{"id":"https://openalex.org/W7204805836","doi":"https://doi.org/10.53713/nhsj.v6i3.737","title":"Comparative diagnostic accuracy of clinical screening instruments for diabetic peripheral neuropathy against vibration perception threshold: A study in Indonesia","display_name":"Comparative diagnostic accuracy of clinical screening instruments for diabetic peripheral neuropathy against vibration perception threshold: A study in Indonesia","publication_year":2026,"publication_date":"2026-08-31","ids":{"openalex":"https://openalex.org/W7204805836","doi":"https://doi.org/10.53713/nhsj.v6i3.737"},"language":"en","primary_location":{"id":"doi:10.53713/nhsj.v6i3.737","doi":"https://doi.org/10.53713/nhsj.v6i3.737","is_oa":true,"landing_page_url":"https://doi.org/10.53713/nhsj.v6i3.737","pdf_url":"https://www.nhs-journal.com/index.php/nhs/article/download/737/381","source":{"id":"https://openalex.org/S4387278499","display_name":"Nursing and Health Sciences Journal (NHSJ)","issn_l":"2798-5059","issn":["2798-5059","2798-5067"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nursing and Health Sciences Journal (NHSJ)","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.nhs-journal.com/index.php/nhs/article/download/737/381","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5120145473","display_name":"Nunung Khairun Nissa Oper","orcid":"https://orcid.org/0009-0006-3443-5450","observed_orcids":["https://orcid.org/0009-0006-3443-5450"]},"institutions":[{"id":"https://openalex.org/I4405276464","display_name":"STIKes Maharani Malang","ror":"https://ror.org/05gbpfz90","country_code":"ID","type":"education","lineage":["https://openalex.org/I4405276464"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Nunung Khairun Nissa Oper","raw_affiliation_strings":["Nursing Professional Study Program, Maharani Health College, Malang"],"raw_orcid":"https://orcid.org/0009-0006-3443-5450","affiliations":[{"raw_affiliation_string":"Nursing Professional Study Program, Maharani Health College, Malang","institution_ids":["https://openalex.org/I4405276464"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038830838","display_name":"Heri Kristianto","orcid":"https://orcid.org/0000-0002-9869-4519","observed_orcids":["https://orcid.org/0000-0002-9869-4519"]},"institutions":[{"id":"https://openalex.org/I177055848","display_name":"University of Brawijaya","ror":"https://ror.org/01wk3d929","country_code":"ID","type":"education","lineage":["https://openalex.org/I177055848"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Heri Kristianto","raw_affiliation_strings":["Medical-Surgical Nursing Department, Faculty of Health Sciences, Brawijaya University"],"raw_orcid":"https://orcid.org/0000-0002-9869-4519","affiliations":[{"raw_affiliation_string":"Medical-Surgical Nursing Department, Faculty of Health Sciences, Brawijaya University","institution_ids":["https://openalex.org/I177055848"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054461919","display_name":"Laily Yuliatun","orcid":"https://orcid.org/0000-0002-8642-9339","observed_orcids":["https://orcid.org/0000-0002-8642-9339"]},"institutions":[{"id":"https://openalex.org/I177055848","display_name":"University of Brawijaya","ror":"https://ror.org/01wk3d929","country_code":"ID","type":"education","lineage":["https://openalex.org/I177055848"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Laily Yuliatun","raw_affiliation_strings":["Maternity Nursing Department, Faculty of Health Sciences, Brawijaya University, Malang"],"raw_orcid":"https://orcid.org/0000-0002-8642-9339","affiliations":[{"raw_affiliation_string":"Maternity Nursing Department, Faculty of Health Sciences, Brawijaya University, Malang","institution_ids":["https://openalex.org/I177055848"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5030792356","display_name":"Rulli