ArticleFrontiers in neurology2012
Referral and final diagnoses of patients assessed in an academic vertigo center.
Article in Frontiers in neurology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 143 citations in OpenAlex.
- Prevalence, aetiologies and prognosis of the symptom dizziness in primary care - a systematic review.BMC family practice · 2018Pooled it
- Health care utilization, prognosis and outcomes of vestibular disease in primary care settings: systematic review.Journal of neurology · 2016Pooled it
- Dizziness and benign paroxysmal positional vertigo among retirement home residents: a cross-sectional descriptive and interventional study.BMC geriatrics · 2022Trial
- Vestibular Migraine: A Systematic Literature Search and Narrative Review of Diagnostic Criteria, Pathophysiology, Differential Diagnosis, and Treatment Approaches.Medeniyet medical journal · 2026Article
- Clinical Heterogeneity in Vestibular Migraine Diagnosed Using Bárány Society Criteria: Differences According to Caloric-Test-Based Evidence of Peripheral Vestibular Dysfunction.Journal of clinical neurology (Seoul, Korea) · 2026Article
- Vestibular Patient Journey: Insights From Vestibular Disorders Association (VeDA) Registry.Annals of clinical and translational neurology · 2026Article
- Specific and nonspecific diagnoses of dizziness and vertigo in primary care: A descriptive study.Atencion primaria · 2026Article
- Health economic evaluation of an interdisciplinary care pathway for older patients with vertigo, dizziness and balance disorders in primary care (MobilE-PHY2) - a cluster-randomised trial.Cost effectiveness and resource allocation : C/E · 2026Article
- Expanding the Spectrum of Central Sensitivity Syndrome: Integrating Otologic Migraine as Otologic Central Sensitivity Syndrome.Brain sciences · 2026Review
- Oculomotor Abnormalities and Nystagmus in Brainstem Disease: A Mini Review.Audiology research · 2025Review
- Risk of Benign Paroxysmal Positional Vertigo Modified by Diuretics-A Population-Level Case-Control Study.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025Article
- Etiologic distribution of dizziness/vertigo in a neurological outpatient clinic according to the criteria of the international classification of vestibular disorders: a single-center study.Journal of neurology · 2024Article
- Vertiginous epilepsy in the pediatric population.Frontiers in neurology · 2024Review
- Delayed Diagnoses in Patients With Dizziness in the US Commonwealth of Virginia and the Tidewater Region.Otology & neurotology open · 2023Article
- Spinning Through History: Evolution of the Concept of Vestibular Migraine.Otology & neurotology open · 2023Article
- Vestibular migraine or Meniere's disease: a diagnostic dilemma.Journal of neurology · 2023Review
- Exposure to anticholinergic and sedative medication is associated with impaired functioning in older people with vertigo, dizziness and balance disorders-Results from the longitudinal multicenter study MobilE-TRA.Frontiers in pharmacology · 2023Article
- What is the current status of primary care in the diagnosis and treatment of patients with vertigo and dizziness in Switzerland? A national survey.Frontiers in neurology · 2023Article
- What neuro-otology specialists need for better care of dizzy patients: a national survey.Frontiers in neurology · 2023Article
- What is the current status of care by neuro-otology specialists in Switzerland-A national survey.Frontiers in neurology · 2023Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify under-diagnosed neuro-otological disorders and to evaluate whether under-diagnosing depends on the age of the patient. MATERIALS AND
methodsRetrospective analysis of medical charts from 951 consecutive patients (685 under and 266 above the age of 65 years) who entered diagnostic procedures at the Interdisciplinary Center for Vertigo and Balance Disorders, University Hospital Zurich, Switzerland. Final diagnoses were compared to referral diagnoses.
resultsRelative to referral diagnoses, the proportion of patients finally diagnosed with benign paroxysmal positional vertigo (BPPV) almost doubled both in younger (<65 year from 12.7 to 25.1%) and older patients (from 20.7 to 37.6%). Striking relative increases were found for the diagnoses multisensory dizziness in older patients (from 20.7 to 37.6%) and vestibular migraine in younger patients (1.8 to 20.2%). In both age groups, the proportion of patients with undetermined diagnoses was reduced by about 60% (younger: 69.8 to 9.8%; older: 69.2 to 12.4%) by the diagnostic procedures in the vertigo center. These changes were all significant (p < 0.05) in McNemar tests with continuity correction (2 × 2 tables: focused diagnosis vs. other diagnoses, referral vs. final).
conclusionSignificant changes of diagnoses can be expected by a specialized neuro-otological work-up. In particular, BPPV, multisensory dizziness, and vestibular migraine are under-diagnosed by referring physicians. This finding calls for better education of primary care takers in the field of neuro-otology.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.