دورية أكاديمية
Undifferentiated headache: broadening the approach to headache in children and adolescents, with supporting evidence from a nationwide school-based cross-sectional survey in Turkey
| العنوان: | Undifferentiated headache: broadening the approach to headache in children and adolescents, with supporting evidence from a nationwide school-based cross-sectional survey in Turkey |
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| المؤلفون: | Wöber, Christian, Wöber-Bingöl, Çiçek, Uluduz, Derya, Aslan, Tuna Stefan, Uygunoglu, Uğur, Tüfekçi, Ahmet, Alp, Selen Ilhan, Duman, Taşkın, Sürgün, Fidan, Emir, Gülser Karadaban, Demir, Caner Feyzi, Balgetir, Ferhat, Özdemir, Yeliz Bahar, Auer, Tanja, Siva, Aksel, Steiner, Timothy J. |
| المصدر: | 1-9 ; 19:18 ; The Journal of Headache and Pain |
| بيانات النشر: | Springer Open |
| سنة النشر: | 2018 |
| المجموعة: | NTNU Open Archive (Norges teknisk-naturvitenskapelige universitet / Norwegian University of Science and Technology) |
| الوصف: | Background Headache is a leading disabler in adults worldwide. In children and adolescents, the same may be true but the evidence is much poorer. It is notable that published epidemiological studies of these age groups have largely ignored headaches not fulfilling any specific set of ICHD criteria, although such headaches appear to be common. A new approach to these is needed: here we introduce, and investigate, a diagnostic category termed “undifferentiated headache” (UdH), defined in young people as recurrent mild-intensity headache of < 1 h’s duration. Methods We conducted a nationwide cross-sectional survey in 31 schools in six regions of Turkey selected by mixed convenience-based and purposive modified cluster-sampling. A validated, standardised self-completed structured questionnaire was administered by a physician-investigator to entire classes of pupils aged 6–17 years. Results Of the identified sample of 7889 pupils, 7088 (89.8%) participated. The 1-year prevalence of UdH was 29.2%, of migraine (definite and probable) 26.7%, and of tension-type headache (TTH) (definite and probable) 12.9%. UdH differed with respect to almost all headache features and associated symptoms from both migraine and TTH. Burden of headache and use of acute medication were lower in UdH than in migraine and TTH. Headache yesterday was less common in UdH than migraine (OR 0.32; 95% CI 0.28–0.37) and TTH (OR 0.64; 95% CI 0.56–0.77). Quality of life (QoL) was better in UdH (33.6 ± 5.2) than in migraine (30.3 ± 5.6; p < 0.001) and TTH (32.4 ± 5.3; p < 0.001), but worse than in pupils without headache (35.7 ± 4.7; p < 0.001). Conclusions This large nationwide study in Turkey of pupils aged 6–17 years has shown that many children and adolescents have a headache type that does not conform to existing accepted diagnostic criteria. This new diagnostic category of presumably still-evolving headache (undifferentiated headache) is common. UdH differs in almost all measurable respects from both migraine and TTH. Although ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1129-2369 |
| العلاقة: | The Journal of Headache and Pain. 2018, 19:18 1-9.; urn:issn:1129-2369; http://hdl.handle.net/11250/2587282Test; https://doi.org/10.1186/s10194-018-0847-1Test; cristin:1655537 |
| DOI: | 10.1186/s10194-018-0847-1 |
| الإتاحة: | https://doi.org/10.1186/s10194-018-0847-1Test http://hdl.handle.net/11250/2587282Test |
| حقوق: | Navngivelse 4.0 Internasjonal ; http://creativecommons.org/licenses/by/4.0/deed.noTest |
| رقم الانضمام: | edsbas.F3913C71 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 11292369 |
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| DOI: | 10.1186/s10194-018-0847-1 |