Glostrup Hospital, Faculty of Health Sciences, University of Copenhagen, Denmark.
Cephalalgia. 2011 Nov;31(15):1549-60. doi: 10.1177/0333102411424212. Epub 2011 Oct 21.
We tested the usability and usefulness of the basic diagnostic headache diary (BDHD) for the diagnosis of migraine, tension-type headache and medication-overuse headache in European and Latin American countries.
Patients were subdivided into two groups according to a 1:1 randomization list. Those in group 1 were sent the BDHD before their first visit to the headache centre and asked to complete it for at least 1 month. Those in group 2 made their first visit to the headache centre without receiving the BDHD.
A total of 626 patients from nine countries and 16 centres completed the study. The BDHD entries were complete in 97.5% of cases. BDHD information and clinical interview were, when taken together, considered complete for diagnosis in 97.7% of cases in group 1 whereas the information obtained by clinical interview alone in group 2 was considered complete in only 86.8% of cases (p < 0.001). The median number of diagnoses per patient in group 1 was significantly higher than in group 2 (p = 0.04). The BDHD was very well accepted by both patients and doctors.
It is concluded that the BDHD is a useful tool in the diagnostic assessment of the most frequent and disabling forms of primary headache and in headache management.
我们测试了基本诊断头痛日记（BDHD）在欧洲和拉丁美洲国家用于偏头痛、紧张型头痛和药物过度使用性头痛诊断的可用性和实用性。
根据 1:1 随机列表，将患者分为两组。第 1 组在首次就诊头痛中心之前收到 BDHD，并要求至少填写 1 个月。第 2 组在没有收到 BDHD 的情况下首次就诊头痛中心。
来自九个国家和 16 个中心的 626 名患者完成了这项研究。BDHD 条目填写完整的比例为 97.5%。BDHD 信息和临床访谈结合起来，用于诊断时，第 1 组中 97.7%的病例被认为是完整的，而第 2 组仅通过临床访谈获得的信息仅在 86.8%的病例中被认为是完整的（p<0.001）。第 1 组中每位患者的平均诊断数量明显高于第 2 组（p=0.04）。BDHD 得到了患者和医生的高度认可。
BDHD 是诊断最常见和最具致残性原发性头痛形式以及头痛管理的有用工具。
