Do patients with benign paroxysmal positional vertigo receive prompt treatment? Analysis of waiting times and human and financial costs associated with current practice.

This study retrospectively analysed how 20 patients with posterior canal benign paroxysmal positional vertigo (BPPV) were managed from primary care, to treatment in tertiary care. The average time from first referral to treatment was 93 weeks, with an average of 58 weeks within primary care and 40 w...

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Bibliographic Details
Published in:International Journal of Audiology Vol. 44; no. 1; pp. 50 - 58
Main Authors: Fife D, FitzGerald JE
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Jan2005
Online Access:View this record in EBSCOhost
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      dt: Jan2005
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      pub: Taylor & Francis Ltd
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        atl: Do patients with benign paroxysmal positional vertigo receive prompt treatment? Analysis of waiting times and human and financial costs associated with current practice.
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          Fife D
          FitzGerald JE
        affil: Audiology Department, Norfolk & Norwich University Hospital NHS Trust, Colney Lane, Norwich NR4 7UY, UK; debbie.fife@nnuh.nhs.uk
      sug:
        subj:
          Treatment Delay Economics
          Vertigo Therapy
          Adult
          Aged
          Aged, 80 and Over
          Costs and Cost Analysis
          Descriptive Statistics
          Economic Aspects of Illness
          Failure to Diagnose
          Female
          Health Facility Costs
          Male
          Middle Age
          Primary Health Care
          Record Review
          Retrospective Design
          Time Factors
          United Kingdom
          Human
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: This study retrospectively analysed how 20 patients with posterior canal benign paroxysmal positional vertigo (BPPV) were managed from primary care, to treatment in tertiary care. The average time from first referral to treatment was 93 weeks, with an average of 58 weeks within primary care and 40 weeks within hospital care. At least 85% of cases had classical symptoms of BPPV and could have been easily identified by Primary Care Physicians at first referral, had they been trained to recognise and diagnose the condition. It was concluded that patients could be treated more efficiently and at less cost if the condition was identified at first referral in primary care, and treated in either primary care or dedicated BPPV clinics receiving referrals from primary care. A dedicated clinic for BPPV is recommended, which will substantially reduce waiting time for treatment and save primary care and hospitals time and money by avoiding unnecessary appointments and medication.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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