Poor patient awareness and frequent misdiagnosis of migraine

findings from a large transcontinental cohort

Michele Viana, Farihah Khaliq, Chiara Zecca, María De Lourdes Figuerola, Grazia Sances, Vittorio Di Piero, Barbara Petolicchio, Michele Alessiani, Pierangelo Geppetti, Chiara Lupi, Silvia Benemei, Rosario Iannacchero, Ferdinando Maggioni, Mauro Eduardo Jurno, Stela Odobescu, Ecaterina Chiriac, Alejandro Marfil, Filippo Brighina, Nelson Barrientos Uribe, Cristina Pérez Lago & 6 others Carlos Bordini, Franco Lucchese, Valerio Maffey, Giuseppe Nappi, Giorgio Sandrini, Cristina Tassorelli

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Although migraine is the second most disabling condition worldwide, there is poor awareness of it.

OBJECTIVES: To assess the awareness of migraine and previous diagnostic and therapeutic consultations and treatments in a large international population of migraineurs.

METHODS: Multicenter study conducted in 12 headache centers in seven countries. Each center recruited up to 100 patients referred for a first visit and diagnosed with migraine. Subjects were given a structured clinical questionnaire-based interview about the perceptions of the type of headache they suffer from, its cause, previous diagnoses, investigations and treatments.

RESULTS: 1161 patients completed the study. Twenty eight percent of participants were aware they suffer from migraine. Sixty-four percent called their migraine "headache", less commonly they used terms such as "cervical pain" (4%), tension headache (3%) and sinusitis (1%). Eight percent of general practisers and 35% of specialists (of which 51% were neurologists and/or headache specialists) consulted for migraine formulated the correct diagnosis. Before participating in the study, 50% of patients had undergone X-ray, CT and/or MRI of the cervical spine and 76% underwent brain and/or cervical spine imaging for migraine. Twenty eight percent of patients had received symptomatic migraine specific medications and 29% at least one migraine preventative medication.

CONCLUSIONS: Although migraine is a very common disease, poor awareness of it amongst patients and physicians is still an issue in several countries. This highlights the importance of promotion of migraine awareness to reduce its burden, limit direct and indirect costs, and the risk of exposure to useless investigations.

Original languageEnglish
JournalEuropean Journal of Neurology
DOIs
Publication statusE-pub ahead of print - Oct 1 2019

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Diagnostic Errors
Migraine Disorders
Headache
Spine
Tension-Type Headache
X Ray Computed Tomography
Neck Pain
Sinusitis
Multicenter Studies
Therapeutics
Referral and Consultation
Interviews
Physicians
Costs and Cost Analysis

Cite this

Poor patient awareness and frequent misdiagnosis of migraine : findings from a large transcontinental cohort. / Viana, Michele; Khaliq, Farihah; Zecca, Chiara; Figuerola, María De Lourdes; Sances, Grazia; Di Piero, Vittorio; Petolicchio, Barbara; Alessiani, Michele; Geppetti, Pierangelo; Lupi, Chiara; Benemei, Silvia; Iannacchero, Rosario; Maggioni, Ferdinando; Jurno, Mauro Eduardo; Odobescu, Stela; Chiriac, Ecaterina; Marfil, Alejandro; Brighina, Filippo; Barrientos Uribe, Nelson; Pérez Lago, Cristina; Bordini, Carlos; Lucchese, Franco; Maffey, Valerio; Nappi, Giuseppe; Sandrini, Giorgio; Tassorelli, Cristina.

In: European Journal of Neurology, 01.10.2019.

Research output: Contribution to journalArticle

Viana, M, Khaliq, F, Zecca, C, Figuerola, MDL, Sances, G, Di Piero, V, Petolicchio, B, Alessiani, M, Geppetti, P, Lupi, C, Benemei, S, Iannacchero, R, Maggioni, F, Jurno, ME, Odobescu, S, Chiriac, E, Marfil, A, Brighina, F, Barrientos Uribe, N, Pérez Lago, C, Bordini, C, Lucchese, F, Maffey, V, Nappi, G, Sandrini, G & Tassorelli, C 2019, 'Poor patient awareness and frequent misdiagnosis of migraine: findings from a large transcontinental cohort', European Journal of Neurology. https://doi.org/10.1111/ene.14098
Viana, Michele ; Khaliq, Farihah ; Zecca, Chiara ; Figuerola, María De Lourdes ; Sances, Grazia ; Di Piero, Vittorio ; Petolicchio, Barbara ; Alessiani, Michele ; Geppetti, Pierangelo ; Lupi, Chiara ; Benemei, Silvia ; Iannacchero, Rosario ; Maggioni, Ferdinando ; Jurno, Mauro Eduardo ; Odobescu, Stela ; Chiriac, Ecaterina ; Marfil, Alejandro ; Brighina, Filippo ; Barrientos Uribe, Nelson ; Pérez Lago, Cristina ; Bordini, Carlos ; Lucchese, Franco ; Maffey, Valerio ; Nappi, Giuseppe ; Sandrini, Giorgio ; Tassorelli, Cristina. / Poor patient awareness and frequent misdiagnosis of migraine : findings from a large transcontinental cohort. In: European Journal of Neurology. 2019.
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T1 - Poor patient awareness and frequent misdiagnosis of migraine

