A systematic review of patient-reported measures associated with vestibular dysfunction

Journal article

Stewart, Vicky M., Mendis, M. Dilani and Low Choy, Nancy. (2018). A systematic review of patient-reported measures associated with vestibular dysfunction. The Laryngoscope. 128(4), pp. 971-981. https://doi.org/10.1002/lary.26641

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Authors	Stewart, Vicky M., Mendis, M. Dilani and Low Choy, Nancy
Abstract	Objectives/Hypothesis Use of clinical questionnaires to assist in the screening of vestibular disorders in the acute hospital setting is needed. The objective is to detail the clinimetric properties and clinical utility of patient-reported questionnaires for quantifying dizziness/vertigo symptoms associated with vestibular dysfunction, and to determine validity and utility for screening dizziness/vertigo in the emergency department. Data Sources We performed a systematic review of PubMed, CINAHL, Embase, and Web of Science in May 2015. Methods Two independent reviewers selected studies reporting clinimetric properties of patient-reported questionnaires that aim to evaluate symptomology of dizziness/vertigo associated with vestibular dysfunction. A third reviewer resolved disparities. Of 1,901 articles initially found in the database search, 58 articles and 9 patient-reported questionnaires were included. Results Clinimetric properties of content validity, criterion validity, internal consistency, inter-/intrarater reliability, test–retest reliability, and responsiveness to vestibular rehabilitation are reported, and methodological quality is rated using the COSMIN (Consensus-based Standards for the selection of health Measurement Instruments) checklist. Clinical utility is described in terms of target population, purpose, number of items, and whether the questionnaire was validated in the emergency department. Conclusions The Vestibular Rehabilitation Benefit Questionnaire, a relatively new tool, scored an “excellent” rating on three COSMIN criteria, and may be the best measure to address treatment outcomes. Questions on respective tools ranged from nine to 36, and no questionnaire was validated in the emergency department. Due to the number of questions and lack of validity, none of the questionnaires was deemed appropriate as a screening tool for dizziness/vertigo in the emergency department.
Keywords	vestibular; vestibular system; quality of life
Year	2018
Journal	The Laryngoscope
Journal citation	128 (4), pp. 971-981
Publisher	John Wiley & Sons, Inc.
ISSN	0023-852X
Digital Object Identifier (DOI)	https://doi.org/10.1002/lary.26641
Scopus EID	2-s2.0-85044371855
Research or scholarly	Research
Page range	971-981
Publisher's version	License All rights reserved File Access Level Controlled
Output status	Published
Online	23 May 2017
Publication process dates
Accepted	27 Mar 2017
Deposited	12 Jul 2021

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