PMID: 11318880Apr 25, 2001Paper

Information about migraine disability influences physicians' perceptions of illness severity and treatment needs

Headache
W F HolmesR B Lipton

Abstract

To assess physician-patient communication about headache-related disability and to evaluate the influence of information about disability on physicians' perceptions of illness severity and the treatment needs of migraineurs. Evidence suggests that migraine is suboptimally treated in clinical practice, partly due to poor communication between physicians and their patients. One hundred five neurologists and primary care physicians with an interest in headache participated in two interactive surveys, one in North America (n=42) and one in Europe (n=63). Each survey focused on the evaluation of four videotaped migraine cases. The first case was evaluated twice, initially after a typical symptom history that centered on diagnosis and then following a fuller history of migraine disability. Additional questions assessed the extent of the collection of migraine disability information in clinical practice. Physicians reported that they recorded symptoms relating to diagnosis (eg, pain location/intensity, associated symptoms) rather than information on headache-related disability. Only about one third of patients volunteered disability information. When made available to them, physicians rated information on disability as one of the most...Continue Reading

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Citations

Sep 29, 2007·The Journal of Headache and Pain·Necdet KarliUNKNOWN MIRA study group
Nov 15, 2008·The Journal of Headache and Pain·Bozena J KatićX Henry Hu
May 7, 2008·Journal of General Internal Medicine·Richard B LiptonMeaghan R Nelson
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Jan 13, 2006·The American Journal of Gastroenterology·Ingela WiklundNimish Vakil

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