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 - 0800-1952
VL - 30
SP - 1214
EP - 1224
JO - Cephalalgia, Supplement
JF - Cephalalgia, Supplement
IS - 10
ER -