Headache Clinic, Mediterraneo Hospital, 16673 Glyfada, Greece.
Neurology Department, Agios Andreas State General Hospital of Patras, 26332 Patras, Greece.
Medicina (Kaunas). 2023 Apr 9;59(4):734. doi: 10.3390/medicina59040734.
: Migraine is considered the most clinically important primary headache due to its high prevalence and significant burden. Although globally categorized as one of the leading causes of disability, it is still largely underdiagnosed and undertreated. Worldwide, migraine care is in most cases provided by primary care physicians. The aim of our study was to assess the attitudes of Greek primary care physicians toward treating migraine compared to other common neurological and general medical disorders. : We surveyed 182 primary care physicians with the use of a 5-point questionnaire regarding their preference in treating ten common medical conditions, including migraine, hypertension, hyperlipidemia, upper respiratory tract infections, diabetes mellitus, lower back pain, dizziness, transient ischemic attack, diabetic peripheral neuropathy, and fibromyalgia. : Overall, with regards to preference to treat, migraine scored very low (3.6 ± 1.0), next to diabetic peripheral neuropathy (3.6 ± 1.0), and third from the bottom to fibromyalgia (3.25 ± 1.06). In contrast, physicians reported a much higher preference to treat hypertension (4.66 ± 0.60) and hyperlipidemia (4.6 ± 1.0). : Our results indicate that Greek primary care physicians dislike treating migraines but also other neurological diseases. Topics for further investigation include the reasons for this dislike, any associations with poor patient satisfaction, treatment results, or both.
偏头痛被认为是最具临床意义的原发性头痛,因为它的发病率高且负担重。尽管偏头痛在全球范围内被归类为导致残疾的主要原因之一,但它仍然在很大程度上被漏诊和治疗不足。在全世界范围内,偏头痛的治疗大多由初级保健医生提供。我们的研究旨在评估希腊初级保健医生治疗偏头痛的态度,与其他常见的神经科和一般医学疾病相比。
我们使用一份 5 分制问卷调查了 182 名初级保健医生,了解他们对治疗 10 种常见疾病的偏好,包括偏头痛、高血压、高血脂、上呼吸道感染、糖尿病、腰痛、头晕、短暂性脑缺血发作、糖尿病周围神经病变和纤维肌痛。
总的来说,就治疗偏好而言,偏头痛的评分非常低(3.6 ± 1.0),仅次于糖尿病周围神经病变(3.6 ± 1.0),排在第三位的是纤维肌痛(3.25 ± 1.06)。相比之下,医生报告说他们更倾向于治疗高血压(4.66 ± 0.60)和高血脂(4.6 ± 1.0)。
我们的结果表明,希腊初级保健医生不喜欢治疗偏头痛,但也不喜欢治疗其他神经科疾病。进一步调查的主题包括这种不喜欢的原因、与患者满意度低、治疗效果或两者都有关的任何关联。