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Referrals to a specialised dizziness clinic often result in revised diagnoses and new therapeutic advice
Roeland B van Leeuwen1, Hester van der Zaag-Loonen
1Department of Neurology, Apeldoorn Dizziness Centre, Gelre Hospital Apeldoorn, Apeldoorn, The Netherlands.
Background:
Patients with dizziness are frequently referred to specialised centres for a second opinion. The incremental diagnostic and therapeutic yield of this approach has rarely been studied.
Aim Of The Study:
How often is a new diagnosis or treatment advice given to patients with dizziness who are referred for a second opinion to a tertiary multi-disciplinary expertise centre?
Methods:
In a prospective observational study, the following data were collected: reason for referral, diagnosis and treatment made by ENT surgeon and a neurologist in consensus.
Results:
In the complete group of patients (n = 327), a new (or amended) diagnosis was made in 54% and 62% of the patients received a new treatment advice.
Conclusion:
Referral of selected dizzy patients to a multidisciplinary centre provides a revised diagnosis or treatment recommendation for a majority of patients.
