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Review
. 2019 Dec 27;9(1):37.
doi: 10.1186/s13561-019-0258-2.

Economic burden of vertigo: a systematic review

Eva Kovacs  1   2 , Xiaoting Wang  3 , Eva Grill  3   4   5
Affiliations
Review

Economic burden of vertigo: a systematic review

Eva Kovacs et al. Health Econ Rev. .

Abstract

Background: Vertigo, a highly prevalent disease, imposes a rising burden on the health care system, exacerbated by the ageing of the population; and further, contributes to a wide span of indirect burden due to reduced capacity to work or need of assistance in activities of daily living. The aim of this review was to summarise the evidence on the economic burden of vertigo.

Methods: All original studies published between 2008 and 2018 about the economic evaluation of peripheral or central vestibular vertigo in developed countries were considered eligible, unrestricted to setting, health care provider, or study type.

Results: The electronic search in three databases identified 154 studies from which 16 qualified for inclusion. All studies presented partial economic evaluation referring to a variety of vestibular vertigo including unspecified vertigo. Nine studies presented monetised cost results and seven studies reported health care utilization. Direct costs derived mainly from repeated and not well-targeted consultations at all levels of health care, excessive use of diagnostic imaging, and/or of emergency care. Considerable societal burden was caused by decreased productivity, mainly due to work absenteeism.

Conclusion: To the best of our knowledge, this is the first systematic review of the existing evidence of the economic burden of vertigo. The lack of conclusive evidence revealed apparent targets of future research. First, studies of diagnostics and therapies for vestibular disease should include cost-effectiveness considerations. Population-based studies of health services utilization should include simple vestibular assessments to get more reliable estimates of the burden of disease and associated costs on the level of the general population. Further, clinical and population-based registries that include patients with vestibular disease, should consider collecting long-term data of societal burden. Primary data collection should increasingly include assessment of health care utilization e.g. by linking their diagnoses and outcomes to routine data from health insurances.

Keywords: Cost of illness; Dizziness; Health care costs cost analysis; Health care utilization; Vestibular vertigo.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Flowchart of study selection
See this image and copyright information in PMC

References

    1. Murdin L, Schilder AG. Epidemiology of balance symptoms and disorders in the community: a systematic review. Otol Neurotol. 2015;36(3):387–392. doi: 10.1097/MAO.0000000000000691. - DOI - PubMed
    1. Neuhauser HK. Epidemiology of vertigo. Curr Opin Neurol. 2007;20(1):40–46. doi: 10.1097/WCO.0b013e328013f432. - DOI - PubMed
    1. Strupp M, Brandt T. Diagnosis and treatment of vertigo and dizziness. Dtsch Arztebl Int. 2008;105(10):173–180. - PMC - PubMed
    1. Neuhauser HK. The epidemiology of dizziness and vertigo. Handb Clin Neurol. 2016;137:67–82. doi: 10.1016/B978-0-444-63437-5.00005-4. - DOI - PubMed
    1. Brandt T, Dieterich M, Strupp M. Vertigo and dizziness. Common complaints. London: Springer-Verlag; 2005.

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