挪威全科医生对头痛障碍的管理和临床知识：问卷调查。

The management and clinical knowledge of headache disorders among general practitioners in Norway: a questionnaire survey.

机构信息

Department of General Practice, University of Oslo, PO Box 1130, Blindern, 0318, Oslo, Norway.

Department of Neurology, Akershus University Hospital, Lørenskog, Norway.

出版信息

J Headache Pain. 2021 Nov 11;22(1):136. doi: 10.1186/s10194-021-01350-3.

DOI:10.1186/s10194-021-01350-3

PMID:34763647

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8582095/

Abstract

BACKGROUND

General practitioners (GPs) diagnose and manage a majority of headache patients seeking health care. With the aim to understand the potential for clinical improvement and educational needs, we performed a study to investigate Norwegian GPs knowledge about headache and its clinical management.

METHODS

We invited GPs from a random sample of 130 Norwegian continuous medical education (CME) groups to respond to an anonymous questionnaire survey.

RESULTS

367 GPs responded to the survey (73% of invited CME groups, 7.6% of all GPs in Norway). Mean age was 46 (SD 11) years, with an average of 18 (SD 10) years of clinical experience. In general the national treatment recommendations were followed, while the International Classification of Headache Disorders and other international guidelines were rarely used. Overall, 80% (n = 292) of the GPs suggested adequate prophylactic medication for frequent episodic migraine, while 28% (n = 101) suggested adequate prophylactic medication for chronic tension-type headache (CTTH). Half (52%, n = 191)) of the respondents were aware that different types of acute headache medication can lead to medication-overuse headache (MOH), and 59% (n = 217) knew that prophylactic headache medication does not lead to MOH. GPs often used MRI in the diagnostic work-up. GPs reported that lack of good treatment options was a main barrier to more optimized treatment of headache patients.

CONCLUSION

The knowledge of management of CTTH and MOH was moderate compared to migraine among Norwegian GPs.

摘要

背景

全科医生（GP）诊断和管理大多数寻求医疗保健的头痛患者。为了了解临床改善的潜力和教育需求，我们进行了一项研究，以调查挪威全科医生对头痛及其临床管理的知识。

方法

我们邀请了来自随机抽取的 130 个挪威继续教育（CME）小组的 GP 对匿名问卷进行调查。

结果

367 名 GP 对调查做出了回应（占受邀 CME 小组的 73%，占挪威所有 GP 的 7.6%）。平均年龄为 46（SD 11）岁，平均临床经验为 18（SD 10）年。总体而言，国家治疗建议得到了遵循，而国际头痛疾病分类和其他国际指南很少被使用。总体而言，80%（n=292）的 GP 建议对频繁发作的偏头痛使用足够的预防性药物，而 28%（n=101）建议对慢性紧张型头痛（CTTH）使用足够的预防性药物。半数（52%，n=191）的受访者意识到不同类型的急性头痛药物会导致药物过度使用性头痛（MOH），而 59%（n=217）知道预防性头痛药物不会导致 MOH。GP 经常在诊断工作中使用 MRI。GP 报告称，缺乏良好的治疗选择是优化头痛患者治疗的主要障碍。