Headache Centre, Neurological Institute C. Besta IRCCS Foundation, Via Celoria 11, 20133 Milan, Italy.
Neurol Sci. 2011 May;32 Suppl 1:S181-3. doi: 10.1007/s10072-011-0528-1.
Undertreatment in patients with primary headaches was evaluated in 600 patients attending 7 headache centres in Lombardy by assessing the rates of acute and prophylactic treatments used before the first visit and the rates of prescription of acute and prophylactic treatments after the visit at the headache centre. Our results clearly showed that most headache patients are likely to receive suboptimal treatments, confirming the utility of headache centres as well as the need for promoting education of GPs and the development of appropriate networks to reduce undertreatment rates, in order to highlight the negative impact caused by primary headache on individuals and on the society.
在伦巴第的 7 个头痛中心,我们对 600 名原发性头痛患者进行了治疗不足评估,评估了他们在首次就诊前使用的急性和预防性治疗的比例,以及在就诊后在头痛中心开具的急性和预防性治疗的比例。我们的研究结果清楚地表明,大多数头痛患者可能接受的治疗并不理想,这既证实了头痛中心的实用性,也凸显了促进全科医生教育以及建立适当网络以降低治疗不足率的必要性,从而凸显了原发性头痛给个人和社会带来的负面影响。