Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update) Executive Summary

Author:

Bhattacharyya Neil1,Gubbels Samuel P.2,Schwartz Seth R.3,Edlow Jonathan A.4,El-Kashlan Hussam5,Fife Terry6,Holmberg Janene M.7,Mahoney Kathryn8,Hollingsworth Deena B.9,Roberts Richard10,Seidman Michael D.11,Prasaad Steiner Robert W.12,Tsai Do Betty13,Voelker Courtney C. J.14,Waguespack Richard W.15,Corrigan Maureen D.16

Affiliation:

1. Department of Otolaryngology, Harvard Medical School, Brigham and Women’s Hospital, Boston, Massachusetts, USA

2. Department of Otolaryngology, School of Medicine and Public Health, University of Colorado, Aurora, Colorado, USA

3. Department of Otolaryngology, Virginia Mason Medical Center, Seattle, Washington, USA

4. Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA

5. Department of Otolaryngology, University of Michigan, Ann Arbor, Michigan, USA

6. Barrow Neurological Institute and College of Medicine, University of Arizona, Phoenix, Arizona, USA

7. Intermountain Hearing and Balance Center, Salt Lake City, Utah, USA

8. Vestibular Disorders Association, Portland, Oregon, USA

9. Ear, Nose & Throat Specialists of Northern Virginia, PC, Arlington, Virginia, USA

10. Alabama Hearing and Balance Associates, Inc, Birmingham, Alabama, USA

11. Department of Otolaryngology–Head and Neck Surgery, College of Medicine, University of Central Florida, Orlando, Florida, USA

12. Department of Health Management and Systems Science and Department of Family and Geriatric Medicine, School of Public Health and Information Science, University of Louisville, Louisville, Kentucky, USA

13. Department of Otorhinolaryngology, Health Sciences Center, University of Oklahoma, Oklahoma City, Oklahoma, USA

14. Department of Otolaryngology–Head and Neck Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA

15. Department of Otolaryngology, University of Alabama at Birmingham, Birmingham, Alabama, USA

16. American Academy of Otolaryngology–Head and Neck Surgery Foundation, Alexandria, Virginia, USA

Abstract

The American Academy of Otolaryngology—Head and Neck Surgery Foundation has published a supplement to this issue of Otolaryngology–Head and Neck Surgery featuring the “Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update).” To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 14 recommendations developed emphasize diagnostic accuracy and efficiency, reducing the inappropriate use of vestibular suppressant medications, decreasing the inappropriate use of ancillary testing, and increasing the appropriate therapeutic repositioning maneuvers. An updated guideline is needed due to new clinical trials, new systematic reviews, and the lack of consumer participation in the initial guideline development group.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Surgery

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