Department of Neurology, La Princesa University Hospital, Madrid, Spain.
La Princesa Health Investigation Institute, Madrid, Spain.
Acta Neurol Belg. 2021 Aug;121(4):1045-1051. doi: 10.1007/s13760-021-01727-w. Epub 2021 Jul 3.
Migraine is considered an underdiagnosed disease in general population. Different studies show a higher prevalence in neurologists. However, there are few studies about its prevalence in doctors of other specialties, where it could also be superior than in general population. Our aim was to define migraine lifetime prevalence among doctors according to three parameters (previous diagnosis, self-diagnosis and positivity of a screening test). Single-center, descriptive, cross-sectional study based on online surveys with collection of sociodemographic and clinical variables, addressed to doctors of a tertiary hospital. Participants who reported 5 or more headaches throughout their lives were considered "headache sufferers" and were divided in different groups according to their position (specialists or trainees) and their specialty (medical, medical-surgical and surgical or specialties with no direct contact with the patient). The Spanish validated version of the Migraine Screen Questionnaire (MS-Q) was used as screening test. There were 217 participants (response rate of 29%), 72% were women and 56% trainees, mean age 34 years (SD10). 77% were "headache sufferers" Among all participants, migraine lifetime prevalence according to diagnosis by another physician was 15.2%, self-diagnosis 38.2% and positivity of the MS-Q 20.3%; those categories were not mutually exclusive Greater but not statistically significant coexistence of self-diagnosis and positive MS-Q was seen in specialists compared to trainees and in medical specialties. Migraine prevalence among doctors in a tertiary care hospital was higher than in general population, according to all three parameters analyzed. Self-diagnosis was the highest which could reflect an overdiagnosis; further studies are needed to determine this possibility.
偏头痛在普通人群中被认为是一种诊断不足的疾病。不同的研究表明，在神经科医生中患病率更高。然而，关于其他专科医生患病率的研究较少，而且在这些医生中，患病率可能也高于普通人群。我们的目的是根据三个参数（既往诊断、自我诊断和筛查测试的阳性结果）来确定医生中偏头痛的终生患病率。这是一项单中心、描述性、横断面研究，基于在线调查，收集社会人口统计学和临床变量，对象为一家三级医院的医生。报告一生中经历过 5 次或以上头痛的参与者被认为是“头痛患者”，并根据他们的职位（专科医生或住院医生）和专业（内科、内科-外科或外科或与患者无直接接触的专业）分为不同组。使用经过验证的西班牙偏头痛筛查问卷（MS-Q）作为筛查测试。共有 217 名参与者（回应率为 29%），其中 72%为女性，56%为住院医生，平均年龄为 34 岁（标准差为 10）。77%为“头痛患者”。在所有参与者中，根据另一位医生的诊断，偏头痛的终生患病率为 15.2%，自我诊断为 38.2%，MS-Q 阳性为 20.3%；这些类别并非互斥的。与住院医生相比，专科医生中自我诊断和 MS-Q 阳性的共存情况更多，但无统计学意义，而在医学专业中这种共存情况更多。根据我们分析的所有三个参数，三级保健医院的医生偏头痛患病率高于普通人群。自我诊断的比例最高，这可能反映了过度诊断；需要进一步的研究来确定这种可能性。
