Predictors of outcome of the treatment programme in a multidisciplinary headache centre

被引:49
作者
Jensen, Rigmor [1 ]
Zeeberg, Peter [1 ]
Dehlendorff, Christian [2 ]
Olesen, Jes [1 ]
机构
[1] Univ Copenhagen, Glostrup Hosp, Copenhagen, Denmark
[2] Tech Univ Denmark, Lyngby, Denmark
关键词
multidisciplinary; treatment outcome; headache centre; refractory headaches; predictors; MEDICATION-OVERUSE HEADACHE; TENSION-TYPE HEADACHE; CHRONIC MIGRAINE; TERTIARY CARE; POPULATION; IMPACT; CLASSIFICATION; EPIDEMIOLOGY; TRIPTANS; BURDEN;
D O I
10.1177/0333102410361403
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Introduction: Despite the high prevalence of headaches, multidisciplinary headache clinics are few and their efficacy still needs validation. The objective was to characterise patients and treatment results in a tertiary headache centre. Subjects and methods: A systematic review of all referred patients in the Danish Headache Centre in a 2-year period. Outcome results were analysed with respect to diagnoses and sociodemographics. Results: A total of 1326 patients with a mean age of 43.7 years and male : female ratio of 3 : 7 were included. In total, frequency and absence rate from work were reduced from 20 to 11 days (P < 0.001) and 5 to 2 days/month (P < 0.001), respectively. Predictors for good outcome were female gender, migraine, triptan overuse and a frequency of 10 days/month, whereas tension-type headache and overuse of simple analgesics predicted a poor outcome. Conclusions: The present analysis provided support for a multidisciplinary approach in a tertiary headache centre. Further evaluation of specific treatment strategies and outcome predictors are important for future planning.
引用
收藏
页码:1214 / 1224
页数:11
相关论文
共 39 条
[1]   Proposals for the organisation of headache services in Europe [J].
Antonaci, Fabio ;
Valade, Dominique ;
Lanteri-Minet, Michel ;
Lainez, Jose Miguel ;
Jensen, Rigmor ;
Steiner, Timothy J. .
INTERNAL AND EMERGENCY MEDICINE, 2008, 3 (Suppl 1) :S25-S28
[2]   Chronic post-traumatic headache - a clinical analysis in relation to the International Headache Classification 2nd Edition [J].
Baandrup, L ;
Jensen, R .
CEPHALALGIA, 2005, 25 (02) :132-138
[3]   Combination of low-dose mirtazapine and ibuprofen for prophylaxis of chronic tension-type headache [J].
Bendtsen, L. ;
Buchgreitz, L. ;
Ashina, S. ;
Jensen, R. .
EUROPEAN JOURNAL OF NEUROLOGY, 2007, 14 (02) :187-193
[4]  
BENDTSEN L, 2004, PREVENTIVE PHARMACOT, V12, P103
[5]   Chronic daily headache in a tertiary care population: correlation between the International Headache Society diagnostic criteria and proposed revisions of criteria for chronic daily headache [J].
Bigal, ME ;
Sheftell, FD ;
Rapoport, AM ;
Lipton, RB ;
Tepper, SJ .
CEPHALALGIA, 2002, 22 (06) :432-438
[6]   The classification of chronic daily headache in adolescents - A comparison between the second edition of the International Classification of Headache Disorders and Alternative Diagnostic Criteria [J].
Bigal, ME ;
Rapoport, AM ;
Tepper, SJ ;
Sheftell, FD ;
Lipton, RB .
HEADACHE, 2005, 45 (05) :582-589
[7]   Epidemiology of headache in an English district [J].
Boardman, HF ;
Thomas, E ;
Croft, PR ;
Millson, DS .
CEPHALALGIA, 2003, 23 (02) :129-137
[8]   Factors associated with burden of primary headache in a specialty clinic [J].
Cassidy, EM ;
Tomkins, E ;
Hardiman, O ;
O'Keane, V .
HEADACHE, 2003, 43 (06) :638-644
[9]   Economic and social impact of migraine [J].
Clarke, CE ;
MacMillan, L ;
Sondhi, S ;
Wells, NEJ .
QJM-MONTHLY JOURNAL OF THE ASSOCIATION OF PHYSICIANS, 1996, 89 (01) :77-84
[10]   Dose finding, placebo-controlled study of oral almotriptan in the acute treatment of migraine [J].
Dahlöf, C ;
Tfelt-Hansen, P ;
Massiou, H ;
Fazekas, A .
NEUROLOGY, 2001, 57 (10) :1811-1817