Migraine diagnosis and treatment: Results from the American Migraine Study II
Migraine diagnosis and treatment: Results from the American Migraine Study II
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DOI：
10.1046/j.1526-4610.2001.041007638.x
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发表时间：
2001-07-01
期刊：
影响因子：
5
通讯作者：
Stewart, WF
中科院分区：
文献类型：
--
作者：
Lipton, RB;Diamond, S;Stewart, WF
目标：1999年进行了一项基于人群的调查，以描述美国人口中具有代表性的样本中偏头痛的诊断和用药模式，并将结果与10年前进行的一项方法相同的研究结果进行比较。方法-邮寄给一个由20,000个美国家庭组成的小组的调查发现，3577名严重头痛患者符合国际头痛协会(IHS)标准的偏头痛病例定义。那些有严重头痛的人回答了关于医生诊断和头痛药物使用以及头痛相关残疾的问题。结果：1999年，符合IHS偏头痛标准的调查参与者中有48%的人报告了偏头痛的医生诊断，而1989年这一比例为38%。1999年，共有41%的IHS定义的偏头痛患者使用处方药治疗头痛，而1989年这一比例为37%。1999年，IHS定义的偏头痛患者只使用非处方药治疗头痛的比例为57%，而的这一比例为59%。在1999年，37%的确诊偏头痛患者和21%的未确诊偏头痛患者报告了每一发作1-2天的活动限制(P
Objective.-A population-based survey was conducted in 1999 to describe the patterns of migraine diagnosis and medication use in a representative sample of the US population and to compare results with a methodologically identical study conducted 10 years earlier.Methods.-A survey mailed to a panel of 20 000 US households identified 3577 individuals with severe headache meeting a case definition for migraine based on the International Headache Society (IHS) criteria. Those with severe headache answered questions regarding physician diagnosis and use of medications for headache as well as headache-related disability.Results.-A physician diagnosis of migraine was reported by 48% of survey participants who met IHS criteria for migraine in 1999, compared with 38% in 1989. A total of 41% of IHS-defined migraineurs used prescription drugs for headaches in 1999, compared with 37% in 1989. The proportion of IHS-defined migraineurs using only over-the-counter medications to treat their headaches was 57% in 1999, compared with 59% in 1989. In 1999, 37% of diagnosed and 21% of undiagnosed migraineurs reported 1 to 2 days of activity restriction per episode (P