Evidence map›Paper›PMID 29458336›Full record

SynthesisBMC family practice2018

Prevalence, aetiologies and prognosis of the symptom dizziness in primary care - a systematic review.

Stefan Bösner, Sonja Schwarm, Paula Grevenrath, Laura Schmidt, Kaja Hörner, Dominik Beidatsch, Milena Bergmann, Annika Viniol, Annette Becker, Jörg Haasenritter

Abstract readSystematic Review
In one paragraph

Synthesis in BMC family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  6. Online vestibular rehabilitation for chronic vestibular syndrome: 36-month follow-up of a randomised controlled trial in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
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  11. Efficacy of EGb 761Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
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  13. A digital neurotology history: Characteristics and inter-rater reliability.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Stefan BösnerDepartment of General Practice / Family Medicine, University of Marburg, Karl-von-Frisch-Str, 435043, Marburg, Germany. boesner@staff.uni-marburg.de.
Sonja Schwarm
Paula GrevenrathDepartment of General Practice / Family Medicine, University of Marburg, Karl-von-Frisch-Str, 435043, Marburg, Germany.
Laura SchmidtDepartment of General Practice / Family Medicine, University of Marburg, Karl-von-Frisch-Str, 435043, Marburg, Germany.
Kaja HörnerDepartment of General Practice / Family Medicine, University of Marburg, Karl-von-Frisch-Str, 435043, Marburg, Germany.
Dominik BeidatschDepartment of General Practice / Family Medicine, University of Marburg, Karl-von-Frisch-Str, 435043, Marburg, Germany.
Milena BergmannDepartment of General Practice / Family Medicine, University of Marburg, Karl-von-Frisch-Str, 435043, Marburg, Germany.
Annika ViniolDepartment of General Practice / Family Medicine, University of Marburg, Karl-von-Frisch-Str, 435043, Marburg, Germany.
Annette BeckerDepartment of General Practice / Family Medicine, University of Marburg, Karl-von-Frisch-Str, 435043, Marburg, Germany.
Jörg HaasenritterDepartment of General Practice / Family Medicine, University of Marburg, Karl-von-Frisch-Str, 435043, Marburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDizziness is a common reason for consulting a general practitioner and there is a broad range of possible underlying aetiologies. There are few evidence-based data about prevalence, aetiology and prognosis in primary care. We aimed to conduct a systematic review of symptom-evaluating studies on prevalence, aetiology or prognosis of dizziness in primary care.

methodsWe systematically searched MEDLINE and EMBASE. Two independent researchers screened titles and abstracts according to predefined criteria. We included all studies evaluating the symptoms 'dizziness' or 'vertigo' as a reason for consultation in primary care. We extracted data about study population and methodology and prevalence, aetiology and prognosis. Two raters independently judged study quality and risk of bias. We investigated the variation across studies using forest plots, I

resultsWe identified 31 studies (22 on prevalence, 14 on aetiology and 8 on prognosis). Consultation prevalence differs between 1,0 and 15,5%. The most common aetiologies are vestibular/peripheral (5,4-42,1%), benign peripheral positional vertigo (4,3-39,5%), vestibular neuritis (0,6-24,0%), Menière's disease (1,4-2,7%), cardiovascular disease (3,8-56,8%), neurological disease (1,4-11,4%), psychogenic (1,8-21,6%), no clear diagnosis (0,0-80,2%). While studies based on subjective patient assessment reported improvement rates from 37 to 77%, these findings could not be confirmed when applying instruments that measure symptom severity or quality of life.

conclusionThere is a broad variety of possible underlying diseases for the symptom dizziness. There exist only few methodologically sound studies concerning aetiology and prognosis of dizziness.

Indexed as

DizzinessPrimary Health CareVertigoHumansPrevalencePrognosisSymptom AssessmentDiagnosisDizzinessFamily practiceSystematic reviewVertigo

Identifiers

PMID29458336
PMCPMC5819275

What OpenQuestion holds

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Registered trials

None linked

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.