دورية أكاديمية

Status of diagnosis and preventative treatment for primary headache disorders: real-world data of unmet needs in China

التفاصيل البيبلوغرافية
العنوان: Status of diagnosis and preventative treatment for primary headache disorders: real-world data of unmet needs in China
المؤلفون: Liu, Huanxian, Dong, Ming, Liu, Kaiming, Jia, Zhihua, Gui, Wei, Cheng, Yingying, Lv, Yudan, Qu, Kang, Zhao, Hongru, Chen, Jianjun, Zhang, Dan, Fan, Zhiliang, Yang, Xiaosu, Hu, Dongmei, Xie, Hongyan, Li, Mingxin, Wen, Bing, Chen, Sufen, Xu, Peng, Rong, Qingqing, He, Qiu, Ren, Zhanxiu, Yan, Fanhong, Zhao, Heling, Chen, Min, Yu, Tingmin, Qu, Hongli, An, Xingkai, Guo, Huailian, Zhang, Xinhua, Pan, Xiaoping, Wang, Xiaojuan, Qiu, Shi, Zhang, Lvming, Zhao, Hongling, Pan, Xin, Wan, Qi, Yan, Lanyun, Liu, Jing, Yu, Zhe, Zhang, Mingjie, Ran, Ye, Han, Xun, Yu, Shengyuan, Dong, Zhao
المصدر: The Journal of Headache and Pain ; volume 24, issue 1 ; ISSN 1129-2377
بيانات النشر: Springer Science and Business Media LLC
سنة النشر: 2023
مصطلحات موضوعية: Anesthesiology and Pain Medicine, Neurology (clinical), General Medicine
الوصف: Background Headache disorders are widely prevalent and pose a considerable economic burden on individuals and society. Globally, misdiagnosis and inadequate treatment of primary headache disorders remain significant challenges, impeding the effective management of such conditions. Despite advancements in headache management over the last decade, a need for comprehensive evaluations of the status of primary headache disorders in China regarding diagnosis and preventative treatments persists. Methods In the present study, we analyzed the established queries in the Survey of Fibromyalgia Comorbidity with Headache (SEARCH), focusing on previous diagnoses and preventative treatment regimens for primary headache disorders. This cross-sectional study encompassed adults diagnosed with primary headache disorders who sought treatment at 23 hospitals across China between September 2020 to May 2021. Results The study comprised 2,868 participants who were systematically examined. Migraine and tension-type headaches (TTH) constituted a majority of the primary headache disorders, accounting for 74.1% (2,124/2,868) and 23.3% (668/2,868) of the participants, respectively. Medication overuse headache (MOH) affected 8.1% (231/2,868) of individuals with primary headache disorders. Over half of the individuals with primary headache disorders (56.6%, 1,624/2,868) remained undiagnosed. The previously correct diagnosis rates for migraine, TTH, TACs, and MOH were 27.3% (580/2,124), 8.1% (54/668), 23.2% (13/56), and 3.5% (8/231), respectively. The misdiagnosis of “Nervous headache” was found to be the most prevalent among individuals with migraine (9.9%, 211/2,124), TTH (10.0%, 67/668), trigeminal autonomic cephalalgias (TACs) (17.9%, 10/56), and other primary headache disorders (10.0%, 2/20) respectively. Only a minor proportion of individuals with migraine (16.5%, 77/468) and TTH (4.7%, 2/43) had received preventive medication before participating in the study. Conclusions While there has been progress made in the rate of ...
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1186/s10194-023-01654-6
DOI: 10.1186/s10194-023-01654-6.pdf
DOI: 10.1186/s10194-023-01654-6/fulltext.html
الإتاحة: https://doi.org/10.1186/s10194-023-01654-6Test
حقوق: https://creativecommons.org/licenses/by/4.0Test ; https://creativecommons.org/licenses/by/4.0Test
رقم الانضمام: edsbas.C1070693
قاعدة البيانات: BASE