T2 - findings from a large transcontinental cohort

AU - Viana, Michele

AU - Khaliq, Farihah

AU - Zecca, Chiara

AU - Figuerola, María De Lourdes

AU - Sances, Grazia

AU - Di Piero, Vittorio

AU - Petolicchio, Barbara

AU - Alessiani, Michele

AU - Geppetti, Pierangelo

AU - Lupi, Chiara

AU - Benemei, Silvia

AU - Iannacchero, Rosario

AU - Maggioni, Ferdinando

AU - Jurno, Mauro Eduardo

AU - Odobescu, Stela

AU - Chiriac, Ecaterina

AU - Marfil, Alejandro

AU - Brighina, Filippo

AU - Barrientos Uribe, Nelson

AU - Pérez Lago, Cristina

AU - Bordini, Carlos

AU - Lucchese, Franco

AU - Maffey, Valerio

AU - Nappi, Giuseppe

AU - Sandrini, Giorgio

AU - Tassorelli, Cristina

N1 - © 2019 EAN.

PY - 2019/10/1

Y1 - 2019/10/1

N2 - BACKGROUND: Although migraine is the second most disabling condition worldwide, there is poor awareness of it.OBJECTIVES: To assess the awareness of migraine and previous diagnostic and therapeutic consultations and treatments in a large international population of migraineurs.METHODS: Multicenter study conducted in 12 headache centers in seven countries. Each center recruited up to 100 patients referred for a first visit and diagnosed with migraine. Subjects were given a structured clinical questionnaire-based interview about the perceptions of the type of headache they suffer from, its cause, previous diagnoses, investigations and treatments.RESULTS: 1161 patients completed the study. Twenty eight percent of participants were aware they suffer from migraine. Sixty-four percent called their migraine "headache", less commonly they used terms such as "cervical pain" (4%), tension headache (3%) and sinusitis (1%). Eight percent of general practisers and 35% of specialists (of which 51% were neurologists and/or headache specialists) consulted for migraine formulated the correct diagnosis. Before participating in the study, 50% of patients had undergone X-ray, CT and/or MRI of the cervical spine and 76% underwent brain and/or cervical spine imaging for migraine. Twenty eight percent of patients had received symptomatic migraine specific medications and 29% at least one migraine preventative medication.CONCLUSIONS: Although migraine is a very common disease, poor awareness of it amongst patients and physicians is still an issue in several countries. This highlights the importance of promotion of migraine awareness to reduce its burden, limit direct and indirect costs, and the risk of exposure to useless investigations.

AB - BACKGROUND: Although migraine is the second most disabling condition worldwide, there is poor awareness of it.OBJECTIVES: To assess the awareness of migraine and previous diagnostic and therapeutic consultations and treatments in a large international population of migraineurs.METHODS: Multicenter study conducted in 12 headache centers in seven countries. Each center recruited up to 100 patients referred for a first visit and diagnosed with migraine. Subjects were given a structured clinical questionnaire-based interview about the perceptions of the type of headache they suffer from, its cause, previous diagnoses, investigations and treatments.RESULTS: 1161 patients completed the study. Twenty eight percent of participants were aware they suffer from migraine. Sixty-four percent called their migraine "headache", less commonly they used terms such as "cervical pain" (4%), tension headache (3%) and sinusitis (1%). Eight percent of general practisers and 35% of specialists (of which 51% were neurologists and/or headache specialists) consulted for migraine formulated the correct diagnosis. Before participating in the study, 50% of patients had undergone X-ray, CT and/or MRI of the cervical spine and 76% underwent brain and/or cervical spine imaging for migraine. Twenty eight percent of patients had received symptomatic migraine specific medications and 29% at least one migraine preventative medication.CONCLUSIONS: Although migraine is a very common disease, poor awareness of it amongst patients and physicians is still an issue in several countries. This highlights the importance of promotion of migraine awareness to reduce its burden, limit direct and indirect costs, and the risk of exposure to useless investigations.

U2 - 10.1111/ene.14098

DO - 10.1111/ene.14098

M3 - Article

JO - European Journal of Neurology

JF - European Journal of Neurology

SN - 1351-5101

ER -