Interpreting the results of the Semmes‐Weinstein monofilament test: accounting for false‐positive answers in the international consensus on the diabetic foot protocol by a new model

Slater, Robert A.; Koren, Shlomit; Ramot, Yoram; Buchs, Andreas; Rapoport, Micha J.

doi:10.1002/dmrr.2465

Cited by 17 publications

(12 citation statements)

References 12 publications

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“…In our sample, monofilament testing resulted pathological for 7% of patients. This tool has probably become the most widely promoted method for diagnosing neuropathy (Singh, Armstrong, & Lipsky, 2000), whose use needs some technical attentions (Armstrong, n.d.) and a critical evaluation of patients' answers (Slater, Koren, Ramot, Buchs, & Rapoport, 2014). It is not clear which number of anatomic sites should be tested from one to ten, but the performance of the test did not seem different in three or four points versus eight and ten points (Baraz, Zarea, Shahbazian, & Latifi, 2014).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of neuropathy in type 2 diabetic patients and its association with other diabetes complications: The Verona Diabetic Foot Screening Program

Salvotelli

Stoico

Perrone

et al. 2015

Journal of Diabetes and its Complications

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Section: Discussionmentioning

confidence: 99%

Prevalence of neuropathy in type 2 diabetic patients and its association with other diabetes complications: The Verona Diabetic Foot Screening Program

Salvotelli

Stoico

Perrone

et al. 2015

Journal of Diabetes and its Complications

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“…Também foi identificado que o Angiocatéter de 24g X 0,75 pode substituir o monofilamento de SW em caso de falta ou verba para adquiri-lo, na realização do exame e detecção precoce do risco para o pé diabético, tendo uma confiabilidade com valores superiores a 0,98 (p <0,001). No entanto, o padrão ouro permanece o monofilamento de SW, com a sensibilidade relatada de até 0,95 e especificidade de até 0,82 para o diagnóstico de perda da sensibilidade, comprovando a sua eficácia e confiabilidade (18,19,20) .…”

Section: Discussionunclassified

O monofilamento como prevenção do pé diabético: uma revisão integrativa da literatura

Feitosa¹,

Dantas²,

Silva³

et al. 2016

Online braz j nurs

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Aim: To verify, in the scientific production, the degree of reliability of the Semmens-Weinstein monofilament as a risk assessment tool for diabetic foot. Method: This is an integrative literature review conducted from consultation of the electronic databases CINAHL, MEDLINE, SCOPUS and SCIELO. Results: Six articles comprising five cross-sectional studies and one cohort study were selected. The six articles included in the review were taken from medical journals; no nursing publication was found that met the goal. Conclusion: The Semmens-Weinstein monofilament is a reliable tool which has the best performance for assessing the risk for diabetic foot and its applicability is extremely important in consultations.

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“…10 Despite several studies regarding the points to be investigated, there is no consensus regarding the number of sites where the monofilament should be applied. 11 It is worth mentioning that the objective this study was to evaluate the Loss of Protective Sensitivity (LPS) detected by means of the 10 g monofilament, based on the recommendations given by the Ministry of Health and by the Brazilian Society of Diabetes, which guide risk tracking in the lower limbs of individuals with diabetes. 1,6 Thus, the person who was sensitive to the monofilament at the tested points was considered with no sensorimotor alteration.…”

Section: Methodsmentioning

confidence: 99%

Sensorimotor Alterations and Associated Factors in Diabetes Mellitus Patients

Brito

Oliveira

Sousa

et al. 2020

Texto contexto - enferm.

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Objective: to evaluate sensorimotor alterations in the extremities of the lower limbs and associated factors in Diabetes Mellitus patients. Method: this was a cross-sectional and analytical study, conducted in a Basic Health Unit, in Teresina (Brazil) with a sample of 102 participants between April and July 2018, by means of a semi-structured form. For the statistical analyses, the Pearson's chi-square and Fisher's exact tests were performed. Results: among the study participants, 99 (97.1%) presented alterations, 73 (71.6%) on the skin and 40 (39.2%) on nails. The sensorimotor examination identified 40 (39.22%) individuals with tactile sensitivity alterations and 13 (12.7%) with reduced vibratory sensitivity, using the 128 Hz tuning fork. The factors associated with sensorimotor alterations detected by the 10 gram monofilament were the following: time of disease over ten years; absence of periodic foot evaluation (p=0.003); impaired visual acuity (p=0.001); presence of pain or discomfort (p=0.003); pain worsening at night (p=0.008); moderate pain intensity (p=0.012) and relief at rest (p=0.015). Conclusion: sensory alterations in the lower limbs showed their relationship with some of the research variables, such as time of disease, foot evaluation, glycemic value, presence of pain or discomfort (worsening and relief shifts, and intensity), skin coloring and vibratory sensitivity evaluation with a tuning fork.

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Interpreting the results of the Semmes‐Weinstein monofilament test: accounting for false‐positive answers in the international consensus on the diabetic foot protocol by a new model

Abstract: False-positive answers can significantly affect Semmes-Weinstein monofilament test results and the diagnosis of LOPS. A model that accounts for false-positive answers is offered.

Cited by 17 publications

References 12 publications

Prevalence of neuropathy in type 2 diabetic patients and its association with other diabetes complications: The Verona Diabetic Foot Screening Program

Prevalence of neuropathy in type 2 diabetic patients and its association with other diabetes complications: The Verona Diabetic Foot Screening Program

O monofilamento como prevenção do pé diabético: uma revisão integrativa da literatura

Sensorimotor Alterations and Associated Factors in Diabetes Mellitus Patients

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