Evidence map›Paper›PMID 35906606›Full record

Trial reportTrials2022

Effectiveness of a training intervention to improve the management of vertigo in primary care: a multicentre cluster-randomised trial, VERTAP.

Jenniffer Elizabeth Pérez Patiño, José Lluís Ballvé Moreno, Yolanda Rando Matos, Jesús Almeda Ortega, Oriol Cunillera Puértolas, Ricard Carrillo Muñoz, Iván Villar Balboa, Xavier González Compta, Olga Lucía Arias Agudelo, Sebastiá Calero Muñoz and 3 more

Erratum issued Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04929444 (Effectiveness of a Training Intervention to Improve the Approach of Patients With Vertigo in Primary Care. VERTAP Clinical Trial.), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 37% 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.

NCT04929444 naunknown statusnot on this map

Effectiveness of a Training Intervention to Improve the Approach of Patients With Vertigo in Primary Care. VERTAP Clinical Trial.

TypeinterventionalSponsorFundacio d'Investigacio en Atencio Primaria Jordi Gol i GurinaRan2021 to 2022Enrolled20ConditionsVertigo, Vertigo, ParoxysmalArmsTraining on vertigo
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Vertical Nystagmus Recognition Based on Deep Learning.Sensors (Basel, Switzerland) · 2023
    Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 2 countries.

Jenniffer Elizabeth Pérez PatiñoPrimary Care Centre Sant Martí de Provençals, Management Area of Barcelona, Catalan Institute of Health, Barcelona, Spain.
José Lluís Ballvé MorenoVertigo Approach Research Group in Primary Care (VERTAP), Fundació Institut Universitari per la Recerca en Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain. ballvejl@gmail.com.
Yolanda Rando MatosVertigo Approach Research Group in Primary Care (VERTAP), Fundació Institut Universitari per la Recerca en Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.
Jesús Almeda OrtegaVertigo Approach Research Group in Primary Care (VERTAP), Fundació Institut Universitari per la Recerca en Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.
Oriol Cunillera PuértolasVertigo Approach Research Group in Primary Care (VERTAP), Fundació Institut Universitari per la Recerca en Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.
Ricard Carrillo MuñozVertigo Approach Research Group in Primary Care (VERTAP), Fundació Institut Universitari per la Recerca en Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.
Iván Villar BalboaVertigo Approach Research Group in Primary Care (VERTAP), Fundació Institut Universitari per la Recerca en Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.
Xavier González ComptaVertigo Approach Research Group in Primary Care (VERTAP), Fundació Institut Universitari per la Recerca en Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.
Olga Lucía Arias AgudeloPrimary Care Centre Sant Martí de Provençals, Management Area of Barcelona, Catalan Institute of Health, Barcelona, Spain.
Sebastiá Calero MuñozVertigo Approach Research Group in Primary Care (VERTAP), Fundació Institut Universitari per la Recerca en Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.
Vanessa Monforte RodríguezVertigo Approach Research Group in Primary Care (VERTAP), Fundació Institut Universitari per la Recerca en Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.
Anna Navarro CortesVertigo Approach Research Group in Primary Care (VERTAP), Fundació Institut Universitari per la Recerca en Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.
Eva Peguero RodríguezVertigo Approach Research Group in Primary Care (VERTAP), Fundació Institut Universitari per la Recerca en Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.
Institut Universitari d'Investigació en Atenció Primària Jordi Gol · ESAgència de Qualitat i Avaluació Sanitàries de Catalunya · ESHospital de Viladecans · ESTransports Metropolitans de Barcelona (Spain) · ESUniversitat de Barcelona · ES

Funding

Instituto de Salud Carlos III PI19/00736
6 · The paper itself

Abstract

backgroundBenign paroxysmal positional vertigo (BPPV) is the most common type of vertigo. While BPPV is best treated with canalicular repositioning manoeuvres, they are not routinely performed in primary care (PC).

methodsTo evaluate the effectiveness of blended training (online and face-to-face) on the diagnosis and management of vertigo to improve adherence of family doctors to clinical practice guidelines, we designed a community multicentre cluster-randomised open-label trial with an intervention (IG) and a control (GC) group of 10 primary care teams (PCT) each. Outcome variables will be ICD-10 diagnostic codes (proportion of nonspecific diagnoses such as dizziness and vertigo versus specific diagnoses such as BPPV, vestibular neuritis, and Menière's disease); number of referrals to ENT or neurology specialists; prescription of antivertigo agents; and duration of sick leave due to vertigo. The baseline comparability of the two study groups will be analysed to ensure homogeneity. A description of all baseline variables will be performed. Student's t-test will be used to evaluate the differences between the groups. Logistic regression multivariate analysis will be performed to study the relationship between baseline variables of professionals and centres with outcome variables. DISCUSSION: With the improvement of the diagnosis and management of vertigo by family doctors after this training, we expect an increase in the proportion of specific diagnoses, a decrease in the prescription of antivertigo agents, a decrease in referrals to ENT or neurology specialists and a reduction in the duration of sick leave due to temporary disability. The blended training will be easily expanded within primary care services, since it is mainly delivered online, with a single face-to-face session to ensure that the manoeuvres have been adequately learned.

trial registrationClinicalTrials.gov NCT04929444 . Registered June 18, 2021. This protocol has been approved by the Ethics Committee of the Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol) with the code 20/004-P. All patient data will be anonymised in agreement with the 2016/679 European Regulation.

Indexed as

Benign Paroxysmal Positional VertigoPersons with DisabilitiesDizzinessHumansPrimary Health CareVasodilator AgentsVasodilator AgentsBenign paroxysmal positional vertigoPrimary careRandomised clinical trialTraining intervention

Identifiers

PMID35906606
PMCPMC9335455
OpenAlexW4288535756

What OpenQuestion holds

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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.