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- Title
Outcomes of a Headache-Specific Cross-Sectional Multidisciplinary Treatment Program.
- Authors
Wallasch, Thomas-Martin; Angeli, Andreas; Kropp, Peter
- Abstract
Aim.- Chronic headache is a disabling disorder that is frequently poorly managed in general clinical practice. Objectives.- To investigate primary (headache frequency in days/month) and secondary (headache-related disability, lost work/school time, anxiety and depression, amount and intake frequency of acute medication) 12-month outcomes of a headache-specific cross-sectional outpatient and inpatient multidisciplinary treatment program using a dedicated computer system for data collection and corresponding between integrated care team in a tertiary headache center and practicing headache specialists. Background.- A need for integrated headache care using comprehensive and standardized assessment for diagnosis of headache, psychiatric comorbidity, and burden of disease exists. There are little published data on long-term efficacy of multidisciplinary treatment programs for chronic headache. Design.- A prospective, observational, 12-month, follow-up study. Subjects and Methods.- Prospectively recruited consecutive patients with frequent difficult-to-treat headaches (n = 201; 63 migraine, 11 tension-type headache, 59 combined migraine/tension-type headache, and 68 medication overuse headache) were enrolled. Outcome measures included prospective headache diaries, a medication survey, Migraine Disability Assessment, 12-item short form health survey, and the Hospital Anxiety and Depression Scale. Results.- The primary outcome of a reduction of ≥50% of headache frequency (days/month) was observed in 62.7%. Mean headache frequency decreased from 14.4 ± 8.2 to 7.6 ± 8.3 days/month, P < .0001. Secondary outcomes improved significantly in the total cohort and all headache subgroups. Predictors for good outcome were younger age, few days lost at work/school, and familiarity with progressive muscle relaxation therapy at baseline. Conclusions.- The present analysis provided support for a cross-sectional multidisciplinary integrated headache-care program.
- Subjects
GERMANY; ACADEMIC medical centers; HEADACHE; HEALTH care teams; LONGITUDINAL method; SCIENTIFIC observation; HEALTH outcome assessment; PSYCHOLOGICAL tests; SCALES (Weighing instruments); EQUIPMENT &; supplies; TREATMENT effectiveness; SEVERITY of illness index; DATA analysis software; DESCRIPTIVE statistics
- Publication
Headache: The Journal of Head & Face Pain, 2012, Vol 52, Issue 7, p1094
- ISSN
0017-8748
- Publication type
Article
- DOI
10.1111/j.1526-4610.2012.02189.x