Bentivegna Enrico, Tassorelli Cristina, De Icco Roberto, Sances Grazia, Martelletti Paolo
Emergency Medicine Unit, Regional Referral Headache Center, Sant'Andrea University Hospital, Rome, Italy.
Department of Clinical and Molecular Medicine, Sapienza University, Rome, Italy.
Expert Rev Neurother. 2022 Mar;22(3):237-243. doi: 10.1080/14737175.2022.2045954. Epub 2022 Feb 28.
Primary headaches represent a huge cost in terms of decreased productivity and migraine occupies the first position among disabilities in working population. Migraine has a high incidence, disproportionate to the available primary care centers. In most cases, migraine can be managed through the simple and accurate collection of clinical history, which makes it an ideal candidate for tele-healthcare.
In this narrative review, we retrace the most important scientific evidence regarding use of tele-healthcare in headache medicine. Over the last few years, it has proved to be a valid and useful tool for the management of migraine. Furthermore, current pandemic has imposed a drastic change in the way of thinking and setting up medicine, forcing clinicians and patients to a huge expansion of telemedicine.
We should permanently insert the culture of telemedicine in the headache care not only in academies and scientific societies, but extend it to specialized hospitals for the treatment of headaches. Only by broadening the old book-based strategy, we will be able to open the door to the multidimensional culture of headache medicine. Experts of excellence centers should set an example and pave the way for the rest of the clinicians.
原发性头痛在生产力下降方面造成了巨大成本，偏头痛在劳动人口的残疾中位居首位。偏头痛发病率高，与现有的初级保健中心数量不成比例。在大多数情况下，偏头痛可以通过简单准确地收集临床病史来管理，这使其成为远程医疗的理想对象。
在本篇叙述性综述中，我们回顾了有关远程医疗在头痛医学中应用的最重要科学证据。在过去几年中，它已被证明是管理偏头痛的有效且有用的工具。此外，当前的大流行迫使人们的思维方式和医学设置发生了巨大变化，促使临床医生和患者大幅扩展远程医疗的应用。
我们不仅应在学术机构和科学协会中，而且应将远程医疗文化永久融入头痛护理中，并将其扩展到治疗头痛的专科医院。只有通过拓宽基于旧有书本的策略，我们才能打开通往头痛医学多维文化的大门。卓越中心的专家应树立榜样，为其他临床医生铺平道路。
