Shortcomings and missed potentials in the management of migraine patients - experiences from a specialized tertiary care center

The Journal of Headache and Pain
Christian ZiegelerArne May

Abstract

Migraine is a common and severely disabling neurological disorder affecting millions of patients in Europe. Despite the availability of evidence-based national and international guidelines, the management of migraine patients often remains poor, which is often attributed to a low availability of headache specialists. The aim of this study was to investigate the adherence to national guidelines and to assess the possible potential of optimized therapy regimens in migraine patients. We collected data of migraine patients presenting to our out-patient clinic via standardized questionnaires regarding headache, diagnostics and experience with previous treatments. We also assessed the efficacy of treatment started by our center. 1,935 migraine patients were included between 2010 and 2018. In the 12 months before consulting our headache clinic 89.5% of the patients had consulted a general practitioner and 74.9% had consulted a neurologist because of their migraine. Nevertheless, 50% of the patients underwent unnecessary diagnostics and 34.2% had not been treated according to evidence-based treatment guidelines. Out of 1,031 patients who had not been prescribed a preventative treatment 627 (60.8%) had in average 3 or more migraine atta...Continue Reading

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Citations

Jul 10, 2020·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·P IrimiaP Pozo-Rosich
Feb 2, 2020·The Journal of Headache and Pain·Minna A KorolainenMarkku Nissilä
Jun 7, 2020·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·Michaela Veronika BonfertMirjam Natascha Landgraf
Mar 5, 2021·Current Opinion in Neurology·Arne May, Jan Hoffmann

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