Impact of treatment on health-related quality of life in patients with posterior canal benign paroxysmal positional vertigo.
Identifieur interne : 000368 ( Main/Corpus ); précédent : 000367; suivant : 000369Impact of treatment on health-related quality of life in patients with posterior canal benign paroxysmal positional vertigo.
Auteurs : Jose A. Lopez-Escamez ; Maria J. Gamiz ; Antonio Fernandez-Perez ; Manuel Gomez-Fi Ana ; Isabel Sanchez-CanetSource :
- Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [ 1531-7129 ] ; 2003.
English descriptors
- KwdEn :
- Adult (MeSH), Disability Evaluation (MeSH), Dizziness (etiology), Female (MeSH), Health Status (MeSH), Health Surveys (MeSH), Humans (MeSH), Interpersonal Relations (MeSH), Male (MeSH), Mental Health (MeSH), Middle Aged (MeSH), Prospective Studies (MeSH), Quality of Life (MeSH), Vertigo (complications), Vertigo (physiopathology), Vertigo (psychology), Vertigo (therapy).
- MESH :
- complications : Vertigo.
- etiology : Dizziness.
- physiopathology : Vertigo.
- psychology : Vertigo.
- therapy : Vertigo.
- Adult, Disability Evaluation, Female, Health Status, Health Surveys, Humans, Interpersonal Relations, Male, Mental Health, Middle Aged, Prospective Studies, Quality of Life.
Abstract
OBJECTIVE
To determine the impact of the particle repositioning maneuver on posterior canal benign paroxysmal positional vertigo-related quality of life using the Medical Outcomes Study 36-Item Short Form Health Survey and the Dizziness Handicap Inventory Short Form.
STUDY DESIGN
Prospective, consecutive new cases of posterior canal benign paroxysmal positional vertigo.
SETTING
Ambulatory, primary referral hospital.
PATIENTS
Forty individuals with posterior canal benign paroxysmal positional vertigo were investigated. The diagnosis was made on the basis of the history of recurrent sudden crisis of vertigo and positional-induced nystagmus during the Dix-Hallpike test.
INTERVENTIONS
All patients were treated by a single particle repositioning maneuver, and relapses were investigated at Days 7 and 30 posttreatment.
MAIN OUTCOME MEASURES
Percentage of patients with negative Dix-Hallpike test after treatment, scores obtained on the 36-Item Short Form Health Survey and Dizziness Handicap Inventory Short Form before and 30 days after treatment.
RESULTS
DHT was found negative in 76% (28 of 37) individuals at 30 days. The eight scales of the 36-Item Short Form Health Survey had a good internal consistency reliability (Cronbach's alpha > 0.7) in patients with posterior canal benign paroxysmal positional vertigo. The average standardized score for each 36-Item Short Form Health Survey scale was compared with the reference population normative data, showing differences with norms for all scales, except for Vitality. After particle repositioning maneuver, patients scored closer to norms, and Social Function and Mental Health scores were significantly higher than the scores obtained before the particle repositioning maneuver (p < 0.05). Dizziness Handicap Inventory Short Form total score significantly decreased from 18.05 +/- 9.91 (mean +/- standard deviation) at the first day to 9.54 +/- 9.94 at 30 days (p < 0.001). All 36-Item Short Form Health Survey scale scores were correlated significantly with Dizziness Handicap Inventory Short Form total scores at 30 days after treatment.
CONCLUSIONS
Posterior canal benign paroxysmal positional vertigo has a significant impact on health-related quality of life, and patients experienced a decrease in quality of life as compared with norms. The particle repositioning maneuver improves health-related quality of life in posterior canal benign paroxysmal positional vertigo.
