TY - JOUR
T1 - A different approach of dizziness in older patients
T2 - Away from the diagnostic dance between patient and physician
AU - Maarsingh, Otto R.
AU - Stam, Hanneke
AU - van der Horst, Henriëtte E.
PY - 2014/1/1
Y1 - 2014/1/1
N2 - Although the etiology of dizziness in older patients differs significantly from that of younger patients, most guidelines on dizziness advocate the same diagnosis-oriented approach for all patients regardless of their age. However, this diagnosis-oriented approach may be insufficient for older patients presenting with dizziness in general practice, because (1) general practitioners are often not able to identify an underlying cause of dizziness, (2) general practitioners regularly identify causes of dizziness that cannot be treated, and (3) general practitioners may identify causes of dizziness for which treatment is available but not desirable. In this article, the authors present a simultaneous diagnosis- and prognosis-oriented approach for older dizzy patients. This approach may enable general practitioners to improve their care for a voluminous group of impaired older patients, even if a diagnosis is not available (yet).
AB - Although the etiology of dizziness in older patients differs significantly from that of younger patients, most guidelines on dizziness advocate the same diagnosis-oriented approach for all patients regardless of their age. However, this diagnosis-oriented approach may be insufficient for older patients presenting with dizziness in general practice, because (1) general practitioners are often not able to identify an underlying cause of dizziness, (2) general practitioners regularly identify causes of dizziness that cannot be treated, and (3) general practitioners may identify causes of dizziness for which treatment is available but not desirable. In this article, the authors present a simultaneous diagnosis- and prognosis-oriented approach for older dizzy patients. This approach may enable general practitioners to improve their care for a voluminous group of impaired older patients, even if a diagnosis is not available (yet).
KW - Diagnosis
KW - Dizziness
KW - General practice
KW - Older people
KW - Prognosis
UR - http://www.scopus.com/inward/record.url?scp=85019226364&partnerID=8YFLogxK
U2 - https://doi.org/10.3389/fmed.2014.00050
DO - https://doi.org/10.3389/fmed.2014.00050
M3 - Article
C2 - 25593923
SN - 2296-858X
VL - 1
SP - -3
JO - Frontiers in Medicine
JF - Frontiers in Medicine
IS - DEC
M1 - 50
ER -