Rosandi","orcid":"https://orcid.org/0000-0003-4814-5842","observed_orcids":["https://orcid.org/0000-0003-4814-5842"]},"institutions":[{"id":"https://openalex.org/I177055848","display_name":"University of Brawijaya","ror":"https://ror.org/01wk3d929","country_code":"ID","type":"education","lineage":["https://openalex.org/I177055848"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Rulli Rosandi","raw_affiliation_strings":["Internal Medicine Study Program, Faculty of Medicine, Brawijaya University-RSSA"],"raw_orcid":"https://orcid.org/0000-0003-4814-5842","affiliations":[{"raw_affiliation_string":"Internal Medicine Study Program, Faculty of Medicine, Brawijaya University-RSSA","institution_ids":["https://openalex.org/I177055848"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"6","issue":"3","first_page":"451","last_page":"451"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11227","display_name":"Diabetic Foot Ulcer Assessment and Management","score":0.9707000255584717,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11227","display_name":"Diabetic Foot Ulcer Assessment and Management","score":0.9707000255584717,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10196","display_name":"Pain Mechanisms and Treatments","score":0.008899999782443047,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10954","display_name":"Peripheral Nerve Disorders","score":0.004399999976158142,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/diabetic-peripheral-neuropathy","display_name":"diabetic peripheral neuropathy","score":1.0},{"id":"https://openalex.org/keywords/type-2-diabetes","display_name":"type 2 diabetes","score":0.9039999842643738},{"id":"https://openalex.org/keywords/diabetic-neuropathy-screening","display_name":"diabetic neuropathy screening","score":0.6909999847412109},{"id":"https://openalex.org/keywords/dns","display_name":"DNS","score":0.4970000088214874},{"id":"https://openalex.org/keywords/vibration-perception-threshold","display_name":"vibration perception threshold","score":0.9470000267028809},{"id":"https://openalex.org/keywords/biothesiometer","display_name":"biothesiometer","score":0.8930000066757202},{"id":"https://openalex.org/keywords/diagnostic-accuracy","display_name":"diagnostic accuracy","score":0.9670000076293945},{"id":"https://openalex.org/keywords/indonesian-adults","display_name":"Indonesian adults","score":0.5360000133514404},{"id":"https://openalex.org/keywords/diabetic-foot-care","display_name":"diabetic foot care","score":0.9279999732971191}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9174000024795532},{"id":"https://openalex.org/C2779901536","wikidata":"https://www.wikidata.org/wiki/Q945238","display_name":"Peripheral neuropathy","level":3,"score":0.6790000200271606},{"id":"https://openalex.org/C3020132585","wikidata":"https://www.wikidata.org/wiki/Q2671652","display_name":"Diagnostic accuracy","level":2,"score":0.6503000259399414},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.54339998960495},{"id":"https://openalex.org/C2777180221","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 diabetes","level":3,"score":0.4661000072956085},{"id":"https://openalex.org/C3019719930","wikidata":"https://www.wikidata.org/wiki/Q3910099","display_name":"Predictive value","level":2,"score":0.45339998602867126},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.4205999970436096},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.40639999508857727},{"id":"https://openalex.org/C2777858829","wikidata":"https://www.wikidata.org/wiki/Q52856","display_name":"Diabetic foot","level":3,"score":0.3946000039577484},{"id":"https://openalex.org/C198433322","wikidata":"https://www.wikidata.org/wiki/Q3910099","display_name":"Predictive value of tests","level":2,"score":0.36070001125335693},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.35420000553131104},{"id":"https://openalex.org/C115076146","wikidata":"https://www.wikidata.org/wiki/Q1651051","display_name":"Foot (prosody)","level":2,"score":0.35089999437332153},{"id":"https://openalex.org/C46762472","wikidata":"https://www.wikidata.org/wiki/Q178648","display_name":"Peripheral","level":2,"score":0.34450000524520874},{"id":"https://openalex.org/C53789813","wikidata":"https://www.wikidata.org/wiki/Q3553769","display_name":"Positive predicative value","level":3,"score":0.3361999988555908},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.33399999141693115},{"id":"https://openalex.org/C2778143274","wikidata":"https://www.wikidata.org/wiki/Q1626599","display_name":"Reference range","level":2,"score":0.32170000672340393},{"id":"https://openalex.org/C2779178840","wikidata":"https://www.wikidata.org/wiki/Q2046550","display_name":"Diabetic neuropathy","level":3,"score":0.31200000643730164},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.3084999918937683},{"id":"https://openalex.org/C40993552","wikidata":"https://www.wikidata.org/wiki/Q514654","display_name":"Gold standard (test)","level":2,"score":0.30390000343322754},{"id":"https://openalex.org/C2779207338","wikidata":"https://www.wikidata.org/wiki/Q9240","display_name":"Indonesian","level":2,"score":0.2946000099182129},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.2924000024795532},{"id":"https://openalex.org/C2910068830","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 Diabetes Mellitus","level":3,"score":0.27140000462532043},{"id":"https://openalex.org/C21200559","wikidata":"https://www.wikidata.org/wiki/Q7451068","display_name":"Sensitivity (control systems)","level":2,"score":0.26919999718666077},{"id":"https://openalex.org/C2983449737","wikidata":"https://www.wikidata.org/wiki/Q177719","display_name":"Clinical diagnosis","level":2,"score":0.265500009059906},{"id":"https://openalex.org/C527108885","wikidata":"https://www.wikidata.org/wiki/Q835153","display_name":"Physical examination","level":2,"score":0.2583000063896179},{"id":"https://openalex.org/C82157600","wikidata":"https://www.wikidata.org/wiki/Q2671652","display_name":"Diagnostic test","level":2,"score":0.25760000944137573}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.53713/nhsj.v6i3.737","doi":"https://doi.org/10.53713/nhsj.v6i3.737","is_oa":true,"landing_page_url":"https://doi.org/10.53713/nhsj.v6i3.737","pdf_url":"https://www.nhs-journal.com/index.php/nhs/article/download/737/381","source":{"id":"https://openalex.org/S4387278499","display_name":"Nursing and Health Sciences Journal (NHSJ)","issn_l":"2798-5059","issn":["2798-5059","2798-5067"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nursing and Health Sciences Journal (NHSJ)","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.53713/nhsj.v6i3.737","doi":"https://doi.org/10.53713/nhsj.v6i3.737","is_oa":true,"landing_page_url":"https://doi.org/10.53713/nhsj.v6i3.737","pdf_url":"https://www.nhs-journal.com/index.php/nhs/article/download/737/381","source":{"id":"https://openalex.org/S4387278499","display_name":"Nursing and Health Sciences Journal (NHSJ)","issn_l":"2798-5059","issn":["2798-5059","2798-5067"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Nursing and Health Sciences Journal (NHSJ)","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204805836.pdf","grobid_xml":"https://content.openalex.org/works/W7204805836.grobid-xml"},"referenced_works_count":30,"referenced_works":["https://openalex.org/W4206678293","https://openalex.org/W4210843713","https://openalex.org/W4224037613","https://openalex.org/W4285794094","https://openalex.org/W4328050452","https://openalex.org/W4391100756","https://openalex.org/W4391228827","https://openalex.org/W4391282109","https://openalex.org/W4391955685","https://openalex.org/W4392123394","https://openalex.org/W4403763002","https://openalex.org/W4403775939","https://openalex.org/W4403790278","https://openalex.org/W4406307