The slipping slipper sign: a simple test with high specificity and positive predictive value for peripheral neuropathy among diabetic patients
This study evaluated the ability of the slipping slipper sign (defined as unknowingly losing a slipper while walking) to identify diabetic neuropathy in Jamaican patients. A single question was used to ascertain the presence of the slipping slipper sign (SSS) among 69 patients attending a diabetes c...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2012-04-01
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| Series: | Clinics and Practice |
| Subjects: | |
| Online Access: | https://www.clinicsandpractice.org/index.php/cp/article/view/475 |
| _version_ | 1818473756989849600 |
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| author | Krystal A.T. Gayle Marshall K. Tulloch-Reid Rainford J. Wilks Trevor S. Ferguson |
| author_facet | Krystal A.T. Gayle Marshall K. Tulloch-Reid Rainford J. Wilks Trevor S. Ferguson |
| author_sort | Krystal A.T. Gayle |
| collection | DOAJ |
| description | This study evaluated the ability of the slipping slipper sign (defined as unknowingly losing a slipper while walking) to identify diabetic neuropathy in Jamaican patients. A single question was used to ascertain the presence of the slipping slipper sign (SSS) among 69 patients attending a diabetes clinic. Nurses assessed pain, vibration and pressure perception among the same patients in order to detect diabetic neuropathy. The sensitivity, specificity and positive predictive value for the SSS were calculated. Eight participants (men=5, women=3) reported positive SSS. The SSS had a sensitivity of 28.6%, specificity of 100% and positive predictive value (PPV) 100% for neuropathy on at least one of the three tests. These findings indicate that the SSS has high specificity and PPV for diabetic neuropathy but the sensitivity is low. The sign may be a useful adjuvant to conventional methods of screening for severe neuropathy |
| first_indexed | 2024-04-14T04:27:35Z |
| format | Article |
| id | doaj.art-97635d5d65514886af8fcc2d93694293 |
| institution | Directory Open Access Journal |
| issn | 2039-7275 2039-7283 |
| language | English |
| last_indexed | 2024-04-14T04:27:35Z |
| publishDate | 2012-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clinics and Practice |
| spelling | doaj.art-97635d5d65514886af8fcc2d936942932022-12-22T02:12:15ZengMDPI AGClinics and Practice2039-72752039-72832012-04-012210.4081/cp.2012.e51186The slipping slipper sign: a simple test with high specificity and positive predictive value for peripheral neuropathy among diabetic patientsKrystal A.T. Gayle0Marshall K. Tulloch-Reid1Rainford J. Wilks2Trevor S. Ferguson3Tropical Medicine Research Institute (Epidemiology Research Unit), The University of the West Indies, MonaTropical Medicine Research Institute (Epidemiology Research Unit), The University of the West Indies, MonaTropical Medicine Research Institute (Epidemiology Research Unit), The University of the West Indies, MonaTropical Medicine Research Institute (Epidemiology Research Unit), The University of the West Indies, MonaThis study evaluated the ability of the slipping slipper sign (defined as unknowingly losing a slipper while walking) to identify diabetic neuropathy in Jamaican patients. A single question was used to ascertain the presence of the slipping slipper sign (SSS) among 69 patients attending a diabetes clinic. Nurses assessed pain, vibration and pressure perception among the same patients in order to detect diabetic neuropathy. The sensitivity, specificity and positive predictive value for the SSS were calculated. Eight participants (men=5, women=3) reported positive SSS. The SSS had a sensitivity of 28.6%, specificity of 100% and positive predictive value (PPV) 100% for neuropathy on at least one of the three tests. These findings indicate that the SSS has high specificity and PPV for diabetic neuropathy but the sensitivity is low. The sign may be a useful adjuvant to conventional methods of screening for severe neuropathyhttps://www.clinicsandpractice.org/index.php/cp/article/view/475slipping slipper signdiabetic neuropathydiabetic footJamaica. |
| spellingShingle | Krystal A.T. Gayle Marshall K. Tulloch-Reid Rainford J. Wilks Trevor S. Ferguson The slipping slipper sign: a simple test with high specificity and positive predictive value for peripheral neuropathy among diabetic patients Clinics and Practice slipping slipper sign diabetic neuropathy diabetic foot Jamaica. |
| title | The slipping slipper sign: a simple test with high specificity and positive predictive value for peripheral neuropathy among diabetic patients |
| title_full | The slipping slipper sign: a simple test with high specificity and positive predictive value for peripheral neuropathy among diabetic patients |
| title_fullStr | The slipping slipper sign: a simple test with high specificity and positive predictive value for peripheral neuropathy among diabetic patients |
| title_full_unstemmed | The slipping slipper sign: a simple test with high specificity and positive predictive value for peripheral neuropathy among diabetic patients |
| title_short | The slipping slipper sign: a simple test with high specificity and positive predictive value for peripheral neuropathy among diabetic patients |
| title_sort | slipping slipper sign a simple test with high specificity and positive predictive value for peripheral neuropathy among diabetic patients |
| topic | slipping slipper sign diabetic neuropathy diabetic foot Jamaica. |
| url | https://www.clinicsandpractice.org/index.php/cp/article/view/475 |
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