Colin R Grove, Wagner Henrique Souza, Patricia L Gerend, Cynthia A Ryan, Michael C Schubert
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The following patient-reported outcomes were analyzed by proportions for those who did and did not report BPPV: symptoms experienced, falls reported, diagnostics undertaken, interventions received (eg, canalith repositioning maneuvers [CRMs], medications), and responses to interventions.</p><p><strong>Results: </strong>Of the 1,262 adults included, 26% reported being diagnosed with BPPV. Many adults who reported BPPV (83%) also endorsed receiving additional vestibular diagnoses or may have had atypical BPPV. Those with BPPV underwent magnetic resonance imaging and were prescribed medications more frequently than those without BPPV (76% vs 57% [χ<sup>2</sup>=36.51, p<0.001] and 85% vs 78% [χ<sup>2</sup>=5.60, p=0.018], respectively). Falls were experienced by similar proportions of adults with and without BPPV (55% vs 56% [χ<sup>2=</sup>=11.26, p=0.59]). Adults with BPPV received CRMs more often than those without BPPV (86% vs 48%, χ<sup>2</sup>=127.23, p<0.001). More registrants with BPPV also endorsed benefit from CRMs compared to those without BPPV (51% vs 12% [χ<sup>2</sup>=105.30, p<0.001]).</p><p><strong>Discussion: </strong>In this registry, BPPV was often reported with other vestibular disorders. Healthcare utilization was higher than would be expected with care based on the CPG. The rates of falls in those with and without BPPV are higher than previously reported. Adults with BPPV reported significant differences in how their care is managed and their overall outcomes compared to those without BPPV.</p><p><strong>Conclusion: </strong>Patient-reported outcomes provide useful information regarding the lived experience of adults with BPPV.</p>","PeriodicalId":19747,"journal":{"name":"Patient Related Outcome Measures","volume":null,"pages":null},"PeriodicalIF":1.8000,"publicationDate":"2022-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/be/0f/prom-13-157.PMC9271286.pdf","citationCount":"0","resultStr":"{\"title\":\"Patients' Experiences with Management of Benign Paroxysmal Positional Vertigo: Insights from the Vestibular Disorders Association Registry.\",\"authors\":\"Colin R Grove, Wagner Henrique Souza, Patricia L Gerend, Cynthia A Ryan, Michael C Schubert\",\"doi\":\"10.2147/PROM.S370287\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Benign paroxysmal positional vertigo (BPPV) is the most frequently occurring peripheral vestibular disorder. Clinical practice guidelines (CPG) for BPPV exist; however, little is known about how affected patients perceive their condition is being managed. We aimed to leverage registry data to evaluate how adults who report BPPV are managed.</p><p><strong>Material and methods: </strong>We retrospectively analyzed of data from 1,262 adults (58.4 ± 12.6 years old, 81.1% female, 91.1% White) who were enrolled in the Vestibular Disorders Association Registry from 2014 to 2020. The following patient-reported outcomes were analyzed by proportions for those who did and did not report BPPV: symptoms experienced, falls reported, diagnostics undertaken, interventions received (eg, canalith repositioning maneuvers [CRMs], medications), and responses to interventions.</p><p><strong>Results: </strong>Of the 1,262 adults included, 26% reported being diagnosed with BPPV. Many adults who reported BPPV (83%) also endorsed receiving additional vestibular diagnoses or may have had atypical BPPV. Those with BPPV underwent magnetic resonance imaging and were prescribed medications more frequently than those without BPPV (76% vs 57% [χ<sup>2</sup>=36.51, p<0.001] and 85% vs 78% [χ<sup>2</sup>=5.60, p=0.018], respectively). Falls were experienced by similar proportions of adults with and without BPPV (55% vs 56% [χ<sup>2=</sup>=11.26, p=0.59]). Adults with BPPV received CRMs more often than those without BPPV (86% vs 48%, χ<sup>2</sup>=127.23, p<0.001). More registrants with BPPV also endorsed benefit from CRMs compared to those without BPPV (51% vs 12% [χ<sup>2</sup>=105.30, p<0.001]).