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Health care utilization, prognosis and outcomes of vestibular disease in primary care settings: systematic review

Vertigo and dizziness are frequent complaints in primary care that lead to extensive health care utilization. The objective of this systematic review was to examine health care of patients with vertigo and dizziness in primary care settings. Specifically, we wanted to characterize health care utiliz...

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Autores principales: Grill, Eva, Penger, Mathias, Kentala, Erna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4833809/
https://www.ncbi.nlm.nih.gov/pubmed/27083883
http://dx.doi.org/10.1007/s00415-015-7913-2
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author Grill, Eva
Penger, Mathias
Kentala, Erna
author_facet Grill, Eva
Penger, Mathias
Kentala, Erna
author_sort Grill, Eva
collection PubMed
description Vertigo and dizziness are frequent complaints in primary care that lead to extensive health care utilization. The objective of this systematic review was to examine health care of patients with vertigo and dizziness in primary care settings. Specifically, we wanted to characterize health care utilization, therapeutic and referral behaviour and to examine the outcomes associated with this. A search of the MEDLINE and EMBASE databases was carried out in May 2015 using the search terms ‘vertigo’ or ‘dizziness’ or ‘vestibular and primary care’ to identify suitable studies. We included all studies that were published in the last 10 years in English with the primary diagnoses of vertigo, dizziness and/or vestibular disease. We excluded drug evaluation studies and reports of adverse drug reactions. Data were extracted and appraised by two independent reviewers; 16 studies with a total of 2828 patients were included. Mean age of patients ranged from 45 to 79 with five studies in older adults aged 65 or older. There were considerable variations in diagnostic criteria, referral and therapy while the included studies failed to show significant improvement of patient-reported outcomes. Studies are needed to investigate current practice of care across countries and health systems in a systematic way and to test primary care-based education and training interventions that improve outcomes.
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spelling pubmed-48338092016-04-25 Health care utilization, prognosis and outcomes of vestibular disease in primary care settings: systematic review Grill, Eva Penger, Mathias Kentala, Erna J Neurol Review Vertigo and dizziness are frequent complaints in primary care that lead to extensive health care utilization. The objective of this systematic review was to examine health care of patients with vertigo and dizziness in primary care settings. Specifically, we wanted to characterize health care utilization, therapeutic and referral behaviour and to examine the outcomes associated with this. A search of the MEDLINE and EMBASE databases was carried out in May 2015 using the search terms ‘vertigo’ or ‘dizziness’ or ‘vestibular and primary care’ to identify suitable studies. We included all studies that were published in the last 10 years in English with the primary diagnoses of vertigo, dizziness and/or vestibular disease. We excluded drug evaluation studies and reports of adverse drug reactions. Data were extracted and appraised by two independent reviewers; 16 studies with a total of 2828 patients were included. Mean age of patients ranged from 45 to 79 with five studies in older adults aged 65 or older. There were considerable variations in diagnostic criteria, referral and therapy while the included studies failed to show significant improvement of patient-reported outcomes. Studies are needed to investigate current practice of care across countries and health systems in a systematic way and to test primary care-based education and training interventions that improve outcomes. Springer Berlin Heidelberg 2016-04-15 2016 /pmc/articles/PMC4833809/ /pubmed/27083883 http://dx.doi.org/10.1007/s00415-015-7913-2 Text en © The Author(s) 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Review
Grill, Eva
Penger, Mathias
Kentala, Erna
Health care utilization, prognosis and outcomes of vestibular disease in primary care settings: systematic review
title Health care utilization, prognosis and outcomes of vestibular disease in primary care settings: systematic review
title_full Health care utilization, prognosis and outcomes of vestibular disease in primary care settings: systematic review
title_fullStr Health care utilization, prognosis and outcomes of vestibular disease in primary care settings: systematic review
title_full_unstemmed Health care utilization, prognosis and outcomes of vestibular disease in primary care settings: systematic review
title_short Health care utilization, prognosis and outcomes of vestibular disease in primary care settings: systematic review
title_sort health care utilization, prognosis and outcomes of vestibular disease in primary care settings: systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4833809/
https://www.ncbi.nlm.nih.gov/pubmed/27083883
http://dx.doi.org/10.1007/s00415-015-7913-2
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