Longitudinal Patient Outcomes in Chronic Dizziness: A Scoping Review.

Autor:	Canturk T; Faculty of Medicine., Bery AK; Division of Neurology, Department of Medicine., Piccoli D; Faculty of Medicine., Pyche J; Faculty of Medicine., Czikk D; Faculty of Medicine., Osborne J; Faculty of Medicine., Pearson A; Division of Internal Medicine, Department of Medicine., Bhatt C; Division of Neurology, Department of Medicine., Shin J; Department of Otolaryngology-Head & Neck Surgery, University of Ottawa, Ottawa, Ontario, Canada., Chow L; Department of Otolaryngology-Head & Neck Surgery, University of Ottawa, Ottawa, Ontario, Canada., Azzi JL; Department of Otolaryngology-Head & Neck Surgery, University of Manitoba, Manitoba, Canada., Tohme A, Caulley L; Division of Clinical Epidemiology, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada., Lelli D; Division of Neurology, Department of Medicine., Tse D
Jazyk:	angličtina
Zdroj:	Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [Otol Neurotol] 2023 Oct 01; Vol. 44 (9), pp. 848-852.
DOI:	10.1097/MAO.0000000000004000
Abstrakt:	Background: Chronic dizziness can cause significant functional impairment. Outcome measures used in this patient population have not been examined systematically. Consequently, providers lack consensus on the ideal outcome measures to assess the impact of their interventions. Objective and Methods: We conducted a scoping review to summarize existing literature on outcomes in chronic dizziness (with a minimum of 6 mo of patient follow-up). Among other details, we extracted and analyzed patient demographics, medical condition(s), and the specific outcome measures of each study. Results: Of 19,426 articles meeting the original search terms, 416 met final exclusion after title/abstract and full-text review. Most studies focused on Ménière's disease (75%) and recurrent benign paroxysmal positional vertigo (21%). The most common outcome measures were hearing (62%) and number of attacks by American Academy of Otolaryngology-Head & Neck Surgery criteria (60%). A minority (35%) looked formally at quality-of-life metrics (Dizziness Handicap Index or other). Conclusions: Ménière's disease and benign paroxysmal positional vertigo are overrepresented in literature on outcome assessment in chronic dizziness. Objective clinical measures are used more frequently than quality-of-life metrics. Future work is needed to identify the optimal outcome measures that reflect new knowledge about the most common causes of chronic dizziness (including persistent postural-perceptual dizziness and vestibular migraine) and consider what is most important to patients. Competing Interests: The authors disclose no conflicts of interest. (Copyright © 2023, Otology & Neurotology, Inc.)
Databáze:	MEDLINE
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