Teh, Carren S. and Iffah, Salim and Prepageran, Narayanan (2022) Persistent postural-perceptual dizziness: A multispecialty survey of clinician awareness and practices in Malaysia. Indian Journal of Otology, 28 (1). 32 – 40. ISSN 09717749, DOI https://doi.org/10.4103/indianjotol.indianjotol_149_21.
Full text not available from this repository.Abstract
Objectives: Persistent postural-perceptual dizziness (PPPD) is a chronic functional vestibular disorder which is also the most common cause of chronic dizziness. Effective treatment is dependent on the awareness of the provider's knowledge of PPPD and correct provision of treatment. This study was aimed to assess the awareness of PPPD and practice patterns among a diverse group of providers who care for patients with chronic dizziness in the outpatient clinics. Materials and Methods: A 12-question web-based survey was distributed to a cross-sectional convenience sample of medical providers from primary care including general practitioners, otorhinolaryngology (ORL) and internal medicine all over Malaysia. We analyzed the responses using multivariate logistic regression. Results: Of the 186 included responses, only 46.7 (85 respondents) replied they have heard of PPPD and 158 (84.9) have actually encountered patients with symptoms describing PPPD. Those in primary care had less odds of having heard of PPPD (adjusted odds ratio aOR 0.37 confidence interval CI 0.18-0.76) nor treated patients with PPPD symptoms (aOR 0.18 CI 0.07-0.49) when compared to the General Medical and ORL providers. In terms of treatment of PPPD, gender, level of training, and practice setting predicted the provision of therapy. Conclusion: PPPD awareness is still lacking among our providers and the current practices reflect that the management of chronic dizziness is focused on ruling out systemic causes. Now is the time to invest in health communication strategies to improve the awareness and knowledge of managing chronic dizziness especially PPPD. © 2022 Wolters Kluwer Medknow Publications. All rights reserved.
| Item Type: | Article |
|---|---|
| Funders: | None |
| Uncontrolled Keywords: | Adult; Article; clinical practice; Controlled study; convenience sample; cross-sectional study; Female; Gender; General practitioner; Health care survey; Human; Internal medicine; Major clinical study; Malaysia; Male; Medical education; Middle aged; Multivariate logistic regression analysis; Otorhinolaryngology; Outpatient care; Persistent postural perceptual dizziness; Physician attitude; Positional dizziness; Primary medical care; Vestibular disorder |
| Subjects: | R Medicine > RF Otorhinolaryngology |
| Divisions: | Faculty of Medicine > Otorhinolaryngology Department |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 06 Nov 2023 03:25 |
| Last Modified: | 06 Nov 2023 03:25 |
| URI: | http://eprints.um.edu.my/id/eprint/43489 |
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