Low-value care practice in headache: a Spanish mixed methods research study

The Journal of Headache and Pain
Patricia Pozo-RosichJosé Joaquín Mira

Abstract

Headache is one of the most prevalent diseases. The Global Burden of Disease Study ranks it as the seventh most common disease overall and the second largest neurological cause of disability in the world. The "Do Not Do" recommendations are a strategy for increasing the quality of care and reducing the cost of care for headache. This study aimed to identify specific low-value practices in headache care, determine their frequency, and estimate the cost overrun that they represent, in order to establish "Do not Do" recommendations specifically for headache by consensus and according to scientific evidence. This was a mixed methods research study that combined qualitative consensus-building techniques, involving a multidisciplinary panel of experts to define the "Do Not Do" recommendations in headache care, and a retrospective observational study with review of a randomized set of patient records from the past 6 months in four hospitals, to quantify the frequency of these "Do Not Do" practices. We calculated the sum of direct costs of medical consultations, medicines, and unnecessary diagnostic tests. Seven "Do Not Do" recommendations were established for headache. In total, 3507 medical records were randomly reviewed. Low-value p...Continue Reading

References

Sep 28, 1998·JAMA : the Journal of the American Medical Association·M R Chassin, R W Galvin
Nov 17, 2010·The Journal of Headache and Pain·Timothy J SteinerLars Jacob Stovner
Dec 6, 2011·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·M LindeC Andrée
Feb 23, 2013·Neurology·Annette M Langer-GouldGary S Gronseth
Nov 26, 2013·Headache·Elizabeth LoderUNKNOWN American Headache Society Choosing Wisely Task Force
Nov 7, 2014·Journal of General Internal Medicine·Carrie H CollaMeredith B Rosenthal
Nov 16, 2014·Current Neurology and Neuroscience Reports·Valerie CheungEsma Dilli
Apr 17, 2015·Headache·Werner J Becker
Oct 13, 2015·JAMA Internal Medicine·Ralph Gonzales, Adithya Cattamanchi
Oct 13, 2015·JAMA Internal Medicine·Alan RosenbergAndrea DeVries
Jan 12, 2017·Journal of the American Board of Family Medicine : JABFM·Larissa MayJoshua Fenton
Jan 13, 2017·Lancet·Shannon BrownleeDeborah Korenstein
Jun 23, 2018·Deutsches Ärzteblatt International·Hans-Christoph DienerCharly Gaul
Aug 4, 2018·Neurología : publicación oficial de la Sociedad Española de Neurología·A López-BravoS Santos-Lasaosa
Sep 5, 2018·The American Journal of Emergency Medicine·Shih-Chuan ChouJ Frank Wharam

❮ Previous
Next ❯

Software Mentioned

PRECEDE

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Paediatrics and Child Health
J G Lawrence, H Hiscock
The Journal of Trauma and Acute Care Surgery
Lynne MooreCanadian Traumatic brain injury Research Consortium
The Journal of Trauma and Acute Care Surgery
Lynne MooreCanadian Traumatic brain injury Research Consortium
© 2022 Meta ULC. All rights reserved