A Critical Appraisal of Clinical Practice Guidelines for the Diagnosis and Management of Benign Paroxysmal Positional Vertigo

Shivani Pandya, Neeraj V. Suresh, Viraj Shah, Dominic Romeo, Emma De Ravin, Louis Xavier Barrette, Alvaro Moreira, Karthik Rajasekaran

Research output: Contribution to journalReview articlepeer-review

Abstract

Introduction: Delays in diagnosis and therapy of benign paroxysmal positional vertigo (BPPV) can greatly impact quality of life and increase costs for patients. The aim of this study was to appraise the quality of clinical practice guidelines (CPGs) for the diagnosis and management of BPPV. METHODS: A comprehensive database search was completed until October 30, 2021. Four independent reviewers used the Appraisal of Guidelines for Research and Evaluation II (AGREE 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 CPGs were "low quality" and only one guideline was "high quality". CONCLUSIONS: This review identified a significant lack of quality in CPG development for BPPV, highlighting the need for a more rigorous approach for future guideline development.

Original languageEnglish (US)
JournalJournal of Laryngology and Otology
DOIs
StateAccepted/In press - 2022

Keywords

  • benign paroxysmal positional vertigo
  • consensus
  • quality improvement

ASJC Scopus subject areas

  • Otorhinolaryngology

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