SynthesisJournal of neurology2016
Health care utilization, prognosis and outcomes of vestibular disease in primary care settings: systematic review.
Synthesis in Journal of neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
40 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Barriers to and facilitators of the implementation of multi-disciplinary care pathways in primary care: a systematic review.BMC family practice · 2020Pooled it
- Prevalence, aetiologies and prognosis of the symptom dizziness in primary care - a systematic review.BMC family practice · 2018Pooled it
- Trial
- Improving mobility and participation of older people with vertigo, dizziness and balance disorders in primary care using a care pathway: feasibility study and process evaluation.BMC family practice · 2021Trial
- Effectiveness of the Epley manoeuvre in posterior canal benign paroxysmal positional vertigo: a randomised clinical trial in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Trial
- 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
- Article
- Anti-vertigo drug prescribing for patients with vestibular symptoms in primary care: a retrospective observational cohort study.BJGP open · 2025Article
- Dizziness and imbalance and their association with general and mental health in a community-based cross-sectional study of middle-aged individuals: the Busselton healthy ageing study.BMC public health · 2025Article
- Epley maneuver, performed by family doctors or emergency physicians, for benign paroxysmal positional vertigo in adults.The Cochrane database of systematic reviews · 2025Article
- Prevalence of vestibular disease in France: analysis of prescription data from a national health insurance database.Journal of neurology · 2024Article
- Remote assessment and management of patients with dizziness: development, validation, and feasibility of a gamified vestibular rehabilitation therapy platform.Frontiers in neurology · 2024Article
- Delayed Diagnoses in Patients With Dizziness in the US Commonwealth of Virginia and the Tidewater Region.Otology & neurotology open · 2023Article
- Guideline Adherence to Benign Paroxysmal Positional Vertigo Treatment and Management in Primary Care.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2023Article
- Article
- Needs and supporting tools for primary care physicians to improve care of patients with vertigo and dizziness: a national survey.Frontiers in neurology · 2023Article
- Referral trajectories in patients with vertigo, dizziness and balance disorders and their impact on health-related quality of life and functioning: results from the longitudinal multicenter study MobilE-TRA.Journal of neurology · 2022Article
- Estimating the causal effect of frailty index on vestibular disorders: A two-sample Mendelian randomization.Frontiers in neuroscience · 2022Article
- Dizziness Diagnostic Pathways: Factors Impacting Setting, Provider, and Diagnosis at Presentation.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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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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.