[Migraine burden and clinical inertia: what can we do?] / Migren' i klinicheskaia inertsiia: chto my mozhem sdelat'?
Zh Nevrol Psikhiatr Im S S Korsakova
; 120(1): 83-89, 2020.
Article
em Ru
| MEDLINE
| ID: mdl-32105274
ABSTRACT
AIM:
To study the compliance of neurologists and headache specialists to chronic headache and chronic migraine (CM) diagnosis and treatment guidelines. MATERIAL ANDMETHODS:
The survey included 634 neurologists from all regions of the Russian Federation. Mean age of respondents was 40.7±8.5 years, mean years of experience 14.2±7.8 years.RESULTS:
Most doctors work in outpatient or hospital settings (49% and 24%, respectively), 7% were headache specialists. Tension-type headache (TTH) was diagnosed in 30% and CM in 17% of patients while 44% of patients were presumed to have a mixed headache disorder (TTH+CM). Only 10% of physicians do not use instrumental diagnostic methods in chronic headache. This study has shown sufficient attention to comorbid conditions and frequent prescription of headache preventative treatment. Botox prescription data is equivocal 35% of physicians recommend such treatment, 27% do not, while other doctors prescribe it for off-label indications.CONCLUSION:
To overcome clinical inertia, further education in chronic headaches and their optimal treatment is warranted.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Pesquisas sobre Atenção à Saúde
/
Neurologistas
/
Cefaleia
/
Transtornos de Enxaqueca
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Qualitative_research
Limite:
Adult
/
Humans
País/Região como assunto:
Asia
/
Europa
Idioma:
Ru
Revista:
Zh Nevrol Psikhiatr Im S S Korsakova
Ano de publicação:
2020
Tipo de documento:
Article