A survey of neurologists on self-treatment and treatment of their families

Randolph W. Evans, Richard B. Lipton, Kristin A. Ritz

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Background. - Although neurologists commonly self-treat for migraine and other conditions, little is known about the patterns of self-treatment by physicians in the United States. Objectives. - The aim was to obtain information about neurologist's self-treatment and treatment of family members and their attitudes about self-treatment by other physicians. Methods. - A survey was performed among neurologists attending the Texas Neurological Society's Winter Conference using a questionnaire about self-treatment and treatment of family members during the prior 12 months and attitudes about self-treatment by other physicians. Results. - Among 186 physicians invited to participate, the response rate was 48%. Although 76% reported having primary care physicians, neurologists reported the following behaviors: 38% self-diagnosed or self-treated medical conditions including migraine in 25%; 56% started themselves on prescription medications including 21% who used triptans and 15% who used migraine preventive medications; 33% ordered blood tests on themselves; and 20% ordered imaging studies on themselves. Sixty percent reported missing no work due to illness, 87% missed 2 days or less, and 99% reported missing 1 week or less. Eighty percent reported treating their family members for acute minor illnesses and 33% for chronic conditions. The following percentage of participants reported that they would be likely to self-diagnose and self-treat the following hypothetical illnesses: 70%, migraines which were not severe; 19%, new onset frequent headaches; and 48%, chronic daily headaches. The following percentage of participants agreed or strongly agreed that the following behaviors were acceptable for physicians: 94%, self-treat acute minor illnesses; 37%, self-treat chronic conditions; 42%, order blood test for diagnostic purposes; 40%, order imaging studies for diagnostic purposes; 87%, treat family members for acute minor conditions; and 36%, treat family members for chronic conditions. Conclusions. - Neurologists commonly treat themselves and family members.

Original languageEnglish (US)
Pages (from-to)58-64
Number of pages7
JournalHeadache
Volume47
Issue number1
DOIs
StatePublished - Jan 2007

Fingerprint

Migraine Disorders
Physicians
Hematologic Tests
Therapeutics
Tryptamines
Headache Disorders
Primary Care Physicians
Diagnostic Imaging
Neurologists
Surveys and Questionnaires
Prescriptions
Headache
Chronic Disease

Keywords

  • Migraine
  • Neurologist None
  • Physician
  • Self-prescribing
  • Self-treatment
  • Treatment of physician's family members

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

A survey of neurologists on self-treatment and treatment of their families. / Evans, Randolph W.; Lipton, Richard B.; Ritz, Kristin A.

In: Headache, Vol. 47, No. 1, 01.2007, p. 58-64.

Research output: Contribution to journalArticle

Evans, Randolph W. ; Lipton, Richard B. ; Ritz, Kristin A. / A survey of neurologists on self-treatment and treatment of their families. In: Headache. 2007 ; Vol. 47, No. 1. pp. 58-64.
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