867","https://openalex.org/W4406609975","https://openalex.org/W4406906960","https://openalex.org/W4406968304","https://openalex.org/W4408138070","https://openalex.org/W4410087825","https://openalex.org/W4411049601","https://openalex.org/W4411975005","https://openalex.org/W4414073581","https://openalex.org/W4415650598","https://openalex.org/W4417143997","https://openalex.org/W7126188655","https://openalex.org/W7160942410","https://openalex.org/W7161795013","https://openalex.org/W7162787878","https://openalex.org/W7164539759","https://openalex.org/W7167350319"],"related_works":["https://openalex.org/W4327605611","https://openalex.org/W4387119981","https://openalex.org/W4414033483","https://openalex.org/W3162296972","https://openalex.org/W2924071596","https://openalex.org/W2396256372","https://openalex.org/W4281565516","https://openalex.org/W2915357210","https://openalex.org/W7165141282","https://openalex.org/W2043386732"],"abstract_inverted_index":{"Diabetic":[0],"peripheral":[1],"neuropathy":[2],"(DPN)":[3],"is":[4],"a":[5,129,160,173,185,204],"major":[6],"precursor":[7],"of":[8,32,131,137,145,150,155,162,167,175,180,187,192,235],"foot":[9,241],"ulceration":[10],"and":[11,27,37,69,80,105,152,165,178,190,200,222],"amputation;":[12],"however,":[13],"validated":[14],"low-cost":[15,206],"screening":[16,209],"tools":[17,216],"remain":[18],"limited":[19],"in":[20,42,65,118,211,239],"Southeast":[21],"Asian":[22],"populations.":[23],"This":[24],"study":[25,53],"evaluated":[26],"compared":[28],"the":[29,33,76,93,98,125,233],"diagnostic":[30,51],"accuracy":[31,52,107,154,199],"MNSI-A,":[34,77],"MNSI-B,":[35,78],"DNS,":[36,79],"DNE":[38,81,183],"against":[39],"biothesiometer-defined":[40],"DPN":[41,115,208],"Indonesian":[43,212],"adults":[44],"with":[45,58,110,128,226],"type":[46,59],"2":[47,60],"diabetes.":[48],"A":[49,85],"cross-sectional":[50],"recruited":[54],"140":[55],"consecutive":[56],"patients":[57],"diabetes":[61,240],"at":[62,92],"Lavalette":[63],"Hospital":[64],"Malang":[66],"between":[67],"August":[68],"September":[70],"2023.":[71],"Two":[72],"trained":[73],"assessors":[74],"administered":[75],"under":[82],"double-anonymized":[83],"conditions.":[84],"biothesiometer":[86],"vibration":[87],"perception":[88],"threshold":[89],">15":[90],"V":[91],"great":[94],"toe":[95],"served":[96],"as":[97,203],"reference":[99],"standard.":[100],"Sensitivity,":[101],"specificity,":[102],"predictive":[103,143,148],"values,":[104],"overall":[106,153],"were":[108],"calculated":[109],"95%":[111],"confidence":[112],"intervals":[113],"(CIs).":[114],"was":[116],"detected":[117],"55":[119],"(39.3":[120],"%)":[121],"patients.":[122],"MNSI-B":[123,196],"showed":[124,184],"highest":[126],"performance,":[127],"sensitivity":[130,161,174,186],"85.4%":[132],"(95%":[133,139],"CI":[134,140],"73.4\u201392.9),":[135],"specificity":[136,166,179,191],"97.6%":[138],"91.4\u201399.7),":[141],"positive":[142],"value":[144,149],"95.9%,":[146],"negative":[147],"91.2%,":[151],"92.8%.":[156],"The":[157,170,195],"MNSI-A":[158],"had":[159],"76.3%":[163],"(63.3\u201385.9)":[164],"90.5%":[168],"(82.1\u201395.3).":[169],"DNS":[171],"yielded":[172],"74.5%":[176],"(61.3\u201384.5)":[177],"72.9%":[181],"(62.4\u201381.5).":[182],"83.6%":[188],"(71.6\u201391.4)":[189],"78.8%":[193],"(68.6\u201386.6).":[194],"demonstrated":[197],"excellent":[198],"may":[201],"serve":[202],"practical,":[205],"first-line":[207],"instrument":[210],"clinical":[213],"settings.":[214],"Symptom-based":[215],"should":[217,223],"not":[218],"be":[219,224],"used":[220],"alone":[221],"integrated":[225],"objective":[227],"physical":[228,237],"examinations.":[229],"These":[230],"findings":[231],"support":[232],"implementation":[234],"structured":[236],"examinations":[238],"care":[242],"programs.":[243]},"counts_by_year":[],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-09-01T00:00:00"}
