IntroductionEvidence-based medicine (EBM) promotes the use of current best evidence in making decisions about the health care of individual patients. Its practice means integrating individual clinical expertise with clinical evidence from systematic research and its main principle is that clinical decisions should be based on the best available scientific evidence of previous experience and the conclusions based on such evidence should stimulate quality improvements in patient care [1,2]. However, it should be noted that in several areas of the medical sciences the lack of good evidence for clinical decision-making remains an issue and the availability of good evidence does not necessarily get applied to patient care [3]. Moreover, as clinicians deal with patients, there is a continuing increase in the need for clinical information, but for many reasons clinicians often do not obtain that vital evidence.Previous studies have assessed general practitioners' (GPs) perceptions of EBM and its influence on health care decisions [8][9][10], but to the best of our knowledge no information is available about its evaluation on migraine and information on this topic is needed because patients with migraine headaches often present family physicians with diagnostic and therapeutic challenges. Therefore, the purpose of the present study is to identify if GPs in Italy are aware of technical terms used in EBM and what their behaviour is in terms of treating patients with migraine. Abstract The impact of migraine headaches is one of the major public health problems in several industrialised countries, with many patients reporting frequent and significant disability. Previous studies have assessed general practitioners' (GPs) perceptions towards evidence-based medicine (EBM) and its influence on health care decisions. Of 500 questionnaires distributed, responses were received from 455 for a response rate of 91%. Respondents' awareness of technical terms used in EBM indicated that only 27.2% of GPs agreed that clinical trials are needed to evaluate the efficacy of treatments and this awareness was higher in those who learned about migraine from scientific journals or continuing education courses and who attended courses on epidemiology or EBM. Training and continuing educational programmes on EBM and guidelines in terms of treatments of headache for GPs are strongly needed.J Headache Pain (2005) 6:312-314 DOI 10.1007/s10194-005-0218-6 Study on management of headache by general practitioners in South Italy H E A D A C H E A N D C O N T I N U I T Y I N H E A L T H C A R E R. Iannacchero (౧)

Although headache is a common complaint, only few sufferers seek specific medical assistance. Migraine is one of the most frequently encountered varieties of headache. The first presentation of migraine is impaired quality of life and work disorders as a consequence of sickness. Epidemiological quantitative studies in Italy have been performed. The aim of this survey was to estimate the prevalence of migraine in adults living the Region of Calabria who were visited by general practitioners for any reason. We also analyzed the characteristics and associated demographic factors for this disorder, and analyzed costs generated by migraine. We conducted an observational, multicentre, cross-sectional study. Sample size was not predetermined. A total of 1397 patients patients were asked if they suffered headache. If they did not suffer, the doctor completed a questionnaire. Therefore, we have decided to define as possible migraineurs those patients who only met 3 of 4 criteria used to define migraine (pain, 2 or more attacks/month, associated symptoms). The prevalence of migraine was greater in women than in men (66.8% vs. 33.2%). When we considereded the number of patients diagnosed with possible migraine, the prevalence of the disorder was 35.2%. More than half of patients reduced social activities. This is mainly reflected in a loss of productivity and a increasing in indirect costs associated with the disorder. The overall prevalence of migraine in the Region of Calabria was 35.2%, which means that approximately 650 000 people suffer from this disorder. This produces a significant impact on the global social care but at same time a stimulation for the best management and improved quality of life of patients.