The usefulness and applicability of a basic headache diary before first consultation: Results of a pilot study conducted in two centres

C. Tassorelli, G. Sances, M. Allena, N. Ghiotto, L. Bendtsen, J. Olesen, G. Nappi, R. Jensen

Research output: Contribution to journalArticle

Abstract

We tested the usefulness and applicability of a simplified headache diary in the diagnosis of migraine (M), tension-type headache (TTH) and medication overuse headache (MOH). The diary was given to headache patients before their first consultation at the headache centre. Seventy-six naive headache patients completed the study. Their understanding of the diary proved highly satisfactory. The patients' level of compliance was also good, with 71% returning the diary completely filled in. The data entered in the diary were deemed complete for the diagnostic purpose in 93% of cases. The level of agreement between headache information gathered through clinical interview and the headache diary was satisfactory. When comparing the diary with the clinical interview, sensitivity was 92% for M, 75% for TTH and MOH. Specificity was 58% for M and TTH, 87% for MOH. Combined use of a diagnostic diary and clinical interview is recommended from the first consultation for headache.

Original languageEnglish
Pages (from-to)1023-1030
Number of pages8
JournalCephalalgia
Volume28
Issue number10
DOIs
Publication statusPublished - Oct 2008

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Headache
Referral and Consultation
Secondary Headache Disorders
Tension-Type Headache
Interviews
Patient Compliance
Migraine Disorders

Keywords

  • Clinical interview
  • Diagnostic diary
  • Headache diagnosis
  • Medication overuse headache
  • Migraine
  • Tension-type headache

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

The usefulness and applicability of a basic headache diary before first consultation : Results of a pilot study conducted in two centres. / Tassorelli, C.; Sances, G.; Allena, M.; Ghiotto, N.; Bendtsen, L.; Olesen, J.; Nappi, G.; Jensen, R.

In: Cephalalgia, Vol. 28, No. 10, 10.2008, p. 1023-1030.

Research output: Contribution to journalArticle

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