Title |
Clinical outcome of a headache-specific multidisciplinary treatment program and adherence to treatment recommendations in a tertiary headache center: an observational study
|
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Published in |
The Journal of Headache and Pain, May 2011
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DOI | 10.1007/s10194-011-0348-y |
Pubmed ID | |
Authors |
Charly Gaul, Christina van Doorn, Nadine Webering, Martha Dlugaj, Zaza Katsarava, Hans-Christoph Diener, Günther Fritsche |
Abstract |
This study investigated the outcome of a 5-day headache-specific multidisciplinary treatment program (MTP) and the adherence to treatment recommendations in 295 prospectively recruited consecutive headache patients [210 migraine, 17 tension-type headache (TTH), 68 combination headache, including 56 medication-overuse headache (MOH)]. Headache frequency decreased from 13.4 (±8.8) to 8.8 (±8.0) days per month after 12-18 months. Forty-three percent of the participants fulfilled the primary outcome (reduction of headache frequency of ≥50%), which was less likely in patients with combination of migraine and TTH compared to migraine (OR = 3.136, p = 0.002) or TTH (OR = 1.029, n.s.). Increasing number of headache days per month (OR = 1.092, p ≤ 0.0001) and adherence to lifestyle modifications (OR = 1.269, p = 0.004) predicted primary outcome. 51 of 56 MOH patients were treated successfully. Thirty-five percent of the patients were adherent to pharmacological prophylaxis, 61% to relaxation therapy, and 72% to aerobic endurance sports. MTP is effective in headache treatment. Adherence to therapy was associated with better outcome. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Denmark | 1 | <1% |
Brazil | 1 | <1% |
Unknown | 128 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 22 | 17% |
Student > Ph. D. Student | 17 | 13% |
Student > Bachelor | 15 | 12% |
Researcher | 14 | 11% |
Other | 11 | 8% |
Other | 19 | 15% |
Unknown | 32 | 25% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 42 | 32% |
Nursing and Health Professions | 15 | 12% |
Psychology | 9 | 7% |
Social Sciences | 5 | 4% |
Sports and Recreations | 5 | 4% |
Other | 17 | 13% |
Unknown | 37 | 28% |