Evidence map›Paper›PMID 30928959›Full record

ArticleBMJ open2019

Risk of benign paroxysmal positional vertigo in patients with depressive disorders: a nationwide population-based cohort study.

Chiao-Lin Hsu, Shih-Jen Tsai, Cheng-Che Shen, Ti Lu, Yao-Min Hung, Li-Yu Hu

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.7field-weighted citation impact, top 29% of its field
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

12 citing papers in PubMed, 17 citations in OpenAlex.

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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

6 authors at 5 institutions in 1 country.

Chiao-Lin HsuDepartment of Health Management Center, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Shih-Jen TsaiTop Department of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.
Cheng-Che ShenDivision of Psychiatry, Faculty of Medicine, National Yang-Ming University, Taipei, Taiwan.
Ti LuDepartment of Psychiatry, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Yao-Min HungDepartment of Emergency Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Li-Yu HuCenter for Geriatrics and Gerontology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
National Yang Ming Chiao Tung University · TWKaohsiung Veterans General Hospital · TWMinistry of Health and Welfare · TWSoochow University · TWTaichung Veterans General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe association between depression and benign paroxysmal positional vertigo (BPPV) remains debated. This study aimed to investigate the risk of BPPV in patients with depressive disorders.

designLongitudinal nationwide cohort study.

settingNational health insurance research database in Taiwan.

participantsWe enrolled 10 297 patients diagnosed with depressive disorders between 2000 and 2009 and compared them to 41 188 selected control patients who had never been diagnosed with depressive disorders (at a 1:4 ratio matched by age, sex and index date) in relation to the risk of developing BPPV.

methodsThe follow-up period was defined as the time from the initial diagnosis of depressive disorders to the date of BPPV, censoring or 31 December 2009. Cox proportional hazard regression analysis was used to investigate the risk of BPPV by sex, age and comorbidities, with HRs and 95% CIs.

resultsDuring the 9-year follow-up period, 44 (0.59 per 1000 person-years) patients with depressive disorders and 99 (0.33 per 1000 person-years) control patients were diagnosed with BPPV. The incidence rate ratio of BPPV among both cohorts calculating from events of BPPV per 1000 person-years of observation time was 1.79 (95% CI 1.23 to 2.58, p=0.002). Following adjustments for age, sex and comorbidities, patients with depressive disorders were 1.55 times more likely to develop BPPV (95% CI 1.08 to 2.23, p=0.019) as compared with control patients. In addition, hyperthyroidism (HR=3.75, 95% CI 1.67-8.42, p=0.001) and systemic lupus erythematosus (SLE) (HR=3.47, 95% CI 1.07 to 11.22, p=0.038) were potential risk factors for developing BPPV in patients with depressive disorders.

conclusionsPatients with depressive disorders may have an increased risk of developing BPPV, especially those who have hyperthyroidism and SLE.

Indexed as

AdultAgedBenign Paroxysmal Positional VertigoCase-Control StudiesComorbidityDepressive DisorderFemaleHumansIncidenceMaleMiddle AgedRegression AnalysisRisk FactorsTaiwanbenign paroxysmal positional vertigocohort studydepressive disordershyperthyroidismrisk factorsystemic lupus erythematosus

Identifiers

PMID30928959
PMCPMC6475146
OpenAlexW2932597307

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.