DOI: 10.11648/j.ijpr.20260203.12 ISSN: 3070-1562

Expert Collaboration Group of Medical Quality Control in Vestibular Migraine

Liu Kaiming, Zhang Sulin, Wang Hebo, Zhuang Jianhua
Vestibular migraine (VM) is a common episodic vestibular disorder characterized by a high misdiagnosis rate. It substantially impairs patients’ health-related quality of life and imposes considerable medical and socioeconomic burdens. In recent years, significant advances have been achieved globally and in China in the diagnosis and management of VM, laying a solid foundation for promoting standardized outpatient care and establishing a medical quality control evaluation system. Against this background, the Chinese Expert Collaboration Group for Medical Quality Control of Vestibular Migraine fully drew on international and domestic research evidence, closely integrated the current situation and clinical practice of dizziness and headache management in China, and strictly followed the Delphi procedure. The initial draft was formulated through systematic literature retrieval, and multiple rounds of anonymous questionnaires were conducted to extensively solicit opinions from national and regional experts, with continuous revisions until consensus was reached. The expert panel comprehensively reviewed relevant literature and guidelines worldwide, combined with expert interviews and multiple group discussions. After repeated demonstration and refinement, the panel finally established a complete set of 13 outpatient medical quality control indicators covering the whole clinical pathway of VM, including initial consultation, diagnosis, comorbidity evaluation, treatment and follow-up, among which 8 are assessment indicators and 5 are reference indicators. The present expert consensus embraces these indicators as a standardized tool to systematically promote the standardization and quality improvement of clinical practice for vestibular migraine.

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