title: Rapid Systematic Review of Normal Audiometry Results as a Predictor for Benign Paroxysmal Positional Vertigo.
abstract: To evaluate whether absence of hearing loss on pure-tone audiometry (PTA) is reliable as a diagnostic test for predicting benign paroxysmal positional vertigo (BPPV) in adult patients with vertigo.
  
  
  
  PubMed, Embase, and the Cochrane Library.
  
  
  
  A systematic literature search was conducted on December 10, 2013. Relevant publications were selected based on title, abstract, and full text. Selected articles were assessed for relevance and risk of bias using predetermined criteria. Prevalence and the positive and negative predictive value (PPV and NPV) were extracted.
  
  
  
  Of 603 retrieved publications, 1 article with high relevance and moderate risk of bias was included. In this study, the prevalence of BPPV was 28%. The PPV of hearing loss assessed by PTA was 31% (95% CI, 17-49) and the NPV was 73% (95% CI, 61-83). The absence of hearing loss on PTA decreased the risk of BPPV by 1%.
  
  
  
  There is insufficient high-quality evidence regarding the diagnostic value of the absence of hearing loss, assessed by PTA, for predicting BPPV in adult patients with vertigo.
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center, Utrecht, The Netherlands Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, The Netherlands.
authors.forename: Paul M
authors.initials: PM
authors.lastname: Dorresteijn
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center, Utrecht, The Netherlands Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, The Netherlands.
authors.forename: Norbertus A
authors.initials: NA
authors.lastname: Ipenburg
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center, Utrecht, The Netherlands Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, The Netherlands.
authors.forename: Kathryn J
authors.initials: KJ
authors.lastname: Murphy
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center, Utrecht, The Netherlands Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, The Netherlands.
authors.forename: Michelle
authors.initials: M
authors.lastname: Smit
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center, Utrecht, The Netherlands Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, The Netherlands.
authors.forename: Jonna K
authors.initials: JK
authors.lastname: van Vulpen
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center, Utrecht, The Netherlands Brain Center Rudolf Magnus, University Medical Center Utrecht, The Netherlands ENT-research@umcutrecht.nl.
authors.forename: Inge
authors.initials: I
authors.lastname: Wegner
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center, Utrecht, The Netherlands Brain Center Rudolf Magnus, University Medical Center Utrecht, The Netherlands.
authors.forename: Inge
authors.initials: I
authors.lastname: Stegeman
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center, Utrecht, The Netherlands Brain Center Rudolf Magnus, University Medical Center Utrecht, The Netherlands.
authors.forename: Wilko
authors.initials: W
authors.lastname: Grolman
mesh_terms: D001301:Audiometry, Pure-Tone; D065635:Benign Paroxysmal Positional Vertigo / Q000175:diagnosis* / Q000209:etiology*; D034381:Hearing Loss / Q000150:complications / Q000175:diagnosis; D006801:Humans; D011237:Predictive Value of Tests; D015203:Reproducibility of Results
keywords: BPPV; benign paroxysmal positional vertigo; hearing loss; pure-tone audiometry; systematic review; vertigo