[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-209164-en":3,"doc-seo-209164-105":31,"detail-sidebar-cat-0-en-105":92},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":21,"is_downloadable":21,"audit_status":21,"page_count":22,"language":23,"language_code":24,"site_id":25,"html_lang":24,"table_of_contents":26,"faqs":27,"seo_title":28,"seo_description":14,"update_tm":29,"read_time":30},209164,5909887256941,"Mason","https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc",7,"Healthcare","Causes of Persistent Dizziness in Elderly Patients in Primary Care","Persistent dizziness is frequently encountered in primary care, yet many diagnostic studies of dizziness have focused on secondary or tertiary settings. This cross-sectional diagnostic study in the Netherlands evaluated elderly patients consulting their family physician for persistent dizziness. Patients underwent comprehensive test-based assessment developed through an international Delphi process and were independently reviewed by a panel to determine major and minor contributory causes. Cardiovascular disease was the most common major cause, and adverse drug effects were the leading minor cause.","UvA-DARE (Digital Academic Repository)  \nCauses of Persistent Dizziness in Elderly Patients in Primary Care  \nMaarsingh, O. R. ; Dros, J. ; Schellevis, F.G. ; van Weert, H.C. ; van der Windt, D.A. ; ter Riet, G. ; van der Horst, H. E.  \nDOI  \n10.1370/afm.1116  \nPublication date  \n2010  \nDocument Version  \nFinal published version  \nPublished in  \nAnnals of Family Medicine  \nLink to publication  \nCitation for published version (APA):  \nMaarsingh, O. R. , Dros, J. , Schellevis, F. G. , van Weert, H. C. , van der Windt, D. A. , ter Riet, G. , & van der Horst, H. E. (2010) . Causes of Persistent Dizziness in Elderly Patients in Primary Care. Annals of Family Medicine, 8(3), 196-205 . [https://doi.org/10.1370/afm.1116](https://doi.org/10.1370/afm.1116)  \nGeneral rights  \nIt is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons) .  \nDisclaimer/Complaints regulations  \nIf you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: [https://uba.uva.nl/en/contact](https://uba.uva.nl/en/contact), or a letter to: Library of the University of Amsterdam, Secretariat, P.O. Box 19185 , 1000 GD Amsterdam, The Netherlands. You will be contacted as soon as possible.  \nUvA-DARE is a service provided by the library of the University of Amsterdam ( [http](https://dare. uva. nl)[s](https://dare. uva. nl)[://dare. uva. nl](https://dare. uva. nl))  \nDownload date:05 Sep 2026  \nCauses of Persistent Dizziness in Elderly Patients in Primary Care  \nOtto R. Maarsingh, MD1 Jacquelien Dros, MD2  \nFrançois G. Schellevis, MD, PhD1,3 Henk C. van Weert, MD, PhD2 Danielle A. van der Windt, PhD1,4 Gerben ter Riet, MD, PhD2 Henriette E. van der Horst, MD, PhD1 1Department of Family Practice and EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands  \n2Department of Family Practice, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands  \n3NIVEL, The Netherlands Institute for Health Services Research, Utrecht, The Netherlands  \n4Primary Care Sciences Research Centre, Keele University, Keele, Staffordshire, England  \nAnnals Journal Club selection; see inside back cover or [http://www](http://www). [annfammed.org/AJC/](annfammed.org/AJC/).  \nConflicts of interest: none reported  \nCORRESPONDING AUTHOR  \nOtto R. Maarsingh, MD  \nDepartment of Family Practice and Institute for Research in Extramural Medicine  \nVU University Medical Center (D556) Van der Boechorststraat 7  \n1081 BT Amsterdam, The Netherlands [o.maarsingh@vumc.nl](o.maarsingh@vumc.nl)  \nABSTRACT  \nPURPOSE Although dizzy patients are predominantly seen in primary care, most diagnostic studies on dizziness have been performed among patients in secondary or tertiary care. Our objective was to describe subtypes of dizziness in elderly patients in primary care and to assess contributory causes of dizziness .  \nMETHODS We performed a cross-sectional diagnostic study among elderly patients in the Netherlands consulting their family physician for persistent dizziness . All patients underwent a comprehensive evaluation according to a set of diagnostic tests that were developed during an international Delphi procedure. Data for each patient were independently reviewed by a panel consisting of a family physician, a geriatrician, and a nursing home physician, which resulted in major and minor contributory causes of dizziness .  \nRESULTS From June 2006 to January 2008, we included 417 patients aged 65 to 95 years . Presyncope was the most common dizziness subtype (69%) . Forty-four percent of the patients wer","cbCaihBFXPCTTONG","https://ap.wps.com/l/cbCaihBFXPCTTONG","pdf",419425,2,1,11,"English","en",105,"# Abstract\n## Purpose\n## Methods\n## Results\n## Conclusions\n# Introduction","[{\"question\":\"What was the main purpose of the study?\",\"answer\":\"To describe dizziness subtypes in elderly patients in primary care and assess contributory causes of persistent dizziness.\"},{\"question\":\"How was the study conducted and who reviewed the cases?\",\"answer\":\"A cross-sectional diagnostic study evaluated elderly patients consulting family physicians for persistent dizziness, with independent review by a panel consisting of a family physician, a geriatrician, and a nursing home physician.\"},{\"question\":\"What were the most common major and minor contributory causes of dizziness?\",\"answer\":\"Cardiovascular disease was the most common major contributory cause, while an adverse drug effect was the most common minor contributory cause.\"}]","Causes of Persistent Dizziness in Elderly Patients in Primary Care | 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