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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
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WRAP-diagnostic-classification-tools-chronic-headache-disorders-Potter-2018.pdf - Accepted Version - Requires a PDF viewer. Download (1275Kb) | Preview |
Official URL: http://dx.doi.org/10.1177/0333102418806864
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 | ||||||||
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| 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 |
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| 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: |
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| 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 | ||||||||
| RIOXX Funder/Project Grant: |
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