Evidence map›Paper›PMID 34640391›Full record

ReviewJournal of clinical medicine2021

Risk Factors for Recurrence of Benign Paroxysmal Positional Vertigo. A Clinical Review.

Ioanna Sfakianaki, Paris Binos, Petros Karkos, Grigorios G Dimas, George Psillas

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 5% 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

41 citing papers in PubMed, 3 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Seasonal and monthly variation in benign paroxysmal positional vertigo: a systematic review and meta‑analysis.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 · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Environmental drivers of vertigo.Environmental health and preventive medicine · 2026
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Analytical review of facial nerve palsy following SARS-CoV-2 vaccination: comprehensive assessment.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 · 2025
    Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Management Protocol for the Unilateral Posterior Canal - Benign Paroxysmal Positional Vertigo - A Prospective Observational Study.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
    Article
  19. Article
  20. Article
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

5 authors at 2 institutions in 2 countries.

Ioanna Sfakianaki1st Academic ENT Department, AHEPA Hospital, Aristotle University of Thessaloniki, 1, Stilponos Kyriakidi St., 546 36 Thessaloniki, Greece.
Paris BinosDepartment of Rehabilitation Sciences, Cyprus University of Technology, Limassol 3036, Cyprus.ORCID 0000-0003-3850-1866
Petros Karkos1st Academic ENT Department, AHEPA Hospital, Aristotle University of Thessaloniki, 1, Stilponos Kyriakidi St., 546 36 Thessaloniki, Greece.ORCID 0000-0003-2488-5539
Grigorios G Dimas1st Propaedeutic Department of Internal Medicine, AHEPA Hospital, Aristotle University of Thessaloniki, 1, Stilponos Kyriakidi St., 546 36 Thessaloniki, Greece.
George Psillas1st Academic ENT Department, AHEPA Hospital, Aristotle University of Thessaloniki, 1, Stilponos Kyriakidi St., 546 36 Thessaloniki, Greece.ORCID 0000-0003-3509-6519
Aristotle University of Thessaloniki · GRCyprus University of Technology · CY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Benign paroxysmal positional vertigo (BPPV) is one of the most common peripheral vestibular dysfunctions encountered in clinical practice. Although the treatment of BPPV is relatively successful, many patients develop recurrence after treatment. Our purpose is to evaluate the mean recurrence rate and risk factors of BPPV after treatment. A review of the literature on the risk factors of BPPV recurrence was performed. A thorough search was conducted using electronic databases, namely Pubmed, CINAHL, Academic Search Complete and Scopus for studies published from 2000 to 2020. Thirty studies were included in this review with 13,358 participants. The recurrence rate of BPPV ranged from 13.7% to 48% for studies with follow-up <1 year, and from 13.3% to 65% for studies with follow-up ≥2 years. Pathophysiologic mechanisms and implication of each of the following risk factors in the recurrence of BPPV were described: advanced age, female gender, Meniere's disease, trauma, osteopenia or osteoporosis, vitamin D deficiency, diabetes mellitus, hypertension, hyperlipidemia, cardiovascular disease, migraine, bilateral/multicanal BPPV, cervical osteoarthrosis and sleep disorders. Patients with hyperlipidemia and hypertension had the highest recurrence rates of BPPV, 67.80% and 55.89%, respectively, indicating that vascular comorbidities increase the risk of BPPV recurrence. In addition, more than half of patients (53.48%) with diabetes mellitus and BPPV experienced recurrence of BPPV. Knowledge and awareness of risk factors for recurrence of BPPV are essential for the assessment and long-term prognosis of patients. Identification of these relapse risk factors may enhance the ability of clinicians to accurately counsel patients regarding BPPV and associated comorbidities.

Indexed as

BPPVBPPV recurrencerisk factors

Identifiers

PMID34640391
PMCPMC8509726
OpenAlexW3204088932

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.