The Burden and Impact of Vertigo: Findings from the REVERT Patient Registry

Benecke, Heike; Agus, Sam; Kuessner, Daniel; Goodall, G; Strupp, Michael

doi:10.3389/fneur.2013.00136

Cited by 94 publications

(102 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…22,27 In addition, 68% of patients with BPPV will reduce their workload, while 4% will change their job and 6% will quit their job as a result of the condition. 28 Furthermore, BPPV is more common in older individuals, with a correspondingly more pronounced health and quality-of-life impact. It has been estimated that 9% of elderly patients undergoing comprehensive geriatric assessment for nonbalance-related complaints have unrecognized BPPV.…”

Section: Health Care Burdenmentioning

confidence: 99%

Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)

Bhattacharyya¹,

Gubbels

Schwartz

et al. 2017

Otolaryngol.--head neck surg.

586

776

View full text Add to dashboard Cite

Objective. This update of a 2008 guideline from the American Academy of Otolaryngology-Head and Neck Surgery Foundation provides evidence-based recommendations to benign paroxysmal positional vertigo (BPPV), defined as a disorder of the inner ear characterized by repeated episodes of positional vertigo. Changes from the prior guideline include a consumer advocate added to the update group; new evidence from 2 clinical practice guidelines, 20 systematic reviews, and 27 randomized controlled trials; enhanced emphasis on patient education and shared decision making; a new algorithm to clarify action statement relationships; and new and expanded recommendations for the diagnosis and management of BPPV.Purpose. The primary purposes of this guideline are to improve the quality of care and outcomes for BPPV by improving the accurate and efficient diagnosis of BPPV, reducing the inappropriate use of vestibular suppressant medications, decreasing the inappropriate use of ancillary testing such as radiographic imaging, and increasing the use of appropriate therapeutic repositioning maneuvers. The guideline is intended for all clinicians who are likely to diagnose and manage patients with BPPV, and it applies to any setting in which BPPV would be identified, monitored, or managed. The target patient for the guideline is aged ≥18 years with a suspected or potential diagnosis of BPPV. The primary outcome considered in this guideline is the resolution of the symptoms associated with BPPV. Secondary outcomes considered include an increased rate of accurate diagnoses of BPPV, a more efficient return to regular activities and work, decreased use of inappropriate medications and unnecessary diagnostic tests, reduction in recurrence of BPPV, and reduction in adverse events associated with undiagnosed or untreated BPPV. Other outcomes considered include minimizing costs in the diagnosis and treatment of BPPV, minimizing potentially unnecessary return physician visits, and maximizing the health-related quality of life of individuals afflicted with BPPV.Action Statements. The update group made strong recommendations that clinicians should (1) diagnose posterior semicircular canal BPPV when vertigo associated with torsional, upbeating nystagmus is provoked by the Dix-Hallpike maneuver, performed by bringing the patient from an upright to supine position with the head turned 45° to one side and neck extended 20° with the affected ear down, and (2) treat, or refer to a clinician who can treat, patients with posterior canal BPPV with a canalith repositioning procedure. The update group made a strong recommendation against postprocedural postural restrictions after canalith repositioning procedure for posterior canal BPPV. The update group made recommendations that the clinician should (1) perform, or refer to a clinician who can perform, a supine roll test to assess for lateral semicircular canal BPPV if the patient has a history compatible with BPPV and the Dix-Hallpike test exhibits horizontal or no nystagmus; (2) differentiate...

show abstract

Section: Health Care Burdenmentioning

confidence: 99%

Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)

Bhattacharyya¹,

Gubbels

Schwartz

et al. 2017

Otolaryngol.--head neck surg.

586

776

View full text Add to dashboard Cite

show abstract

“…This can affect the ability to carry out activities of daily living such as walking and driving. There is an increased dependence on others and decreased life satisfaction [9]. …”

Section: Introductionmentioning

confidence: 99%

“…At least 10% of the adult population have tinnitus, as seen from studies across the globe, for example from Italy [12], Korea [13], New Zealand [14], the UK [15, 16] and the USA [17, 18]. The prevalence of dizziness has been reported to be 20–30% among adults [9, 19]. Although hearing loss, tinnitus and vestibular disorders can occur in isolation, they often co-occur and are associated with otological pathologies such as otosclerosis, Ménière’s disease, cerebellopontine angle lesions (such as vestibular schwannoma) and superior semicircular canal dehiscence [20].…”

