Department of Drug Science and Technology, University of Turin, Via Pietro Giuria 9, 10125, Turin, Italy.
Department of Surgical Sciences, Women's Headache Center, University of Turin, Via Ventimiglia 3, 10126, Turin, Italy.
Neurol Sci. 2019 May;40(Suppl 1):15-21. doi: 10.1007/s10072-019-03794-7.
Headache disorders are the third among the worldwide causes of disability, measured in years of life lost to disability. Given the pharmacies' importance in general in headache patient and, in particular in migraine patient management, various studies have been carried out in recent years dealing with this issue. Indeed, in 2014, our research group first analysed publications on a number of studies conducted worldwide. As five years have passed since our first analysis of the literature and having carried out a number of specific studies in Italy since 2014, we wish to analyse once again the studies carried out globally on this topic to evaluate how the situation has evolved in the meantime. The key words used for the bibliographic search were "community pharmacy" and "headache"; we considered articles published between 2014 and 2018. The selected studies regarded Sweden USA, Belgium, Ireland, Jordan and Ethiopia. From the analysis of the international research papers, it is evident that, despite the time that has passed since the previous analyses and the general agreement that pharmacists find themselves in an ideal position to offer adequate levels of counselling to headache patients, the knowledge of pharmacists is not yet sufficient. Clearly, there is a strong need to develop training programmes specifically focused on this subject. Regarding Italy, a national study, commenced in 2016, was designed as a cross-sectional survey employing face-to-face interviews between pharmacist and patient using a questionnaire drawn up by experts in compliance with best practice from scientific literature. Six hundred ten pharmacists followed a specific training course; 4425 questionnaires were correctly completed. The use of pharmacies as epidemiological sentinels, given their capillarity and daily contact with the local population in Italy, enabled us to obtain an epidemiological snapshot closer to the real-life situation compared to specialist headache centres. Over the course of this study, data on headaches were gathered in Italian pharmacies with the highest levels of numerosity in the world.
头痛障碍是全球致残原因中的第三大原因，以丧失的残疾生命年来衡量。鉴于药店在一般头痛患者管理中，尤其是偏头痛患者管理中的重要性，近年来针对这一问题进行了各种研究。事实上，2014 年，我们的研究小组首次分析了全球范围内进行的多项研究的出版物。自我们首次分析文献以来，已经过去了五年，自 2014 年以来，我们在意大利进行了多项具体研究，因此我们希望再次分析全球范围内关于这一主题的研究，以评估在此期间情况的演变。文献检索使用的关键词是“社区药房”和“头痛”；我们考虑了 2014 年至 2018 年期间发表的文章。所选研究涉及瑞典、美国、比利时、爱尔兰、约旦和埃塞俄比亚。从对国际研究论文的分析可以看出，尽管自前几次分析以来已经过去了一段时间，并且普遍认为药剂师处于为头痛患者提供适当咨询水平的理想位置，但药剂师的知识还不够。显然，需要制定专门针对这一主题的培训计划。关于意大利，一项于 2016 年开始的全国性研究旨在进行横断面调查，在调查中，药剂师和患者通过专家根据最佳实践从科学文献中制定的问卷进行面对面访谈。610 名药剂师参加了一个专门的培训课程；4425 份问卷填写正确。鉴于药店在意大利的毛细血管状分布和与当地居民的日常接触，将其用作流行病学监测哨，可以使我们获得更接近现实生活的流行病学快照，而不是专科头痛中心。在这项研究中，意大利药店收集了头痛数据，其数量居世界之首。