DOI: 10.1097/00129492-200307000-00018
PubMed: 12851558
Links to Exploration step
pubmed:12851558Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Impact of treatment on health-related quality of life in patients with posterior canal benign paroxysmal positional vertigo.</title>
<author><name sortKey="Lopez Escamez, Jose A" sort="Lopez Escamez, Jose A" uniqKey="Lopez Escamez J" first="Jose A" last="Lopez-Escamez">Jose A. Lopez-Escamez</name>
<affiliation><nlm:affiliation>Division of Otorhinolaryngology, Department of Surgery, Hospital de Poniente, El Ejido, Almería, Spain. jalopeze@cajamar.es</nlm:affiliation>
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</author>
<author><name sortKey="Gamiz, Maria J" sort="Gamiz, Maria J" uniqKey="Gamiz M" first="Maria J" last="Gamiz">Maria J. Gamiz</name>
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<author><name sortKey="Fernandez Perez, Antonio" sort="Fernandez Perez, Antonio" uniqKey="Fernandez Perez A" first="Antonio" last="Fernandez-Perez">Antonio Fernandez-Perez</name>
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<author><name sortKey="Gomez Fi Ana, Manuel" sort="Gomez Fi Ana, Manuel" uniqKey="Gomez Fi Ana M" first="Manuel" last="Gomez-Fi Ana">Manuel Gomez-Fi Ana</name>
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<author><name sortKey="Sanchez Canet, Isabel" sort="Sanchez Canet, Isabel" uniqKey="Sanchez Canet I" first="Isabel" last="Sanchez-Canet">Isabel Sanchez-Canet</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Impact of treatment on health-related quality of life in patients with posterior canal benign paroxysmal positional vertigo.</title>
<author><name sortKey="Lopez Escamez, Jose A" sort="Lopez Escamez, Jose A" uniqKey="Lopez Escamez J" first="Jose A" last="Lopez-Escamez">Jose A. Lopez-Escamez</name>
<affiliation><nlm:affiliation>Division of Otorhinolaryngology, Department of Surgery, Hospital de Poniente, El Ejido, Almería, Spain. jalopeze@cajamar.es</nlm:affiliation>
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<author><name sortKey="Gamiz, Maria J" sort="Gamiz, Maria J" uniqKey="Gamiz M" first="Maria J" last="Gamiz">Maria J. Gamiz</name>
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<author><name sortKey="Fernandez Perez, Antonio" sort="Fernandez Perez, Antonio" uniqKey="Fernandez Perez A" first="Antonio" last="Fernandez-Perez">Antonio Fernandez-Perez</name>
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<author><name sortKey="Gomez Fi Ana, Manuel" sort="Gomez Fi Ana, Manuel" uniqKey="Gomez Fi Ana M" first="Manuel" last="Gomez-Fi Ana">Manuel Gomez-Fi Ana</name>
</author>
<author><name sortKey="Sanchez Canet, Isabel" sort="Sanchez Canet, Isabel" uniqKey="Sanchez Canet I" first="Isabel" last="Sanchez-Canet">Isabel Sanchez-Canet</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Disability Evaluation (MeSH)</term>
<term>Dizziness (etiology)</term>
<term>Female (MeSH)</term>
<term>Health Status (MeSH)</term>
<term>Health Surveys (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Interpersonal Relations (MeSH)</term>
<term>Male (MeSH)</term>
<term>Mental Health (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>Quality of Life (MeSH)</term>
<term>Vertigo (complications)</term>
<term>Vertigo (physiopathology)</term>
<term>Vertigo (psychology)</term>
<term>Vertigo (therapy)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Vertigo</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dizziness</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Vertigo</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Vertigo</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Vertigo</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Disability Evaluation</term>
<term>Female</term>
<term>Health Status</term>
<term>Health Surveys</term>
<term>Humans</term>
<term>Interpersonal Relations</term>
<term>Male</term>
<term>Mental Health</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Quality of Life</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To determine the impact of the particle repositioning maneuver on posterior canal benign paroxysmal positional vertigo-related quality of life using the Medical Outcomes Study 36-Item Short Form Health Survey and the Dizziness Handicap Inventory Short Form.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b>
</p>
<p>Prospective, consecutive new cases of posterior canal benign paroxysmal positional vertigo.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>SETTING</b>
</p>
<p>Ambulatory, primary referral hospital.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>PATIENTS</b>
</p>
<p>Forty individuals with posterior canal benign paroxysmal positional vertigo were investigated. The diagnosis was made on the basis of the history of recurrent sudden crisis of vertigo and positional-induced nystagmus during the Dix-Hallpike test.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>INTERVENTIONS</b>
