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- Page navigation anchor for Dizziness in the elderly: disease, symptom or the straw that broke the camel�s back?Dizziness in the elderly: disease, symptom or the straw that broke the camel�s back?Show More
We'd like to compliment Maarsingh et.al. (on behalf of the the Dizziness In Elderly Patients –DIEP- research group) for performing this relevant study with elderly patients with persistent dizziness in the primary care setting.(1) It is a common problem, for which no clear diagnostic strategies or treatment modalities currently exist. This is partly explained by the wide spectrum of different pathophysiological mechanis...
Competing Interests: None declared. - Page navigation anchor for Impressive studyImpressive studyShow More
Maarsingh et al’s report on the causes of persistent dizziness in the elderly in primary care is very impressive. The authors evaluated the subjects prospectively, using an extensive, uniform set of diagnostic tests. The wide variety of causes of dizziness in these patients, and the large number of contributing causes per patient, can be overwhelming for the primary care provider. In the US, primary care physicians t...
Competing Interests: None declared. - Page navigation anchor for Dizziness in agingDizziness in agingShow More
This is an interesting article describing a process in assessing dizziness in elderly by three family physicians assisted by an expert system. As I mentioned in one of my publications, the patients referred to a specialized clinic, such as ours, belong to a selected population, suffering from dizziness, although I suspect that these are the most difficult cases in reaching a diagnosis by a family physician. No question he...
Competing Interests: None declared. - Page navigation anchor for Re: Dizziness, a brain teasing symptomRe: Dizziness, a brain teasing symptomShow More
I would like to thank Termeer and colleagues for critically reading our article[1] and for their time and effort to participate in the online discussion.[2] I have a few remarks, though.
First of all, it is tempting to consider a case-control study to be the solution for the diagnostic dilemmas dizziness confronts us with. However, it is not. Even if a diagnostic test reveals a significant difference between di...
Competing Interests: None declared. - Page navigation anchor for Dizziness, a brain teasing symptomDizziness, a brain teasing symptomShow More
According to the final step in the RADICAL approach as proposed by this Journal, we would like to share our main points of discussion on the article by Maarsingh and collegues, in part based on the rules of the STROBE Statement (1).
We would like to start with complimenting the authors with this interesting article as it emphasizes again the need for a broad and multifactorial approach towards this complex pro...
Competing Interests: None declared. - Page navigation anchor for Additional evidence base for dizziness as geriatric syndrome in primary careAdditional evidence base for dizziness as geriatric syndrome in primary careShow More
Maarsingh and colleagues may be congratulated for their important study, in which they succeeded in extensively describing the phenotype of dizziness in a substantial population of elderly patients in primary care. In doing so, they added evidence to the geriatric syndrome status of dizziness. One of the few omissions in their paper is that they did not refer to the term 'geriatric syndrome', while this is this is more an...
Competing Interests: None declared.