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Vol. 73. Issue 2.
Pages 69-76 (March - April 2022)
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Vol. 73. Issue 2.
Pages 69-76 (March - April 2022)
Original article
Comparative Analysis of the Efficiency of Two Treatment Protocols for Posterior Canal Benign Paroxysmal Positional Vertigo
Análisis comparativo de la eficiencia de dos protocolos de tratamiento del vértigo posicional paroxístico benigno del conducto semicircular posterior
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Virginia Franco-Gutiérreza,
Corresponding author
, Vanessa Pérez-Guillénb, María Teresa Gil-Aguilarc, Raúl Franco-Gutiérrezd, María Jesús Álvarez-Zapicoe, Enrique García-Zamorab, Paz Pérez-Vázqueze
a Servicio de Otorrinolaringología, Hospital Carmen y Severo Ochoa, Cangas del Narcea, Asturias, Spain
b Servicio de Otorrinolaringología, Hospital Universitario y Politécnico La Fe, Valencia, Spain
c Servicio de Otorrinolaringología, Hospital de Sierrallana, Torrelavega, Cantabria, Spain
d Servicio de Cardiología, Hospital Universitario Lucus Augusti, Lugo, Galicia, Spain
e Servicio de Otorrinolaringología, Hospital de Cabueñes, Gijón, Asturias, Spain
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Figures (1)
Tables (4)
Table 1. Work Situation According to the Protocol to Which They Were Assigned.
Table 2. Comparison Between Actual Time on TD and Estimated Optimal TD Time for Patients on TD Due to BPPV.
Table 3. Comparison Between Actual TD Time and Optimal TD Time Estimated for Patients on TD for a Reason Other Than BPPV.
Table 4. Direct Cost to the Business of TD in Patients Who Were on TD Due to BPPV.
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Abstract
Background and objective

Benign paroxysmal positional vertigo (BPPV) is the most common vertigo of labyrinthine origin, its social and healthcare impact is remarkable. It has recently been shown that single session treatment is as safe and effective as weekly treatment, which could have impact on direct and indirect costs related to the disease. The objective of this study is to determine whether single session treatment of unilateral posterior canal BPPV canalolithiasis is more efficient than conventional treatment.

Materials and methods

A prospective randomized controlled trial was performed in 53 consecutive patients diagnosed with unilateral posterior canal BPPV canalolithiasis previously untreated: 26 patients were assigned to single session treatment and 27 patients to weekly treatment. Average and total cost of care, consultation time and the impact in terms of temporary disability and loss of productivity for the company due to patients’ medical visits were compared.

Results

Average and total cost of care and loss of productivity for the company due to patients’ medical visits were significantly lower in the single session group. Consultation time was also better in this group when travelling time was considered.

Conclusions

The single session protocol is fast, effective and reduces direct and indirect cost of care related to disease justifying high resolution consultations.

Keywords:
BPPV
Treatment
Efficiency
Healthcare cost
Indirect cost
Resumen
Antecedentes y objetivo

El vértigo posicional paroxístico benigno (VPPB) es la causa más frecuente de vértigo de origen laberíntico; su impacto social y en términos de cuidados de salud es notable. Recientemente se ha demostrado que es clínicamente posible realizar el tratamiento y su comprobación en la misma sesión, lo cual podría tener repercusión en los costes asistenciales directos e indirectos relacionados con la enfermedad. El objetivo de este trabajo es determinar si el protocolo de tratamiento unisesión del VPPB CP unilateral tipo conductolitiasis es más eficiente que el protocolo de tratamiento convencional.

Materiales y métodos

Estudio prospectivo controlado y aleatorizado en 53 pacientes consecutivos diagnosticados de un VPPB CP unilateral tipo conductolitiasis no tratados previamente; 26 pacientes fueron asignados al grupo unisesión y 27 al semanal clásico. Se compararon los costes medio y total de la asistencia, el tiempo de consulta y el impacto en términos de incapacidad temporal y pérdida de productividad para la empresa asociada a la visita médica del paciente.

Resultados

Los costes medio y total de la asistencia así como la pérdida de productividad para una empresa asociada a la visita médica de los pacientes laboralmente activos fueron significativamente menores en el protocolo unisesión. También el tiempo de consulta cuando se consideró el tiempo de desplazamiento al centro.

Conclusiones

El protocolo de tratamiento unisesión es rápido, efectivo y reduce los costes asistenciales directos e indirectos relacionados con la enfermedad justificando consultas de alta resolución.

Palabras clave:
VPPB
Tratamiento
Eficiencia
Costes sanitarios
Costes indirectos

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