Wissmann A, Feuersenger A, Gendolla A, Reuter U, Straube A, Evers S, May A, Peikert A, Pfaffenrath V, Staudenmayer H, Diener H-C
Klinik für Neurologie, Universitätsklinikum Essen, Hufelandstr. 55, 45122 Essen.
Schmerz. 2007 Oct;21(5):430-8. doi: 10.1007/s00482-007-0529-4.
The aim of the present study was to develop a screening tool to aid non-headache specialists, like general practitioners, in deciding whether migraine prophylaxis in the individual migraine patient is useful or not. The first step was the development of a questionnaire, consisting of 10 items, which was filled in by 132 migraineurs who called on neurologists or headache experts. Independently, the physicians filled in another questionnaire to answer the question of whether they decided to prescribe migraine prophylaxis and if they had, to give their reasons for doing so. Using logistic regression analysis, we identified the three questions which had the most influence on the decision regarding prophylaxis in the data set. As results, we identified the following three questions: 1. Do you suffer from migraine on more than 3 days/month? 2. Do you have to rest in bed while experiencing a migraine attack? 3. Do you have to take medication against migraine on more than 5 days/month? Validation of this reduced questionnaire is currently ongoing and involves 150 migraine patients of general practitioners.
本研究的目的是开发一种筛查工具，以帮助非头痛专科医生，如全科医生，判断个体偏头痛患者进行偏头痛预防性治疗是否有用。第一步是编制一份包含10个条目的问卷，由132名拜访神经科医生或头痛专家的偏头痛患者填写。医生们独立填写另一份问卷，以回答他们是否决定开具偏头痛预防性治疗药物，以及如果开具了，给出这样做的理由。使用逻辑回归分析，我们在数据集中确定了对预防性治疗决策影响最大的三个问题。结果，我们确定了以下三个问题：1. 你每月偏头痛发作超过3天吗？2. 偏头痛发作时你必须卧床休息吗？3. 你每月服用抗偏头痛药物超过5天吗？这份精简后的问卷目前正在进行验证，涉及150名全科医生的偏头痛患者。
