Use of Antimigraine Treatments by General Practitioners

Ducros, Anne; Romatet, Sophie; Marc, Thierry; Allaf, Bashar

doi:10.1111/j.1526-4610.2011.01939.x

Cited by 5 publications

(16 citation statements)

References 26 publications

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“…A total of 66 of these articles did not meet our inclusion criteria and were excluded from the analysis. A total of 20 articles were ultimately included in this systematic review [ 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 ].…”

Section: Resultsmentioning

confidence: 99%

“…The characteristics of the 20 included studies [ 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 ] from 12 different countries are reported in Table 1 . The number of subjects in each study ranged from 100 [ 23 ] to 17,071 [ 24 ].…”

Section: Resultsmentioning

confidence: 99%

“…The number of subjects in each study ranged from 100 [ 23 ] to 17,071 [ 24 ]. Seventeen studies reported the percentage of females [ 15 , 16 , 18 , 19 , 20 , 21 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 ], which ranged from 23% [ 21 ] to 100% [ 18 ] of subjects. Sixteen studies reported the average age [ 15 , 16 , 17 , 20 , 21 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 ], which ranged from 31.7 [ 28 ] to 50.1 years [ 21 ].…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Use of Pharmacological and Non-Pharmacological Strategies by Community-Dwelling Adults to Manage Migraine: A Systematic Review

Marupuru

Almatruk

Slack

et al. 2023

Clinics and Practice

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Migraine is a prevalent disease associated with high levels of disability and is often underdiagnosed and undertreated. This systematic literature review aimed to identify the types of pharmacological and non-pharmacological strategies that community-dwelling adults report using to manage migraine. A systematic literature review of relevant databases, grey literature, websites, and journals was conducted from 1 January 1989 to 21 December 2021. Study selection, data extraction, and risk of bias assessment were completed independently by multiple reviewers. Data were extracted on migraine management strategies and categorized as opioid and non-opioid medications and medical, physical, psychological, or self-initiated strategies. A total of 20 studies were included. The sample sizes ranged from 138 to 46,941, with a mean age of 34.7 to 79.9 years. The data were typically collected using self-administered questionnaires (nine studies), interviews (five studies), online surveys (three studies), paper-based surveys (two studies), and a retrospective database (one study). Community-dwelling adults with migraine reported they primarily used medications, specifically triptans (range 9–73%) and non-steroidal anti-inflammatory drugs (NSAIDs) (range 13–85%) to manage migraine. Except for medical strategies, the use of other non-pharmacological strategies was low. Common non-pharmacological strategies included consulting physicians (range 14–79%) and heat or cold therapy (35%).

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Use of Pharmacological and Non-Pharmacological Strategies by Community-Dwelling Adults to Manage Migraine: A Systematic Review

Marupuru

Almatruk

Slack

et al. 2023

Clinics and Practice

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“…According to MacGregor, a significant proportion of PCPs prescribe simple analgesics and nonsteroidal anti-inflammatory drugs (NSAIDs) for migraine (even for severe attacks), rather than migraine-specific treatments [ 7 ]. On the other hand, in industrialized countries such as France, more than 75% of GPs prescribed triptans as part of the treatment of migraine attacks [ 24 ]. Migraine-specific treatments, triptans (2.6%) and ergotamine derivatives (4%), were less prescribed by GPs in our context because of their unavailability and their high cost.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitudes, and Management of General Practitioners of the Hospital Districts of Ouagadougou about Migraine (Burkina Faso)

Dabilgou

Dravé²,

Kyelem

et al. 2021

Pain Research and Management

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Background. Migraine is a common neurological disorder characterized by severe headache attacks that may be debilitating. The objective of this study is to determine the knowledge and attitudes of general practitioners in the hospital districts of the city of Ouagadougou on migraine. Methods. This cross-sectional study was carried out in hospital districts of Ouagadougou. The data were collected during three months from February 1 to April 30, 2020. Results. The study included 116 general practitioners. Thirteen percent of them were suffering from migraine. All participants had previous experience with migraine diagnosis before the survey. Eighty percent of general practitioners had a good level of knowledge of ICDH-3 criteria (knowing 6-7 criteria). The most widely recognized IHS criteria were pulsatility quality (93.1%), photophobia or sonophobia (80.2%), and mild-to-moderate intensity (80%). Ninety-five (81.9%) general practitioners rarely ordered brain imaging. The most common acute treatments were nonsteroidal inflammatory drug (39.47%), paracetamol (44.74%), and derivate of ergot (3.95%). The most common preventive treatments were amitriptyline (27.8%), derivate of ergot (18.9%), and NSAID (16.7%). The majority of general practitioners (56.9%) have referred headache patients to a colleague or specialist. Conclusions. Our study found that diagnostic criteria and acute treatment of migraine were well known by the majority of general practitioners, in contrast of preventive treatment.

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“…A questionnaire study provided information on the extent to which patients accept the side effects of preventive treatment, which is consistent with the findings in the present study. 43 Another study addressed how GPs treated themselves and close relatives; 44 one study explored physicians' understanding of patients with migraine; 45 and another study reports clinical determinants of preventive therapy in primary care. 46 Implications for practice and research Appropriate prophylaxis is an important factor in the aim to improve the quality of care of patients with migraine by reducing attack frequency and duration, improving functioning and productivity, reducing use of acute medication, and preventing medication overuse.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Prophylactic treatment of migraine by GPs: a qualitative study

Dekker¹,

Neven²,

Andriesse³

et al. 2012

Br J Gen Pract

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BackgroundDespite the considerable impact of migraine, the use of preventive medication in primary care is limited. Only about 5% of migraine patients who qualify for prophylaxis actually receive it, and adherence is far from optimal. AimTo explore the opinions of GPs regarding preventive medication for migraine. Design and settingA qualitative focus group study in Dutch general practice. MethodFour focus groups (six GPs each) were formed. GPs were purposively sampled to acquire a range of participants, reflecting the more general GP population.

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Use of Antimigraine Treatments by General Practitioners

Cited by 5 publications

References 26 publications

Use of Pharmacological and Non-Pharmacological Strategies by Community-Dwelling Adults to Manage Migraine: A Systematic Review

Use of Pharmacological and Non-Pharmacological Strategies by Community-Dwelling Adults to Manage Migraine: A Systematic Review

Knowledge, Attitudes, and Management of General Practitioners of the Hospital Districts of Ouagadougou about Migraine (Burkina Faso)

Prophylactic treatment of migraine by GPs: a qualitative study

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