</p><p><strong>Discussion: </strong>In this registry, BPPV was often reported with other vestibular disorders. Healthcare utilization was higher than would be expected with care based on the CPG. The rates of falls in those with and without BPPV are higher than previously reported. 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引用次数: 0
摘要
良性阵发性位置性眩晕(BPPV)是最常见的外周前庭疾病。存在BPPV的临床实践指南(CPG);然而，对于受影响的患者如何看待他们的病情得到管理，人们知之甚少。我们的目的是利用登记数据来评估报告BPPV的成年人是如何管理的。材料和方法:我们回顾性分析了2014年至2020年在前庭疾病协会登记处登记的1,262名成年人(58.4±12.6岁，81.1%女性，91.1%白人)的资料。根据报告BPPV和未报告BPPV的患者的比例，分析以下患者报告的结果:经历的症状、报告的跌倒、进行的诊断、接受的干预(例如，管道复位术[crm]、药物治疗)以及对干预的反应。结果:在纳入的1262名成年人中，26%报告被诊断为BPPV。许多报告BPPV的成年人(83%)也认可接受额外的前庭诊断或可能患有非典型BPPV。BPPV患者接受磁共振成像治疗的频率高于无BPPV患者(76% vs 57% [χ2=36.51, p2=5.60, p=0.018])。患有和不患有BPPV的成年人发生跌倒的比例相似(55% vs 56% [χ2==11.26, p=0.59])。患有BPPV的成年人比没有BPPV的成年人接受crm的频率更高(86% vs 48%， χ2=127.23, p2=105.30, p)。讨论:在该注册表中，BPPV经常与其他前庭疾病一起报告。医疗保健利用率高于基于CPG的护理预期。有和没有BPPV的人的下降率高于以前的报道。与没有BPPV的成年人相比，患有BPPV的成年人在他们的护理管理和总体结果方面报告了显着差异。结论:患者报告的结果提供了有关BPPV成人生活经历的有用信息。
Patients' Experiences with Management of Benign Paroxysmal Positional Vertigo: Insights from the Vestibular Disorders Association Registry.
Introduction: Benign paroxysmal positional vertigo (BPPV) is the most frequently occurring peripheral vestibular disorder. Clinical practice guidelines (CPG) for BPPV exist; however, little is known about how affected patients perceive their condition is being managed. We aimed to leverage registry data to evaluate how adults who report BPPV are managed.
Material and methods: We retrospectively analyzed of data from 1,262 adults (58.4 ± 12.6 years old, 81.1% female, 91.1% White) who were enrolled in the Vestibular Disorders Association Registry from 2014 to 2020. The following patient-reported outcomes were analyzed by proportions for those who did and did not report BPPV: symptoms experienced, falls reported, diagnostics undertaken, interventions received (eg, canalith repositioning maneuvers [CRMs], medications), and responses to interventions.
Results: Of the 1,262 adults included, 26% reported being diagnosed with BPPV. Many adults who reported BPPV (83%) also endorsed receiving additional vestibular diagnoses or may have had atypical BPPV. Those with BPPV underwent magnetic resonance imaging and were prescribed medications more frequently than those without BPPV (76% vs 57% [χ2=36.51, p<0.001] and 85% vs 78% [χ2=5.60, p=0.018], respectively). Falls were experienced by similar proportions of adults with and without BPPV (55% vs 56% [χ2==11.26, p=0.59]). Adults with BPPV received CRMs more often than those without BPPV (86% vs 48%, χ2=127.23, p<0.001). More registrants with BPPV also endorsed benefit from CRMs compared to those without BPPV (51% vs 12% [χ2=105.30, p<0.001]).
Discussion: In this registry, BPPV was often reported with other vestibular disorders. Healthcare utilization was higher than would be expected with care based on the CPG. The rates of falls in those with and without BPPV are higher than previously reported. Adults with BPPV reported significant differences in how their care is managed and their overall outcomes compared to those without BPPV.
Conclusion: Patient-reported outcomes provide useful information regarding the lived experience of adults with BPPV.
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