Management of Meniere's disease in general practice: adherence to the UK National Health Service 'Prodigy' guidelines.

摘要

INTRODUCTION: Dizziness is a common presenting complaint in primary healthcare. One differential diagnosis is Meniere's disease. The UK National Health Service 'Prodigy' guidelines have been produced to help healthcare professionals to diagnose and manage Meniere's disease. The aim of this audit was to consider how Meniere's disease is managed in general practice, and to assess how well general practitioners adhere to the Prodigy guidelines. MATERIALS AND METHODS: We identified general practices near the Torbay region of south Devon which had a 'TQ' postcode. There were 41 practices, staffed by a total of 203 general practitioners. We wrote to each general practitioner, asking them to fill in a questionnaire regarding Meniere's disease. Our practice response rate was 68 per cent and our individual rate 43 per cent. RESULTS: The mean correct answer rate was >50 per cent. The respondents achieved this despite few being aware of any formal guidelines, and none being aware of the Prodigy guidelines. CONCLUSION: Detailed knowledge of Meniere's disease was uncommon, and formal guidelines were not frequently consulted.