Acute migraine therapy: Do doctors understand what patients with migraine want from therapy?

Richard B. Lipton, Walter F. Stewart

Research output: Contribution to journalArticle

315 Scopus citations

Abstract

With a better and more diverse armamentarium than ever before, physicians can now select migraine therapy to satisfy the preferences of migraine sufferers, provided physicians understand what migraineurs want from therapy. To determine patient preferences and priorities, individuals with migraine were identified by a random-digit telephone survey during 1998. These individuals were polled regarding their consultation practices, treatment preferences and priorities, and factors affecting their satisfaction with migraine care. At a subsequent satellite symposium at a meeting of the American Association for the Study of Headache (AASH), attendees were asked to predict the responses of migraine sufferers; responses of migraine sufferers and health care professionals attending the meeting were then compared. Of the 688 migraine sufferers identified in the telephone survey, 46.7% currently consulted physicians regarding migraine, while 20.6% had consulted at some time but not during the past year, and 32.3% had never consulted a physician regarding migraine. While most (77%) patients were satisfied or very satisfied with current medications, those who were not completely satisfied complained that pain relief took too long (87%), was inconsistent (84%), or that the pain recurred (71%). Only 35% complained of side effects. The three most important attributes of a migraine medication (according to migraine sufferers) were complete relief of pain (87%), lack of recurrence (86%), and rapid onset of pain relief (83%). The majority of migraine sufferers preferred an oral tablet or capsule as a first-choice route of administration (73%) and an oral, rapidly dissolving tablet as a second-choice route (51%). Attendees of the AASH meeting closely anticipated these patient responses about medications. The physician attribute most highly valued by patients was willingness to answer questions (86%), which was not anticipated by AASH attendees.

Original languageEnglish (US)
Pages (from-to)S20-S26
JournalHeadache
Volume39
Issue numberSUPPL. 2
StatePublished - Dec 1 1999

Keywords

  • Epidemiology
  • Migraine
  • Patient preferences
  • Physician attributes
  • Route of administration
  • Telephone survey
  • Treatment attributes

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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