Alsaadi Taoufik, Kayed Deeb M, Al-Madani Abubaker, Hassan Ali Mohamed, Terruzzi Alessandro, Krieger Derk, Riachi Naji, Sarathchandran Pournamy, Al-Rukn Suhail
Department of Neurology, American Center for Psychiatry and Neurology, Abu Dhabi, UAE.
Neurology Department, Mediclinic City Hospital, Dubai, UAE.
Neurol Ther. 2023 Dec;12(6):1845-1865. doi: 10.1007/s40120-023-00550-0. Epub 2023 Oct 4.
INTRODUCTION: Migraine is a common debilitating neurological disorder affecting a large proportion of the general population. Calcitonin gene-related peptide (CGRP), a 37-amino acid neuropeptide, plays a key role in the pathophysiology of migraine, and the development of therapies targeting the anti-CGRP pathway has revolutionized the field of migraine treatment. METHODS: An expert task force of neurologists in the United Arab Emirates (UAE) developed and critically assessed recommendations on the use of CGRP-based therapies in migraine treatment and management in the UAE, based on available published literature. A consensus was reached for each statement by means of an open-voting process, based on a predefined agreement level of at least 60%. RESULTS: The consensus recommendations advocate the need for guidelines for the appropriate use of CGRP-based therapies by defining patient cohorts and appropriate monitoring of therapeutic response as well as standardizing the initiation, assessment, and cessation of treatment. The consensus recommendations were primarily formulated on the basis of international studies, because of the limited availability of regional and local data. As such, they may also act as guidelines for global healthcare providers. CONCLUSIONS: These are the first consensus recommendations for the UAE that address the use of CGRP-based therapies in the treatment and management of migraine, integrating both clinical evidence and medical expertise to enhance clinical judgment and decision-making.
引言:偏头痛是一种常见的使人衰弱的神经系统疾病,影响着很大一部分普通人群。降钙素基因相关肽(CGRP)是一种由37个氨基酸组成的神经肽,在偏头痛的病理生理学中起关键作用,针对抗CGRP途径的疗法的发展彻底改变了偏头痛治疗领域。 方法:阿拉伯联合酋长国(阿联酋)的一个神经科专家特别工作组根据现有已发表的文献,制定并严格评估了关于在阿联酋偏头痛治疗和管理中使用基于CGRP疗法的建议。通过公开投票过程,基于至少60%的预定义一致同意水平,对每项声明达成了共识。 结果:共识建议主张需要制定指南,以通过定义患者群体、适当监测治疗反应以及规范治疗的启动、评估和停止,来适当使用基于CGRP的疗法。由于区域和本地数据有限,共识建议主要基于国际研究制定。因此,它们也可作为全球医疗保健提供者的指南。 结论:这些是阿联酋针对在偏头痛治疗和管理中使用基于CGRP疗法的首批共识建议,整合了临床证据和医学专业知识,以增强临床判断和决策能力。
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