Evidence map›Paper›PMID 40329040›Full record

SynthesisEuropean 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 Surgery2025

Seasonal and monthly variation in benign paroxysmal positional vertigo: a systematic review and meta‑analysis.

Linlin Wang, Haixia Wang, Hui Pan, Wen Xie, Peixia Wu, Bo Liu

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in 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. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Recurrence of benign paroxysmal positional vertigo: risk factors and outcomes.Revista da Associacao Medica Brasileira (1992) · 2026
    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

6 authors.

Linlin Wang *Department of Otorhinolaryngology-Head Neck Surgery, ENT Institute, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Haixia Wang *Department of Otorhinolaryngology, Affiliated People's Hospital (Fujian Provincial People's Hospital), Fujian University of Traditional Chinese Medicine, Fuzhou, 350004, China.
Hui PanDepartment of Otorhinolaryngology-Head Neck Surgery, ENT Institute, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Wen XieDepartment of Otorhinolaryngology-Head Neck Surgery, ENT Institute, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Peixia WuVertigo and Balance Disorder Center, Eye and ENT Hospital of Fudan University, Shanghai, 200031, China. 13524844652@163.com.
Bo LiuDepartment of Otorhinolaryngology-Head Neck Surgery, ENT Institute, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. liuboent@hust.edu.cn.ORCID http://orcid.org/0000-0003-1642-9867

Funding

Key Technologies Research and Development Program 2023YFC2508000Key Technologies Research and Development Program 2023YFC2508001Key Technologies Research and Development Program 2023YFC2508400National Natural Science Foundation of China 81670930Natural Science Foundation of Hubei Province 2021CFB547
6 · The paper itself

Abstract

purposeThe relationship between seasonal variations and the incidence of benign paroxysmal positional vertigo (BPPV) has been widely studied, but the findings remain inconsistent. This systematic review and meta-analysis aimed to evaluate whether BPPV demonstrates seasonal variation.

methodsA comprehensive search was conducted across PubMed, Embase, Cochrane Library, Web of Science, and CNKI databases for studies on the monthly or seasonal incidence of BPPV from their inception up to August 2024. Pooled monthly or seasonal incidence rates, risk ratios (RRs) for one season versus another and 95% confidence intervals (CIs) were combined using the random-effects model. This meta-analysis has been registered at International Prospective Register of Systematic Reviews (PROSPERO) (NO. CRD42024583513).

resultsTen eligible studies were included, comprising 5,063 subjects. Pooled BPPV incidence was highest in winter (28%) and lowest in summer (21%). Additionally, the pooled monthly incidence was highest in December (12.6%) and lowest in July (7.4%). The overall RRs and 95% CIs are as follows: winter versus summer (1.30 [1.07,1.59]); winter versus spring (1.01 [0.88,1.17]); winter versus autumn (1.11[0.95,1.30]); spring versus autumn (1.09 [0.91,1.31]); spring versus summer (1.29 [1.00,1.66]); autumn versus summer (1.17 [0.97,1.42]).

conclusionOur meta-analysis suggests that there may be seasonal variation in the incidence of BPPV. The finding of seasonal patterns provides a new perspective to our understanding of BPPV, suggesting environmental factors may play a potential role in its pathophysiology. However, larger cohort studies and multicenter datasets are warranted to validate these findings in future research.

Indexed as

Benign Paroxysmal Positional VertigoSeasonsHumansIncidenceBenign paroxysmal positional vertigoBPPVIncidenceMeta-analysisSeason

Identifiers

What OpenQuestion holds

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Read underepoch 390

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.