European Neurology
Original Paper
Headache from the Doctors' PerspectiveGil-Gouveia R.a, baDepartment of Clinical Neurosciences (UNIC), Instituto de Medicina Molecular (IMM), Faculdade de Medicina de Lisboa, bHeadache Center, Hospital da Luz, Lisbon, Portugal
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Eur Neurol 2014;71:157-164
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Article / Publication Details
First-Page Preview
Received: January 08, 2013
Accepted: August 25, 2013
Published online: January 21, 2014
Issue release date: April 2014
Number of Print Pages: 8
Number of Figures: 3
Number of Tables: 3
ISSN: 0014-3022 (Print)
eISSN: 1421-9913 (Online)
For additional information: https://www.karger.com/ENE
Abstract
Background: General practitioners (GPs) and neurologists are involved in treating headache patients in Portugal. Having migraine themselves might influence the way they perceive and treat migraine patients. Objective: To identify clinicians' perceptions about migraine, their own headache status and management of their own migraine. Methods: An observational cross-sectional survey of GPs and neurologists using anonymous questionnaires including demographic data, headache and migraine status and migraine perception questions. Results: Of 348 respondent physicians, 20% were neurologists and 53% were females with an average age of 48 years. The majority had an interest in migraine and considered it disabling (93%), although 65-85% reported management difficulties, GPs more often than neurologists. Satisfaction with current treatment options was high (69-79%). 63 physicians suffered from migraine and 81% felt it influenced their perception of the disease. Portuguese physicians preferentially treat their own migraines with NSAIDs (33%), analgesics (29%) and triptans (20%). Conclusion: Portuguese physicians treating migraine patients have realistic perceptions about the disease and those with migraine feel their perception is influenced by their experience. Although reporting management difficulties, the majority of physicians are satisfied with current treatment options for migraine.
© 2014 S. Karger AG, Basel
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References
- Munoz M, Boutros-Toni F, Preux PM, et al: Prevalence of neurological disorders in Haute-Vienne department (Limousin region, France). Neuroepidemiology 1995;14:193-198.
- Latinovic R, Gulliford M, Ridsdale L: Headache and migraine in primary care: consultation, prescription, and referral rates in a large population. J Neurol Neurosurg Psychiatry 2006;77:385-387.
- Patterson VH, Esmonde TF: Comparison of the handling of neurological outpatient referrals by general physicians and a neurologist. J Neurol Neurosurg Psychiatry 1993;56:830.
-
World Health Organization: Lifting the Burden: Atlas of Headache Disorders and Resources in the World. Geneva, WHO, 2011.
- Viticchi G, Silvestrini M, Falsetti L, et al: Time delay from onset to diagnosis of migraine. Headache 2011;51:232-236.
- Pascual J, Sanchez-Escudero A, Castillo J: Teaching needs of general practitioners in headaches (in Spanish). Neurologia 2010;25:104-107.
- Rossi P, Schoenen J, Bolla M, Tassorelli C, Sandrini G, Nappi G: Implementation and evaluation of existing guidelines on the use of neurophysiological tests in non-acute migraine patients: a questionnaire survey of neurologists and primary care physicians. Eur J Neurol 2009;16:937-942.
- Iannacchero R, Cannistra U, La Vitola A, Peltrone F, De Caro E: Study on management of headache by general practitioners in South Italy. J Headache Pain 2005;6:312-314.
- Viticchi G, Silvestrini M, Falsetti L, et al: Time delay from onset to diagnosis of migraine. Headache 2011;51:232-236.
- Lipton RB, Diamond S, Reed M, Diamond ML, Stewart WF: Migraine diagnosis and treatment: results from the American Migraine Study II. Headache 2001;41:638-645.
- De Diego EV, Lanteri-Minet M: Recognition and management of migraine in primary care: influence of functional impact measured by the headache impact test (HIT). Cephalalgia 2005;25:184-190.
- Ekstrand JR, O'Malley PG, Labutta RJ, Jackson JL: The presence of psychiatric disorders reduces the likelihood of neurologic disease among referrals to a neurology clinic. J Psychosom Res 2004;57:11-16.
- Kato K, Sullivan PF, Evengard B, Pedersen NL: A population-based twin study of functional somatic syndromes. Psychol Med 2009;39:497-505.
- Borkum JM: Chronic headaches and the neurobiology of somatization. Curr Pain Headache Rep 2010;14:55-61.
- Lanteri-Minet M: The role of general practitioners in migraine management. Cephalalgia 2008;28(suppl 2):1-8.
- Viticchi G, Bartolini M, Falsetti L, et al: Instrumental investigations and migraine diagnosis. Neurol Sci 2010;31(suppl 1):S153-S154.
- Gallagher RM, Alam R, Shah S, Mueller L, Rogers JJ: Headache in medical education: medical schools, neurology and family practice residencies. Headache 2005;45:866-873.
- Kommineni M, Finkel AG: Teaching headache in America: survey of neurology chairs and residency directors. Headache 2005;45:862-865.
-
The International Classification of Headache Disorders, 2nd edition. Cephalalgia 2004;24(suppl 1):9-160.
External Resources
-
Steiner T, Saxena S: Atlas of Headache Disorders and Resources in the World. Geneva, WHO, 2011.
-
Direção Geral de Saúde: Recursos e produção do Sistema Nacional de Saúde. Estatísticas 2008 - Direção Geral de Saúde, Ministério da Saúde, 2008.
