关键词: Benign Paroxysmal Positional Vertigo Consensus Quality Improvement

Mesh : Humans Benign Paroxysmal Positional Vertigo / diagnosis Quality of Life Practice Guidelines as Topic

来  源:   DOI:10.1017/S0022215122001414

Abstract:
BACKGROUND: Delays in the diagnosis and therapy of benign paroxysmal positional vertigo can greatly impact quality of life and increase healthcare costs for patients. This study aimed to appraise the quality of clinical practice guidelines for the diagnosis and management of benign paroxysmal positional vertigo.
METHODS: A comprehensive database search of clinical practice guidelines was completed up to 30 October 2021. Four independent reviewers used the Appraisal of Guidelines for Research and Evaluation II instrument in the quality appraisal.
RESULTS: The highest score was in \'clarity and presentation\' (58.33 ± 22.7). The lowest score was in \'applicability\' (13.96 ± 30.1). Overall, four clinical practice guidelines were \'low quality\' and only one guideline was \'high quality\'.
CONCLUSIONS: This review identified a significant lack of quality in clinical practice guideline development for benign paroxysmal positional vertigo, highlighting the need for a more rigorous approach for future guideline development.
摘要:
背景:良性阵发性位置性眩晕的诊断和治疗延迟会极大地影响患者的生活质量并增加医疗费用。本研究旨在评估良性阵发性位置性眩晕的诊断和治疗临床实践指南的质量。
方法:截至2021年10月30日,完成了对临床实践指南的全面数据库搜索。四名独立审查员在质量评估中使用了《研究和评估指南II》工具。
结果:得分最高的是“清晰度和表现”(58.33±22.7)。最低得分为“适用性”(13.96±30.1)。总的来说,四项临床实践指南为"低质量",只有一项指南为"高质量".
结论:这篇综述发现良性阵发性位置性眩晕的临床实践指南开发质量明显不足,强调需要对未来的指导方针制定采取更严格的方法。
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