Section: Introductionmentioning

confidence: 99%

Internet-based interventions for adults with hearing loss, tinnitus and vestibular disorders: a protocol for a systematic review

et al. 2018

View full text Add to dashboard Cite

BackgroundInternet-based interventions are emerging as an alternative way of delivering accessible healthcare for various conditions including hearing and balance disorders. A comprehensive review regarding the evidence-base of Internet-based interventions for auditory-related conditions is required to determine the existing evidence of their efficacy and effectiveness. The objective of the current protocol is to provide the methodology for a systematic review regarding the effects of Internet-based interventions for adults with hearing loss, tinnitus and vestibular disorders.MethodThis protocol was developed according to the Preferred Reporting Items for Systematic reviews and Meta-analyses for Protocols (PRISMA-P) 2015 guidelines. Electronic database searches will include EBSCOhost, PubMed and Cochrane Central Register performed by two researchers. This will be complemented by searching other resources such as the reference lists for included studies to identify studies meeting the eligibility for inclusion with regard to study designs, participants, interventions, comparators and outcomes. The Cochrane risk of bias tool (RoB 2) for randomised trials will be used for the bias assessments in the included studies. Criteria for conducting meta-analyses were defined.DiscussionThe result of this systematic review will be of value to establish the effects of Internet-based interventions for hearing loss, tinnitus and vestibular disorders. This will be of importance to guide future planning of auditory intervention research and clinical services by healthcare providers, researchers, consumers and stakeholders.Systematic review registrationPROSPERO CRD42018094801Electronic supplementary materialThe online version of this article (10.1186/s13643-018-0880-9) contains supplementary material, which is available to authorized users.

show abstract

“…Loss of vestibular function can be a debilitating condition that causes imbalance, unsteady vision, and a 12‐fold increased risk of falls and fall‐associated morbidity 1. Individuals with vestibular loss have difficulty carrying out activities of daily living such as walking, climbing stairs, and driving, and these individuals report increased dependence on others, reduced productivity, and decreased life satisfaction 2, 3, 4, 5. As with other sensory systems, vestibular function declines with age, and older individuals are disproportionately affected by vestibular loss.…”

Section: Introductionmentioning

confidence: 99%

Health‐related quality of life and economic burden of vestibular loss in older adults

Agrawal

Pineault

Semenov

2017

Laryngoscope Investig Oto

View full text Add to dashboard Cite

ObjectivesVestibular loss is a debilitating condition, and despite its high prevalence in older adults, the quality of life (QoL) burden of vestibular loss in older individuals has not been well‐studied. This report quantifies the impact on overall QoL and identifies domains of health most affected. We hypothesize vestibular loss will be associated with impairment in diverse domains of health‐related QoL.Study DesignProspective, case‐control study.MethodsA convenience sample of 27 patients age ≥60 years with vestibular physiologic loss was recruited from an academic neurotology clinic. The patients did not have any identifiable cause of their vestibular loss other than aging. The convenience sample was compared to an age‐matched cross‐sectional sample of the general US population (n = 1266). The main outcome was QoL measured by the Ontario Health Utilities Index Mark III (HUI3).ResultsCompared to the general population, patients with vestibular loss had significantly lower overall unadjusted HUI3 scores (−0.32, p < 0.001). Multivariate regression analysis showed vestibular loss was significantly associated with poorer performance in vision (−0.11 p < 0.0001), speech (−0.15, p < 0.0001), dexterity (−0.13, p < 0.0001), and emotion (−0.07, p = 0.0065). Adjusted aggregate HUI3 was also significantly lower for vestibular loss (−0.15, p = 0.0105). These QoL decrements resulted in an average loss of 1.30 Quality‐Adjusted Life Years (QALYs). When using a $50,000/QALY willingness‐to‐pay threshold, vestibular loss was associated with a $64,929 lifetime economic burden per affected older adult, resulting in a total lifetime societal burden of $227 billion for the US population ≥60 years of age.ConclusionsLoss of vestibular function with aging significantly decreases quality of life across multiple domains of well‐being. These QoL reductions are responsible for heavy societal economic burdens of vestibular loss, which reveal potential benefits of prompt diagnosis and treatment of this condition.Level of Evidence3

show abstract

The Burden and Impact of Vertigo: Findings from the REVERT Patient Registry

Cited by 94 publications

References 11 publications

Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)

Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)

Internet-based interventions for adults with hearing loss, tinnitus and vestibular disorders: a protocol for a systematic review

Health‐related quality of life and economic burden of vestibular loss in older adults

Contact Info

Product

Resources

About