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A critical appraisal of clinical practice guidelines for the diagnosis and management of benign paroxysmal positional vertigo

Published online by Cambridge University Press:  17 June 2022

S Pandya ,
N V Suresh Open the ORCID record for N V Suresh [Opens in a new window] ,
V Shah ,
D Romeo ,
E De Ravin ,
L-X Barrette ,
A Moreira  and
K Rajasekaran
S Pandya
Affiliation:
Miller School of Medicine, University of Miami, Florida, USA
N V Suresh
Affiliation:
Miller School of Medicine, University of Miami, Florida, USA Department of Otorhinolaryngology – Head and Neck Surgery, University of Pennsylvania, Philadelphia, USA
V Shah
Affiliation:
Miller School of Medicine, University of Miami, Florida, USA
D Romeo
Affiliation:
Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
E De Ravin
Affiliation:
Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
L-X Barrette
Affiliation:
Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
A Moreira
Affiliation:
Department of Pediatrics, University of Texas Health Science Center at San Antonio, USA
K Rajasekaran*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, University of Pennsylvania, Philadelphia, USA Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, USA
*
Author for correspondence: Dr Karthik Rajasekaran, 800 Walnut St, 18th floor, Philadelphia, PA 19107, USA E-mail: karthik.rajasekaran@pennmedicine.upenn.edu
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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’.

Conclusion

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.

Keywords

ConsensusBenign Paroxysmal Positional VertigoQuality Improvement
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 2 , February 2023 , pp. 121 - 126
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr K Rajasekaran takes responsibility for the integrity of the content of the paper

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