Hasirci Bayir Buse Rahime, Nazli Ezgi, Ulutas Can
Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, 34668 İstanbul, Turkey.
Medicina (Kaunas). 2025 Feb 28;61(3):437. doi: 10.3390/medicina61030437.
: Cluster headaches (CHs) are one of the most painful primary headaches and negatively affect the lives of patients due to misdiagnosis. Family medicine (FM) and emergency medicine (EM) physicians are one of the most important steps in making the correct diagnosis and directing patients to headache specialists. In this study, the knowledge and management approaches of these two groups regarding CH were evaluated. : Two online questionnaires were developed to gather the demographic data of physicians and to assess their knowledge about the characteristics, diagnosis, and treatment of CHs. : A total of 120 FM doctors and 98 EM doctors participated in this study. Answers about diagnostic criteria were similar in both groups. It was found that 70% of the participating physicians had concerns about misdiagnosing cluster headaches, and only 15% considered themselves sufficiently knowledgeable on the topic. Additionally, nearly half of the physicians were unaware that autonomic symptoms are mandatory for diagnosis and believed that NSAIDs are effective in treatment. : In our study, for the first time, EM and FM physicians' knowledge about the diagnosis and treatment of and professional competence in CHs was evaluated. It was found that the participants had knowledge about CHs but still considered themselves incompetent. For the correct and early diagnosis and for the proper management of CHs, EM and FM physicians, who can be called gatekeepers of CHs, need more medical education-based strategies.
丛集性头痛（CHs）是最疼痛的原发性头痛之一，由于误诊而对患者的生活产生负面影响。家庭医学（FM）和急诊医学（EM）医生是做出正确诊断并引导患者前往头痛专科医生处就诊的最重要环节之一。在本研究中，评估了这两组医生关于丛集性头痛的知识和管理方法。：开发了两份在线问卷，以收集医生的人口统计学数据，并评估他们对丛集性头痛的特征、诊断和治疗的知识。：共有120名家庭医学医生和98名急诊医学医生参与了本研究。两组关于诊断标准的回答相似。结果发现，70%的参与医生担心误诊丛集性头痛，只有15%的医生认为自己对该主题有足够的了解。此外，近一半的医生不知道自主神经症状是诊断的必要条件，并且认为非甾体抗炎药在治疗中有效。：在我们的研究中，首次评估了急诊医学和家庭医学医生对丛集性头痛的诊断和治疗的知识以及专业能力。结果发现，参与者对丛集性头痛有一定了解，但仍认为自己能力不足。为了正确、早期诊断和妥善管理丛集性头痛，可被称为丛集性头痛守门人的急诊医学和家庭医学医生需要更多基于医学教育的策略。