- Donnet A, Becker H, Bashar A, Lanteri-Minet M: Migraine and migraines of specialists: perceptions and management. Headache 2010;50:1115-1125.
- Lipton RB, Bigal ME, Rush SR, et al: Migraine practice patterns among neurologists. Neurology 2004;62:1926-1931.
- Linet MS, Stewart WF, Celentano DD, Ziegler D, Sprecher M: An epidemiologic study of headache among adolescents and young adults. JAMA 1989;261:2211-2216.
- Lipton RB, Hamelsky SW, Kolodner KB, Steiner TJ, Stewart WF: Migraine, quality of life, and depression: a population-based case-control study. Neurology 2000;55:629-635.
- Steiner TJ, Scher AI, Stewart WF, Kolodner K, Liberman J, Lipton RB: The prevalence and disability burden of adult migraine in England and their relationships to age, gender and ethnicity. Cephalalgia 2003;23:519-527.
- Lipton RB, Liberman JN, Kolodner KB, Bigal ME, Dowson A, Stewart WF: Migraine headache disability and health-related quality-of-life: a population-based case-control study from England. Cephalalgia 2003;23:441-450.
- Blumenfeld AM, Varon SF, Wilcox TK, et al: Disability, HRQoL and resource use among chronic and episodic migraineurs: results from the International Burden of Migraine Study (IBMS). Cephalalgia 2011;31:301-315.
-
Tavakol S, Dennick R, Tavakol M: Empathy in UK medical students: differences by gender, medical year and specialty interest. Educ Prim Care 2011;22:297-303.
External Resources
- Karli N, Zarifoglu M, Erer S, Pala K, Akis N: The impact of education on the diagnostic accuracy of tension-type headache and migraine: a prospective study. Cephalalgia 2007;27:41-45.
- Bigal ME, Lipton RB: The epidemiology, burden, and comorbidities of migraine. Neurol Clin 2009;27:321-334.
-
Monteiro J: Estudo Epidemiológico e Clínico de uma População Urbana. Dissertação de candidatura ao grau de Doutor apresentada ao Instituto de Ciências Biomédicas Abel Salazar. Neurology. Oporto, Oporto University, 1995.
- Stovner LJ, Andree C: Prevalence of headache in Europe: a review for the Eurolight project. J Headache Pain 2010;11:289-299.
- Brockmann N, Evers S: Expert opinion: migraine in neurologists and headache specialists. Headache 2010;50:138-140.
-
Waters WE: Migraine in general practitioners. Br J Prev Soc Med 1975;29:48-52.
External Resources
- Dalsgaard-Nielsen T, Ulrich J: Prevalence and heredity of migraine and migrainoid headaches among 461 Danish doctors. Headache 1973;12:168-172.
-
Selmaj K, Lis Z: Incidence of migraine among physicians of the city of Lódź and their families (in Polish). Neurol Neurochir Pol 1980;14:621-626.
External Resources
- Stewart WF, Lipton RB, Celentano DD, Reed ML: Prevalence of migraine headache in the United States. Relation to age, income, race, and other sociodemographic factors. JAMA 1992;267:64-69.
-
Sheele R: Interest in treating migraine in family physicians is correlated to cumulative personal exposure to migraine in themselves, their family of origin and their current household. Abstracts from the International Headache Congress, Berlin 2011. Cephalalgia 2011;31(suppl):1-242.
- Weber M, Daures JP, Fabre N, et al: Influence of general practitioners' personal knowledge on migraine in medical attitudes towards their patients suffering from migraine (in French). Rev Neurol (Paris) 2002;158:439-445.
- Evans RW, Evans RE, Kell HJ: A survey of family doctors on the likeability of migraine and other common diseases and their prevalence of migraine. Cephalalgia 2010;30:620-623.
- Lipton RB, Hamelsky SW, Dayno JM: What do patients with migraine want from acute migraine treatment? Headache 2002;42(suppl 1):3-9.
-
Chawluk JB: Evaluating the efficacy of migraine therapy. Postgrad Med 2000;108:16-21.
External Resources
-
Díaz-Insa S, Traver P, Colomina L, et al: What headaches do neurologists suffer? How do they treat themselves? Cephalalgia 2007;27:673.
External Resources
- Brockmann N, Evers S: Migraine in headache specialists and neurologists (in German). Schmerz 2008;22(suppl 1):47-50.
- Carod-Artal FJ, Ezpeleta D, Martin-Barriga ML, Guerrero AL: Triggers, symptoms, and treatment in two populations of migraneurs in Brazil and Spain. A cross-cultural study. J Neurol Sci 2011;304:25-28.
-
INFARMED: National Authority of Medicines and Health Products. Accessed November 17, 2011.
-
Pereira Monteiro J, Fontes Ribeiro C, Luzeiro I, Machado M, Esperança P: Recomendações Terapêuticas para Cefaleias - 2a Edição. Sinapse, 2009, p 9.
Article / Publication Details
First-Page Preview
Received: January 08, 2013
Accepted: August 25, 2013
Published online: January 21, 2014
Issue release date: April 2014
Number of Print Pages: 8
Number of Figures: 3
Number of Tables: 3
ISSN: 0014-3022 (Print)
eISSN: 1421-9913 (Online)
For additional information: https://www.karger.com/ENE
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