The Sensitivity and Specificity of the Case Definition Criteria in Mersin

Özge, Aynur; Buğdaycı, Resul; Şaşmaz, Tayyar; Kaleağası, Hakan; Kurt, Osman; Karakelle, Ali; Tezcan, Hanife; Síva, Aksel

doi:10.1046/j.1468-2982.2002.00467.x

Cited by 48 publications

(15 citation statements)

References 31 publications

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“…Both the second [16] and the recently published third version [17] of the International Classification Headache Disorders (ICHD-III), stressed the need of more specific diagnostic criteria to increase the sensitivity, specificity and positive predictive value of the diagnosis of headache in children, which should be based not only on signs and symptoms, but also on the “behavior” and on some additional and peculiar diagnostic features (such as, moving into a dark room, squinting, turning off lights or photophobia, pallor, abdominal pain and many other autonomic signs and symptoms, increased sensitivity to odors or osmophobia) [18]. …”

Section: Introductionmentioning

confidence: 99%

Clinical guidelines in pediatric headache: evaluation of quality using the AGREE II instrument

et al. 2014

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BackgroundThe Appraisal of Guidelines for Research and Evaluation (AGREE II) tool is a validated questionnaire used to assess the methodological quality of clinical guidelines (CGs). We used the AGREE II tool to assess the development process, the methodological quality, and the quality of reporting of available pediatric CGs for the management of headache in children. We also studied the variability in responses related to the characteristics of eleven Italian neuropediatric centers, showing similarities and differences in the main recommendations reported in CGs.MethodsA systematic literature search was conducted from January 2002 to June 2013 on Mediline, the Cochrane database, the National Guideline Clearinghouse website and the NHS evidence search tool, using the following terms: headache, cephalalgia, guidelines and children (MESH or text words). Six CGs providing information on the diagnosis and management of headache and specific recommendations for children were selected. Eleven neuropediatric centers assessed the overall quality and the appropriateness of all available CGs using of the AGREE II instrument.ResultsSix CGs meeting the inclusion and exclusion criteria were identified and assessed by 11 reviewers. Our study showed that the NICE CGs was “strongly recommended” while the French and Danish CGs were mainly “not recommended”. The comparison between the overall quality score of the French CGs and the NICE CGs was statistically significant (6.54 ± 0.69 vs 4.18 ± 1.08; p =0.001). The correlation analysis between quality domain score and guideline publication date showed a statistically significant association only for the “editorial independence” domain (r = 0.842 p = 0.035). The intra-class coefficients showed that the 11 reviewers had the highest agreement for the Lewis CGs (r = 0.857), and the lowest one for the NICE CGs (r = 0.656). Statistical analyses showed that professionals from outpatient services dedicated pediatric headache assigned a higher overall quality score to the NICE CGs as compared to professionals from non-outpatient services (6.86 ± 0.38 vs 6.0 ± 0.82; p = 0.038).ConclusionsCGs resulted definitely of low-moderate quality and non “homogeneous”. Further major efforts are needed to update the existing CGs according to the principles of evidence based medicine.

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Section: Introductionmentioning

confidence: 99%

Clinical guidelines in pediatric headache: evaluation of quality using the AGREE II instrument

et al. 2014

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“…Migraine is an important health problem that affects more than 10% of the general population [1-3]. There are various prevalence rates of migraine type headaches.…”

Section: Introductionmentioning

confidence: 99%

Migraine headaches among university students using id migraine test as a screening tool

et al. 2011

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BackgroundMigraine is a significant health problem, especially for the young people, due to its frequency and accompanying morbidity, causing disability and loss of performance. In this study, our aim was to determine the prevalence of migraine headaches among university students in Edirne, a Turkish city.MethodsIn this cross-sectional and descriptive study, study population was composed of students registered to Trakya University in the academic year of 2008-2009. Out of these, 3694 of them accepted to participate. Participants who had two or more headaches in the last 3 months formed the headache group. Afterwards, two preliminary questions were applied to the headache group and participants with at least one affirmative response were asked to perform the validated ID-Migraine™ test.ResultsThe mean age of 3694 students participated in the study was 19.23 ± 1.84 (17-39 years), with adolescents:adult ratio being 2.5:1. 1613 students (43.7%) did have at least two headaches in the last three months. Migraine-type headache was detected in 266 subjects (7.2%) based on the ID-Migraine™ test. Of the migraine group, 72 were male (27.1%) and 194 were female (72.9%). There was no significant difference in migraine prevalence between adolescent and adult age groups.ConclusionsWith a prevalence similar to adults, primary care physicians should be aware of the probability of migraine headaches in university students in order to maintain a successful school performance.

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“…The reported prevalence of headache among schoolchildren varies greatly, from 5.9 to 82%, depending on the definition criteria [1, 4–6]. The vast majority of headaches is primary and classified as migraine or TTH.…”

Section: Epidemiology Of Headachesmentioning

confidence: 99%

“…In addition, a psychiatric interview of children and parents should be performed when needed. In the majority of patients with primary headache disorders, the general physical and neurological examinations are normal [4, 33]. …”

Section: How To Diagnose Headachementioning

confidence: 99%

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Overview of diagnosis and management of paediatric headache. Part I: diagnosis

et al. 2011

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Headache is the most common somatic complaint in children and adolescents. The evaluation should include detailed history of children and adolescents completed by detailed general and neurological examinations. Moreover, the possible role of psychological factors, life events and excessively stressful lifestyle in influencing recurrent headache need to be checked. The choice of laboratory tests rests on the differential diagnosis suggested by the history, the character and temporal pattern of the headache, and the physical and neurological examinations. Subjects who have any signs or symptoms of focal/progressive neurological disturbances should be investigated by neuroimaging techniques. The electroencephalogram and other neurophysiological examinations are of limited value in the routine evaluation of headaches. In a primary headache disorder, headache itself is the illness and headache is not attributed to any other disorder (e.g. migraine, tension-type headache, cluster headache and other trigeminal autonomic cephalgias). In secondary headache disorders, headache is the symptom of identifiable structural, metabolic or other abnormality. Red flags include the first or worst headache ever in the life, recent headache onset, increasing severity or frequency, occipital location, awakening from sleep because of headache, headache occurring exclusively in the morning associated with severe vomiting and headache associated with straining. Thus, the differential diagnosis between primary and secondary headaches rests mainly on clinical criteria. A thorough evaluation of headache in children and adolescents is necessary to make the correct diagnosis and initiate treatment, bearing in mind that children with headache are more likely to experience psychosocial adversity and to grow up with an excess of both headache and other physical and psychiatric symptoms and this creates an important healthcare problem for their future life.

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The Sensitivity and Specificity of the Case Definition Criteria in Mersin

Cited by 48 publications

References 31 publications

Clinical guidelines in pediatric headache: evaluation of quality using the AGREE II instrument

Clinical guidelines in pediatric headache: evaluation of quality using the AGREE II instrument

Migraine headaches among university students using id migraine test as a screening tool

Overview of diagnosis and management of paediatric headache. Part I: diagnosis

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