</p>
<p>All patients were treated by a single particle repositioning maneuver, and relapses were investigated at Days 7 and 30 posttreatment.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURES</b>
</p>
<p>Percentage of patients with negative Dix-Hallpike test after treatment, scores obtained on the 36-Item Short Form Health Survey and Dizziness Handicap Inventory Short Form before and 30 days after treatment.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>DHT was found negative in 76% (28 of 37) individuals at 30 days. The eight scales of the 36-Item Short Form Health Survey had a good internal consistency reliability (Cronbach's alpha > 0.7) in patients with posterior canal benign paroxysmal positional vertigo. The average standardized score for each 36-Item Short Form Health Survey scale was compared with the reference population normative data, showing differences with norms for all scales, except for Vitality. After particle repositioning maneuver, patients scored closer to norms, and Social Function and Mental Health scores were significantly higher than the scores obtained before the particle repositioning maneuver (p < 0.05). Dizziness Handicap Inventory Short Form total score significantly decreased from 18.05 +/- 9.91 (mean +/- standard deviation) at the first day to 9.54 +/- 9.94 at 30 days (p < 0.001). All 36-Item Short Form Health Survey scale scores were correlated significantly with Dizziness Handicap Inventory Short Form total scores at 30 days after treatment.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Posterior canal benign paroxysmal positional vertigo has a significant impact on health-related quality of life, and patients experienced a decrease in quality of life as compared with norms. The particle repositioning maneuver improves health-related quality of life in posterior canal benign paroxysmal positional vertigo.</p>
</div>
</front>
</TEI>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine the impact of the particle repositioning maneuver on posterior canal benign paroxysmal positional vertigo-related quality of life using the Medical Outcomes Study 36-Item Short Form Health Survey and the Dizziness Handicap Inventory Short Form.</AbstractText>
<AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Prospective, consecutive new cases of posterior canal benign paroxysmal positional vertigo.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Ambulatory, primary referral hospital.</AbstractText>
<AbstractText Label="PATIENTS" NlmCategory="METHODS">Forty individuals with posterior canal benign paroxysmal positional vertigo were investigated. The diagnosis was made on the basis of the history of recurrent sudden crisis of vertigo and positional-induced nystagmus during the Dix-Hallpike test.</AbstractText>
<AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">All patients were treated by a single particle repositioning maneuver, and relapses were investigated at Days 7 and 30 posttreatment.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Percentage of patients with negative Dix-Hallpike test after treatment, scores obtained on the 36-Item Short Form Health Survey and Dizziness Handicap Inventory Short Form before and 30 days after treatment.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">DHT was found negative in 76% (28 of 37) individuals at 30 days. The eight scales of the 36-Item Short Form Health Survey had a good internal consistency reliability (Cronbach's alpha > 0.7) in patients with posterior canal benign paroxysmal positional vertigo. The average standardized score for each 36-Item Short Form Health Survey scale was compared with the reference population normative data, showing differences with norms for all scales, except for Vitality. After particle repositioning maneuver, patients scored closer to norms, and Social Function and Mental Health scores were significantly higher than the scores obtained before the particle repositioning maneuver (p < 0.05). Dizziness Handicap Inventory Short Form total score significantly decreased from 18.05 +/- 9.91 (mean +/- standard deviation) at the first day to 9.54 +/- 9.94 at 30 days (p < 0.001). All 36-Item Short Form Health Survey scale scores were correlated significantly with Dizziness Handicap Inventory Short Form total scores at 30 days after treatment.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Posterior canal benign paroxysmal positional vertigo has a significant impact on health-related quality of life, and patients experienced a decrease in quality of life as compared with norms. The particle repositioning maneuver improves health-related quality of life in posterior canal benign paroxysmal positional vertigo.</AbstractText>
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