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Diagnostic and classification tools for chronic headache disorders : a systematic review

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CHESS team (Including: Potter, Rachel, Probyn, Katrin, Bernstein, Celia J., Pincus, Tamar, Underwood, Martin and Matharu, Manjit). (2019) Diagnostic and classification tools for chronic headache disorders : a systematic review. Cephalalgia, 39 (6). pp. 761-784. doi:10.1177/0333102418806864 ISSN 0333-1024.

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Official URL: http://dx.doi.org/10.1177/0333102418806864

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Abstract

Background or Aim

Despite guidelines and the International Classification of Headache Disorders (ICHD-III beta) criteria, the diagnosis of common chronic headache disorders can be challenging for non-expert clinicians. The aim of the review was to identify headache classification tools that could be used by a non-expert clinician to classify common chronic disorders in primary care.

Methods

We conducted a systematic literature review of studies validating diagnostic and classification headache tools published between Jan 1988 and June 2016 from key databases: MEDLINE, ASSIA, Embase, Web of Knowledge and PsycINFO. Quality assessment was assessed using items of the Quality of Diagnostic Accuracy Studies (QUADAS-2).

Results

The search identified 38 papers reporting the validation of 30 tools designed to diagnose, classify or screen for headache disorders; nine for multiple headache types, and 21 for one headache type only. We did not identify a tool validated in a primary care that can be used by a non-expert clinician to classify common chronic headache disorders and screen for primary headaches other than migraine and tension-type headache in primary care.

Conclusions

Despite the availability of many headache classification tools we propose the need for a tool that could support primary care clinicians in diagnosing and managing chronic headache disorders within primary care, and allow more targeted referral to headache specialists.

Item Type: Journal Article
Subjects: R Medicine > RC Internal medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Headache -- Diagnosis, Primary care (Medicine)
Journal or Publication Title: Cephalalgia
Publisher: Sage Publications Ltd.
ISSN: 0333-1024
Official Date: 1 May 2019
Dates:
DateEvent
1 May 2019Published
18 October 2018Available
2 August 2018Accepted
Volume: 39
Number: 6
Page Range: pp. 761-784
DOI: 10.1177/0333102418806864
Status: Peer Reviewed
Publication Status: Published
Reuse Statement (publisher, data, author rights): Potter, R., Probyn, K., Bernstein, C., Pincus, T., Underwood, M., & Matharu, M. (2018). Diagnostic and classification tools for chronic headache disorders: A systematic review. Cephalalgia. https://doi.org/10.1177/0333102418806864 Copyright © 2018 The Author(s). Reprinted by permission of SAGE Publications. Additionally, please provide a link to the appropriate DOI for the published version of the Contribution on the SAGE Journals website https://doi.org/10.1177/0333102418806864
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 24 October 2018
Date of first compliant Open Access: 24 October 2018
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
RP-PG-1212-20018[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272

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