Danish Headache Centre, Glostrup Hospital, University of Copenhagen, Copenhagen, Denmark.
Cephalalgia. 2010 Oct;30(10):1214-24. doi: 10.1177/0333102410361403. Epub 2010 Mar 26.
Despite the high prevalence of headaches, multidisciplinary headache clinics are few and their efficacy still needs validation. The objective was to characterise patients and treatment results in a tertiary headache centre.
A systematic review of all referred patients in the Danish Headache Centre in a 2-year period. Outcome results were analysed with respect to diagnoses and sociodemographics.
A total of 1326 patients with a mean age of 43.7 years and male : female ratio of 3 : 7 were included. In total, frequency and absence rate from work were reduced from 20 to 11 days (P < 0.001) and 5 to 2 days/month (P < 0.001), respectively. Predictors for good outcome were female gender, migraine, triptan overuse and a frequency of 10 days/month, whereas tension-type headache and overuse of simple analgesics predicted a poor outcome.
The present analysis provided support for a multidisciplinary approach in a tertiary headache centre. Further evaluation of specific treatment strategies and outcome predictors are important for future planning.
尽管头痛的发病率很高，但多学科头痛诊所却很少，其疗效仍需要验证。目的是描述三级头痛中心的患者和治疗结果。
对丹麦头痛中心在 2 年内转诊的所有患者进行系统回顾。根据诊断和社会人口统计学对结果进行分析。
共纳入 1326 例患者，平均年龄为 43.7 岁，男女比例为 3：7。总的来说，工作频率和缺勤率分别从 20 天减少到 11 天（P<0.001）和从 5 天/月减少到 2 天/月（P<0.001）。良好结局的预测因素为女性、偏头痛、曲普坦过度使用和每月 10 天的频率，而紧张型头痛和简单镇痛药的过度使用则预示着不良结局。
本分析为三级头痛中心的多学科方法提供了支持。进一步评估特定的治疗策略和结局预测因素对未来的规划很重要。
