Gaul, Charly; Brömstrup, Julia; Fritsche, Günther; Diener, Hans Christoph; Katsarava, Zaza:
Evaluating integrated headache care : a one-year follow-up observational study in patients treated at the Essen headache centre
In: BMC Neurology, Band 11 (2011), S. 124
2011Artikel/Aufsatz in ZeitschriftOA Gold
MedizinMedizinische Fakultät » Universitätsklinikum Essen » Klinik für Neurologie
Damit verbunden: 1 Publikation(en)
Titel in Englisch:
Evaluating integrated headache care : a one-year follow-up observational study in patients treated at the Essen headache centre
Autor*in:
Gaul, CharlyUDE
LSF ID
51045
Sonstiges
der Hochschule zugeordnete*r Autor*in
;
Brömstrup, Julia;Fritsche, GüntherUDE
LSF ID
12835
Sonstiges
der Hochschule zugeordnete*r Autor*in
;
Diener, Hans ChristophUDE
GND
11811901X
LSF ID
13450
ORCID
0000-0002-6556-8612ORCID iD
Sonstiges
der Hochschule zugeordnete*r Autor*in
;
Katsarava, ZazaUDE
LSF ID
12952
ORCID
0000-0002-9932-1159ORCID iD
Sonstiges
der Hochschule zugeordnete*r Autor*in
Erscheinungsjahr:
2011
Open Access?:
OA Gold
DuEPublico 1 ID
EVALuna Biblio ID
18766
Web of Science ID
PubMed ID
Notiz:
OA Förderung 2012

Abstract in Englisch:

Background: Outpatient integrated headache care was established in 2005 at the Essen Headache Centre in Germany. This paper reports outcome data for this approach. Methods: Patients were seen by a neurologist for headache diagnosis and recommendation for drug treatment. Depending on clinical needs, patients were seen by a psychologist and/or physical therapist. A 5-day headachespecific multidisciplinary treatment programme (MTP) was provided for patients with frequent or chronic migraine, tension type headache (TTH) and medication overuse headache (MOH). Subsequent outpatient treatment was provided by neurologists in private practice. Results: Follow-up data on headache frequency and burden of disease were prospectively obtained in 841 patients (mean age 41.5 years) after 3, 6 and 12 months. At baseline mean headache frequency was 18.1 (SD = 1.6) days per month, compared to measurement at 1 year follow-up a mean reduction of 5.8 (SD = 11.9) headache days per month was observed in 486 patients (57.8%) after one year (TTH patients mean: -8.5 days per month; migraine mean: -3.2 days per month, patients with migraine and TTH mean: -5.9 days per month). A reduction in headache days ≥ 50% was observed in 306 patients (36.4%) independent of diagnosis, while headache frequency remains unchanged in 20.9% and increase in 21.3% of the patient. Conclusion: Multidisciplinary outpatient headache centres offer an effective way to establish a three-tier treatment offer for difficult headache patients depending on clinical needs.