Background and purpose Although migraine is the second most disabling condition worldwide, there is poor awareness of it. The objective was to assess the awareness of migraine and previous diagnostic and therapeutic consultations and treatments in a large international population of migraineurs. Methods This was a multicentre study conducted in 12 headache centres in seven countries. Each centre recruited up to 100 patients referred for a first visit and diagnosed with migraine. Subjects were given a structured clinical questionnaire-based interview about the perceptions of the type of headache they suffered from, its cause, previous diagnoses, investigations and treatments. Results In all, 1161 patients completed the study. Twenty-eight per cent of participants were aware that they suffered from migraine. Sixty-four per cent called their migraine 'headache'; less commonly they used terms such as 'cervical pain' (4%), tension headache (3%) and sinusitis (1%). Eight per cent of general practitioners and 35% of specialists (of whom 51% were neurologists and/or headache specialists) consulted for migraine formulated the correct diagnosis. Before participating in the study, 50% of patients had undergone X-ray, computed tomography and/or magnetic resonance imaging of the cervical spine and 76% underwent brain and/or cervical spine imaging for migraine. Twenty-eight per cent of patients had received symptomatic migraine-specific medications and 29% at least one migraine preventive medication. Conclusions Although migraine is a very common disease, poor awareness of it amongst patients and physicians is still an issue in several countries. This highlights the importance of the promotion of migraine awareness to reduce its burden and limit direct and indirect costs and the risk of exposure to useless investigations.

Viana, M., Khaliq, F., Zecca, C., Figuerola, M.D.L., Sances, G., Di Piero, V., et al. (2019). Poor patient awareness and frequent misdiagnosis of migraine: findings from a large transcontinental cohort. EUROPEAN JOURNAL OF NEUROLOGY, 27(3), 536-541 [10.1111/ene.14098].

Poor patient awareness and frequent misdiagnosis of migraine: findings from a large transcontinental cohort

Brighina, F;
2019-01-01

Abstract

Background and purpose Although migraine is the second most disabling condition worldwide, there is poor awareness of it. The objective was to assess the awareness of migraine and previous diagnostic and therapeutic consultations and treatments in a large international population of migraineurs. Methods This was a multicentre study conducted in 12 headache centres in seven countries. Each centre recruited up to 100 patients referred for a first visit and diagnosed with migraine. Subjects were given a structured clinical questionnaire-based interview about the perceptions of the type of headache they suffered from, its cause, previous diagnoses, investigations and treatments. Results In all, 1161 patients completed the study. Twenty-eight per cent of participants were aware that they suffered from migraine. Sixty-four per cent called their migraine 'headache'; less commonly they used terms such as 'cervical pain' (4%), tension headache (3%) and sinusitis (1%). Eight per cent of general practitioners and 35% of specialists (of whom 51% were neurologists and/or headache specialists) consulted for migraine formulated the correct diagnosis. Before participating in the study, 50% of patients had undergone X-ray, computed tomography and/or magnetic resonance imaging of the cervical spine and 76% underwent brain and/or cervical spine imaging for migraine. Twenty-eight per cent of patients had received symptomatic migraine-specific medications and 29% at least one migraine preventive medication. Conclusions Although migraine is a very common disease, poor awareness of it amongst patients and physicians is still an issue in several countries. This highlights the importance of the promotion of migraine awareness to reduce its burden and limit direct and indirect costs and the risk of exposure to useless investigations.
Viana, M., Khaliq, F., Zecca, C., Figuerola, M.D.L., Sances, G., Di Piero, V., et al. (2019). Poor patient awareness and frequent misdiagnosis of migraine: findings from a large transcontinental cohort. EUROPEAN JOURNAL OF NEUROLOGY, 27(3), 536-541 [10.1111/ene.14098].
File in questo prodotto:
File Dimensione Formato  
116. Viana_et_al-2019-European_Journal_of_Neurology.pdf

Solo gestori archvio

Descrizione: articolo principale
Tipologia: Post-print
Dimensione 629.92 kB
Formato Adobe PDF
629.92 kB Adobe PDF   Visualizza/Apri   Richiedi una copia
ene.14098.pdf

Solo gestori archvio

Tipologia: Versione Editoriale
Dimensione 176.57 kB
Formato Adobe PDF
176.57 kB Adobe PDF   Visualizza/Apri   Richiedi una copia
ene.14098.pdf

Solo gestori archvio

Tipologia: Versione Editoriale
Dimensione 176.57 kB
Formato Adobe PDF
176.57 kB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10447/379863
Citazioni
  • ???jsp.display-item.citation.pmc??? 8
  • Scopus 31
  • ???jsp.display-item.citation.isi??? 27
social impact