Outcomes of a one-stop balance clinic

Rate this item
(0 votes)


Objectives: Assess the outcomes of a multidisciplinary one-stop balance clinic in a tertiary hospital.

Design: Retrospective analysis of new referrals seen over a 3-year period (2008-2010).

Setting: Multidisciplinary one-stop balance clinic in a tertiary referral centre.

Main outcome measures: Analysis of the demographics, referral source, investigations, diagnoses and outcomes of the one-stop balance clinic

Results: 148 new patients, 52 men and 96 women with a mean age of 53.9 years (range 18-84) were seen. General practitioners referred 81% of cases. Sixty patients underwent further investigations, imaging, vestibular function and other audiological tests. 71% of patients had true vertigo. Eighty-five patients (57%) had vertigo due to an otological disorder and peripheral labyrinthine causes accounted for 64% of referrals both with and without the symptom of vertigo. Common diagnoses included (i) BPPV, (ii) Meniere’s disease or a variant, (iii) psychogenic causes such as anxiety and central causes such as migrainous vertigo and vestibular neuronitis. The majority of patients (64%) had a one-stop diagnosis and treatment plan. The remaining cases requiring follow-up were mainly those with middle ear disease being followed-up in general clinics and Meniere’s disease.

Conclusion: Our study suggests that almost two thirds of patients requiring an opinion from a secondary/tertiary care balance centre can be managed in a single appointment. It also confirms the appropriateness of the majority of primary care referrals. The level of follow up and further investigation we feel confirms the efficiency of a dedicated supra-specialist led balance clinic model.

Abbreviations: BPPV – Benign paroxysmal positional vertigo
                       DOH – Department of Health
                       VEMPs - Vestibular-evoked myogenic potentials
                       VFTs – Vestibular function tests

Additional Info

Read 9512 times Last modified on Wednesday, 13 May 2020 14:07

Leave a comment

Make sure you enter the (*) required information where indicated. HTML code is not allowed.


Member Login

          Forgot login? | Register

BBC News Feed

Get in touch

+44 207 637 3544

This email address is being protected from spambots. You need JavaScript enabled to view it.

The Otorhinolaryngologist,
73 Newman Street, London
W1T 3EJ, 


Rila Publications Ltd Ethics Policy