Survey of migraineurs referred to headache specialists: Care, satisfaction, and outcomes

Hu, Xiaohan; O’Donnell, Francis; Kunkel, R.; Gerard, Gary F.; Markson, Leona E.; Berger, Thomas

doi:10.1212/wnl.55.1.141

Cited by 30 publications

(33 citation statements)

References 9 publications

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“…By accepting referrals of headache patients who could be less satis ed with a neurological specialist consultation, patients with other neurological disorders may suffer an unnecessary prolonged waiting time. In a previous study, patients reported less burden of headache after seeing a neurologist, since both frequency and duration of symptoms improved (12). When asking neurologists about their experience with headache, a majority answered that seeing a large number of headache patients in their practice were justi ed (13).…”

Section: Discussionmentioning

confidence: 93%

Patient satisfaction with a neurological specialist consultation for headache

Bekkelund

Salvesen

2002

Scandinavian Journal of Primary Health Care

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Section: Discussionmentioning

confidence: 93%

Patient satisfaction with a neurological specialist consultation for headache

Bekkelund

Salvesen

2002

Scandinavian Journal of Primary Health Care

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“…Nevertheless, primary care physicians may need to refer the sufferer for headache specialty consultation. A survey of 281 migraineurs showed significantly improved satisfaction, and significantly decreased frequency, duration, and severity of attacks while under headache specialty management (Hu et al 2000). …”

Section: Limitations and Patient Satisfactionmentioning

confidence: 99%

Prophylaxis of migraine

Garza¹,

Swanson²

2006

Neuropsychiatric Disease and Treatment

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Migraine is a common primary headache disorder often associated with significant disability. While many individuals are able to limit therapy to acute treatment of attacks, others need medication to reduce the attack frequency and/or severity. Evidence-based guidelines exist regarding indications and goals for migraine preventive treatment. The specific prophylactic approach needs to be individualized taking into account multiple variables. Medications used in this task vary widely in proven efficacy and presumed mechanisms of action. This review’s goal is to discuss the issues that guide the decision-making process in migraine preventive treatment.

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“…2,3 However, as medicine continues to become specialized, there is evidence that children with certain conditions, for example, epilepsy, who are evaluated at tertiary care centers have better outcomes. 6 On the whole, migraine is often underdiagnosed and therefore undertreated in various parts of the world. 5 Use of appropriate rescue medications such as 5-hydroxytryptamine agonists (commonly referred to as triptans) seem to be more widely prescribed by neurologists.…”

Section: Introductionmentioning

confidence: 99%

Management of Childhood Migraine by Headache Specialist vs Non‐Headache Specialists

et al. 2019

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Objective This study aims to compare the management practices of a headache specialist with non‐headache specialists in the treatment of children with migraine. The use of appropriate rescue medications and prophylactic agents, application of neuroimaging, and short‐term outcomes are compared in children treated by the two groups of physicians. Methods A retrospective cohort study was conducted by utilizing the electronic medical records of children 3‐18 years of age with migraine, who were evaluated at a tertiary care children's hospital from 2016 to 2018. Results Of the 849 patients who met the study criteria, 469 children were classified as having chronic migraine or high‐frequency episodic migraine and were followed‐up on at least 1 occasion by the neurologists. Imaging was obtained in 66.5% of all children with migraine. The headache specialist used 5‐HT agonists (“triptans”) for migraine management in 56.7% (76/135) of cases compared to non‐headache specialists who prescribed them in 28.7% (96/334) of cases (P < .001). Of the children with chronic migraine, the headache specialist evaluated 135 patients while the non‐headache specialists treated 334 children. Non‐headache specialists prescribed prophylaxis in the form of natural supplements more frequently (63.8% of cases) compared to the headache specialist (38.5% of children) (P < .001). Moreover, prophylaxis with prescription drugs was utilized more often by headache specialist (66.7%) than non‐headache specialists (37.4%) (P < .001). Conclusions Imaging appears to be commonly recommended by both headache specialists and non‐headache specialists in children with migraine. The headache specialist was more likely to use triptans as rescue medications for pediatric migraine. Outcomes in the short‐term were not statistically different whether children were being managed by the headache specialist or the non‐headache specialists.

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Survey of migraineurs referred to headache specialists: Care, satisfaction, and outcomes

Cited by 30 publications

References 9 publications

Patient satisfaction with a neurological specialist consultation for headache

Patient satisfaction with a neurological specialist consultation for headache

Prophylaxis of migraine

Management of Childhood Migraine by Headache Specialist vs Non‐Headache Specialists

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