Study on management of pediatric migraine by general practitioners in northern France.
Study on management of pediatric migraine by general practitioners in northern France.
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DOI：
10.1007/s10194-009-0111-9
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发表时间：
2009-06
影响因子：
7.4
通讯作者：
Auvin, Stephane
中科院分区：
文献类型：
--
作者：
Cuvellier, Jean-Christophe;Carvalho, Sandra;Mars, Amaury;Auvin, Stephane
该研究探讨了对Haute Autorité de Santé（高级卫生管理局，HAS）儿童偏头痛管理指南的认识，随机抽取了100名全科医生（GP），分为城市和农村组。通过电话进行的问卷调查包括关于儿童偏头痛急性治疗和预防性治疗知识的问题，转介给儿童神经科医生以及一般家庭医生对HAS建议的认识。尽管45%的全科医生认为他们正在处方布洛芬作为一线流产药物，但只有3%的人知道推荐剂量。只有48%的全科医生同意开始预防性治疗。50%的全科医生说他们知道HAS指南，但只有24%的人说他们读过。城市和农村全科医生之间唯一的显著差异涉及预防性治疗的开始。继续教育计划的实施儿科偏头痛的指南是非常必要的。本文的在线版本（doi：10.1007/s10194-009-0111-9）包含补充材料，可供授权用户使用。
The study explored the awareness of the Haute Autorité de Santé (High Health Authority, HAS) guidelines for migraine management in children among a random sample of 100 general practitioners (GPs) dichotomised in an urban and a rural group. A questionnaire conducted by phone included questions on knowledge of pediatric migraine acute treatment and preventive therapy, referral to a child neurologist as well as GPs awareness of HAS recommendations in general. Although 45% of GPs argued they were prescribing ibuprofen as first-line abortive drug, only 3% were aware of the recommended dose. Only 48% of GPs were agreeing to initiate preventive therapy. Fifty percent of GPs stated that they knew HAS guidelines but only 24% stated that they had read them. The only significant difference between urban and rural GPs concerned the initiation of preventive therapy. Continuing educational programmes on the implementation of pediatric migraine guidelines is strongly needed. The online version of this article (doi:10.1007/s10194-009-0111-9) contains supplementary material, which is available to authorized users.
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