Predictors of outcome of the treatment programme in a multidisciplinary headache centre

TY - JOUR

T1 - Predictors of outcome of the treatment programme in a multidisciplinary headache centre

AU - Jensen, Rigmor

AU - Zeeberg, Peter

AU - Dehlendorff, Christian

AU - Olesen, Jes

PY - 2010/10/1

Y1 - 2010/10/1

N2 - Introduction: Despite the high prevalence of headaches, multidisciplinary headache clinics are few and their efficacy still needs validation. The objective was to characterise patients and treatment results in a tertiary headache centre. Subjects and methods: A systematic review of all referred patients in the Danish Headache Centre in a 2-year period. Outcome results were analysed with respect to diagnoses and sociodemographics. Results: A total of 1326 patients with a mean age of 43.7 years and male: female ratio of 3: 7 were included. In total, frequency and absence rate from work were reduced from 20 to 11 days (P<0.001) and 5 to 2 days/month (P<0.001), respectively. Predictors for good outcome were female gender, migraine, triptan overuse and a frequency of 10 days/month, whereas tension-type headache and overuse of simple analgesics predicted a poor outcome. Conclusions: The present analysis provided support for a multidisciplinary approach in a tertiary headache centre. Further evaluation of specific treatment strategies and outcome predictors are important for future planning.

AB - Introduction: Despite the high prevalence of headaches, multidisciplinary headache clinics are few and their efficacy still needs validation. The objective was to characterise patients and treatment results in a tertiary headache centre. Subjects and methods: A systematic review of all referred patients in the Danish Headache Centre in a 2-year period. Outcome results were analysed with respect to diagnoses and sociodemographics. Results: A total of 1326 patients with a mean age of 43.7 years and male: female ratio of 3: 7 were included. In total, frequency and absence rate from work were reduced from 20 to 11 days (P<0.001) and 5 to 2 days/month (P<0.001), respectively. Predictors for good outcome were female gender, migraine, triptan overuse and a frequency of 10 days/month, whereas tension-type headache and overuse of simple analgesics predicted a poor outcome. Conclusions: The present analysis provided support for a multidisciplinary approach in a tertiary headache centre. Further evaluation of specific treatment strategies and outcome predictors are important for future planning.

U2 - 10.1177/0333102410361403

DO - 10.1177/0333102410361403

M3 - Journal article

SN - 0333-1024

VL - 30

SP - 1214

EP - 1224

JO - Cephalalgia

JF - Cephalalgia

IS - 10

ER -