title: Multicenter study on finger systolic blood pressure test for diagnosis of vibration-induced white finger.
abstract: OBJECTIVE
  A multicenter study (six Rosai hospitals around Japan) was performed to investigate the diagnostic value of changes in finger systolic blood pressure (FSBP) after segmental local cooling for vibration-induced white finger (VWF).
  
  
  METHODS
  Subjects were 154 men without exposure to vibration and 135 men with occupational vibration exposure. They were classified into four groups: Group A, 154 unexposed control cases; Group B, 21 exposed cases without VWF; Group C, 31 cases with a history of VWF but without any signs of VWF within the last year; and Group D, 83 cases with active VWF within the last year. FSBP% measurements were taken at room temperatures of 23 +/- 1 and 21 +/- 1 degrees C, using a strain-gauge Digimatic 2000 plethysmograph (Medimatic).
  
  
  RESULTS
  At a room temperature of 23 +/- 1 degrees C, there was a significant difference between Groups A and D, and B and D. At a room temperature of 21 +/- 1 degrees C, there was a significant difference between Groups A and C, A and D, and B and D. The values in Group D were the lowest at both room temperatures. Assuming a cut-off value of 75% at 23 +/- 1 degrees C, the sensitivity and specificity were 65.2 and 87.5%, respectively. Assuming the same cut-off value at 21 +/- 1 degrees C, the sensitivity and specificity were 73.9 and 82.5%, respectively. These values were not too high. Most of the subjects with WVF in this study were retired and had not used vibratory tools for many years. The situation of the subjects may affect the results of the FSBP test. Our data did not confirm a difference in diagnostic accuracy between room temperatures of 23 +/- 1 and 21 +/- 1 degrees C.
  
  
  CONCLUSIONS
  Our study showed that the sensitivity and specificity of the FSBP test with a cut-off value of 75% at 23 +/- 1 degrees C, were 65.2 and 87.5%, respectively, and at 21 +/- 1 degrees C, they were 73.9 and 82.5%, respectively.
authors.affiliation: Clinical Research Center for Hand-Arm Vibration Syndrome, Japanese Labor, Health and Welfare Organization, San-in Rosai Hospital, Yonago, Japan. nasu378@sanin-rosai-h.yonago.tottori.jp
authors.forename: Yoshiro
authors.initials: Y
authors.lastname: Nasu
authors.forename: Youichi
authors.initials: Y
authors.lastname: Kurozawa
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Fujiwara
authors.forename: Hiroki
authors.initials: H
authors.lastname: Honma
authors.forename: Toshiro
authors.initials: T
authors.lastname: Yanai
authors.forename: Kenji
authors.initials: K
authors.lastname: Kido
authors.forename: Takashi
authors.initials: T
authors.lastname: Ikeda
mesh_terms: D000368:Aged; D001794:Blood Pressure / Q000502:physiology*; D003080:Cold Temperature; D012090:Cumulative Trauma Disorders / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D005385:Fingers / Q000098:blood supply*; D053421:Hand-Arm Vibration Syndrome / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D016273:Occupational Exposure / Q000009:adverse effects; D011237:Predictive Value of Tests; D012372:ROC Curve; D011928:Raynaud Disease / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D014732:Vibration / Q000009:adverse effects*