

“…The Sudoscan is a tool that allows for a quantitative evaluation of cutaneous sudomotor function through reverse iontophoresis and chronoamperometry [ 105 , 106 , 107 , 108 , 109 ]. During the examination, the subjects placed their palms and soles on a platform for a few minutes.…”