Trends in the incidence of peripheral vestibular disorders: a Nationwide population-based study

Shih-Han Hung; Sudha Xirasagar; Luong Huu Dang; Yen-Chun Chen; Yen-Fu Cheng; Herng-Ching Lin; Chin-Shyan Chen

doi:10.3389/fneur.2023.1322199

Trends in the incidence of peripheral vestibular disorders: a Nationwide population-based study

Front Neurol. 2023 Dec 12:14:1322199. doi: 10.3389/fneur.2023.1322199. eCollection 2023.

Authors

Shih-Han Hung^{1

2

3}, Sudha Xirasagar⁴, Luong Huu Dang^{2

5}, Yen-Chun Chen¹, Yen-Fu Cheng^{6

7

8

9}, Herng-Ching Lin^{10

11}, Chin-Shyan Chen^{9

12}

Affiliations

¹ Department of Otolaryngology, School of Medicine, Taipei Medical University, Taipei, Taiwan.
² Department of Otolaryngology, Wan Fang Hospital, Taipei, Taiwan.
³ International Ph.D. Program in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
⁴ Department of Health Services Policy and Management, University of South Carolina, Arnold School of Public Health, Columbia, SC, United States.
⁵ Department of Otolaryngology, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
⁶ Department of Medical Research, Taipei Veterans General Hospital, Taipei, Taiwan.
⁷ Department of Otolaryngology-Head and Neck Surgery, Taipei Veterans General Hospital, Taipei, Taiwan.
⁸ Department of Otolaryngology-Head and Neck Surgery, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
⁹ Research Center of Data Science on Healthcare Industry, College of Management, Taipei Medical University, Taipei, Taiwan.
¹⁰ School of Health Care Administration, College of Management, Taipei Medical University, Taipei, Taiwan.
¹¹ Research Center of Sleep Medicine, Taipei Medical University Hospital, Taipei, Taiwan.
¹² Department of Economics, National Taipei University, New Taipei City, Taiwan.

Abstract

Purpose: This study aimed to examines the long-term trend of incidence of peripheral vestibular disorders between 2010 and 2018 in Taiwan.

Methods: Study-eligible patients were identified from Taiwan's Longitudinal Health Insurance Database 2005 maintained by the Ministry of Health and Welfare in Taiwan. We retrieved 230,566 patients with a first-time diagnosis of peripheral vestibular disorders between 2010 and 2018. We calculated annual incidence rates of peripheral vestibular disorders per 100,000 population. We used the annual percent change (APC) to test the trend of peripheral vestibular disorders over time.

Results: The mean annual incidence rate of peripheral vestibular disorders during the study period was 1489.6 per 100,000 population. Incidence showed a statistically significant steady decrease from 2010 to 2018 with a mean APC of -6.15% (95% CI = -6.97% ~ -5.32%). The decline was led by Meniere's disease (APC = -9.83, 95% CI = -10.66% ~ -8.99%), followed by benign paroxysmal positional vertigo (APC = -3.69, 95% CI = -4.53% ~ -3.03%), vestibular neuritis (APC = -7.85, 95% CI = -8.96 ~ -6.73), and other peripheral vestibular dizziness (APC = -5.56, 95% CI = -6.69% ~ -4.43%).

Conclusion: The incidence of peripheral vestibular disorders, overall, and the four major subgroups, benign paroxysmal positional vertigo, Meniere's disease, vestibular neuritis, and other peripheral vestibular dizziness, all decreased substantially, year by year within the 2010-2018 period.

Keywords: Meniere’s disease; epidemiology; incidence; peripheral vestibular disorders; vestibular disorders.

Grants and funding

The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.