ArticleScandinavian journal of primary health care2016
Usual care and management of fall risk increasing drugs in older dizzy patients in Dutch general practice.
Article in Scandinavian journal of primary health care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 26 citations in OpenAlex.
- Internet based vestibular rehabilitation with and without physiotherapy support for adults aged 50 and older with a chronic vestibular syndrome in general practice: three armed randomised controlled trial.BMJ (Clinical research ed.) · 2019Trial
- Effectiveness of a multifactorial intervention for dizziness in older people in primary care: A cluster randomised controlled trial.PloS one · 2018Trial
- Anti-vertigo drug prescribing for patients with vestibular symptoms in primary care: a retrospective observational cohort study.BJGP open · 2025Article
- Development and Delphi consensus validation of the Medication-Related Fall screening and scoring tool.International journal of clinical pharmacy · 2024Article
- Article
- Ten Vestibular Tools for Primary Care.Frontiers in neurology · 2021Article
- Prognosis and Survival of Older Patients With Dizziness in Primary Care: A 10-Year Prospective Cohort Study.Annals of family medicine · 2020Article
- EuGMS Task and Finish group on Fall-Risk-Increasing Drugs (FRIDs): Position on Knowledge Dissemination, Management, and Future Research.Drugs & aging · 2019Article
- Predicting an Unfavorable Course of Dizziness in Older Patients.Annals of family medicine · 2018Article
- Bone mineral density in primary care patients related to serum calcium concentrations: a longitudinal cohort study from Sweden.Scandinavian journal of primary health care · 2018Article
- Elderly users of fall-risk-increasing drug perceptions of fall risk and the relation to their drug use - a qualitative study.Scandinavian journal of primary health care · 2017Article
- Are changes needed in the content of general practice?Scandinavian journal of primary health care · 2016Article
- Towards interprofessional networking in medication management of the aged: current challenges and potential solutions in Finland.Scandinavian journal of primary health care · 2016Article
- Yonder: Oral cancer, PSA, dizziness, and vaginal health.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Article
- Dizziness in older people: at risk of shared therapeutic nihilism between patient and physician. A qualitative study.BMC family practice · 2016Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveFor general practitioners (GPs) dizziness is a challenging condition to deal with. Data on the management of dizziness in older patients are mostly lacking. Furthermore, it is unknown whether GPs attempt to decrease Fall Risk Increasing Drugs (FRIDs) use in the management of dizziness in older patients. The aim of this study is to gain more insight into GP's management of dizziness in older patients, including FRID evaluation and adjustment.
designData were derived from electronic medical records, obtained over a 12-month period in 2013.
settingForty-six Dutch general practices. PATIENTS: The study sample comprised of 2812 older dizzy patients of 65 years and over. Patients were identified using International Classification of Primary Care codes and free text.
main outcome measuresUsual care was categorized into wait-and-see strategy (no treatment initiated); education and advice; additional testing; medication adjustment; and referral.
resultsFrequently applied treatments included a wait-and-see strategy (28.4%) and education and advice (28.0%). Additional testing was performed in 26.8%; 19.0% of the patients were referred. Of the patients 87.2% had at least one FRID prescription. During the observation period, GPs adjusted the use of one or more FRIDs for 11.7% of the patients.
conclusionThis study revealed a wide variety in management strategies for dizziness in older adults. The referral rate for dizziness was high compared to prior research. Although many older dizzy patients use at least one FRID, FRID evaluation and adjustment is scarce. We expect that more FRID adjustments may reduce dizziness and dizziness-related impairment. Key Points It is important to know how general practitioners manage dizziness in older patients in order to assess potential cues for improvement. This study revealed a wide variety in management strategies for dizziness in older patients. There was a scarcity in Fall Risk Increasing Drug (FRID) evaluation and adjustment. The referral rate for dizziness was high compared with previous research.
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