Identifying migraine in primary care settings.

Richard Sadovsky, David William Dodick

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Migraine disorders are largely unrecognized and untreated, despite the heavy burden they impose on individuals and society. Studies have shown that the symptom severity and disability associated with undiagnosed migraine are as burdensome as those associated with diagnosed migraine. Of those persons with migraine identified in population-based surveys, many were previously unaware that they had migraine. Furthermore, coexisting headache types and comorbid conditions contribute to misdiagnosis among those who consult a physician for headache. Patients who do seek medical attention for headaches usually visit their primary care providers. The purpose of this review is to highlight the distinguishing characteristics of migraine compared with other headache disorders, based on the new International Classification of Headache Disorders. To aid in diagnosis, simple screening tools, such as ID Migraine (Pfizer Inc., New York, NY), are recommended. The clinical interview and headache diary aid in refining the diagnosis or suggesting the need for further evaluation. Improved recognition of migraine in primary care will increase the rate of successful treatment with effective migraine-specific therapies. This will result in improved functionality and decreased pain, and may help prevent disease progression.

Original languageEnglish (US)
JournalThe American journal of medicine
Volume118 Suppl 1
StatePublished - Mar 2005
Externally publishedYes

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Migraine Disorders
Primary Health Care
Headache
Headache Disorders
Diagnostic Errors
Disease Progression
Interviews
Physicians
Pain
Therapeutics
Population

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Identifying migraine in primary care settings. / Sadovsky, Richard; Dodick, David William.

In: The American journal of medicine, Vol. 118 Suppl 1, 03.2005.

Research output: Contribution to journalArticle

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