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Title: | Effect of age on treatment outcomes in benign paroxysmal positional vertigo: A systematic review | Authors: | LAURENT, Gwen Vereeck, Luc VERBECQUE, Evi Herssens, Nolan CASTERS, Laura SPILDOOREN, Joke |
Issue Date: | 2022 | Publisher: | WILEY | Source: | Journal of the American Geriatrics Society, 70 (1) , p. 281-293 | Abstract: | Background: Benign paroxysmal positional vertigo (BPPV) can lead to an increased fall risk in older adults. Therefore, we examined the influence of age on the effectiveness of canalith-repositioning procedures (CRPs) for the treatment of BPPV. Methods: Pubmed, Web of Science, and the bibliographies of selected articles were searched for studies conducted before September 2020 that examined the effectiveness of treatments for BPPV in various age groups. Meta-analyses were performed to compare treatment effectiveness and recurrence rates for younger and older adults. Odds ratios were calculated in a random-effects model. Mean differences were calculated using a fixedeffects model. A significance level of p < 0.05 (95% confidence interval) was set. The risk of bias and the methodological quality of all included articles were examined. Results: Forty-five studies were retrieved after full-text screening, of which 29 studies were included for a qualitative review. The remaining 16 studies were eligible for inclusion in the meta-analysis (3267 participants with BPPV). The success rate of a single CRP was higher in the younger group (72.5% vs. 67%, p < 0.001). An average of 1.4 and 1.5 CRPs was needed for complete recovery in the younger and older groups, respectively (p = 0.02). However, global treatment success did not differ between these groups (97.5% vs. 94.6%, p = 0.41). The recurrence rate was higher in the older population (23.2% vs. 18.6%, p = 0.007). Conclusions: Although more CRPs are needed, the rate of complete recovery in older adults is similar to that observed in younger adults. | Keywords: | aging;benign paroxysmal positional vertigo;older adults;recurrence;treatment efficacy | Document URI: | http://hdl.handle.net/1942/35743 | ISSN: | 0002-8614 | e-ISSN: | 1532-5415 | DOI: | 10.1111/jgs.17485 | ISI #: | 000710932200001 | Rights: | 2021 The American Geriatrics Society | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2023 |
Appears in Collections: | Research publications |
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author version.pdf | Peer-reviewed author version | 1.03 MB | Adobe PDF | View/Open |
Effect of age on treatment outcomes in benign paroxysmal positional vertigo_ A systematic review.pdf Restricted Access | Published version | 1.76 MB | Adobe PDF | View/Open Request a copy |
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