Barriers to satisfactory migraine outcomes. what have we learned, where do we stand? Views and perspectives

Marcelo Bigal, Abouch Valenty Krymchantowski, Richard B. Lipton

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Barriers to optimal migraine care have traditionally been divided into a number of categories: under-recognition and underconsultation by migraine sufferers; underdiagnosis and undertreatment by health care professionals; lack of follow-up and treatment optimization. These "traditional" barriers have been recognized and addressed for at least 15 years. Epidemiologic studies suggest that consultation, diagnosis, and treatment rates for migraine have improved although many migraine sufferers still do not get optimal treatment. Herein, we revisit the problem, review areas of progress, and expand the discussion of barriers to migraine care. We hypothesize that the subjective nature of pain and difficulty in communicating it contributes to clinical and societal barriers to care. We then revisit some of the traditional barriers to care, contrasting rates of recognition, diagnosis, and treatment over the past 15 years. We follow by addressing new barriers to migraine care that have emerged as a function of the knowledge gained in this process.

Original languageEnglish (US)
Pages (from-to)1028-1041
Number of pages14
JournalHeadache
Volume49
Issue number7
DOIs
StatePublished - Jul 2009

Fingerprint

Migraine Disorders
Therapeutics
Epidemiologic Studies
Referral and Consultation
Delivery of Health Care
Pain

Keywords

  • Barriers to care
  • Migraine outcomes
  • Satisfaction

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

Cite this

Barriers to satisfactory migraine outcomes. what have we learned, where do we stand? Views and perspectives. / Bigal, Marcelo; Krymchantowski, Abouch Valenty; Lipton, Richard B.

In: Headache, Vol. 49, No. 7, 07.2009, p. 1028-1041.

Research output: Contribution to journalArticle

Bigal, Marcelo ; Krymchantowski, Abouch Valenty ; Lipton, Richard B. / Barriers to satisfactory migraine outcomes. what have we learned, where do we stand? Views and perspectives. In: Headache. 2009 ; Vol. 49, No. 7. pp. 1028-1041.
@article{c4708c75005b4cd085d295c71610b6f0,
title = "Barriers to satisfactory migraine outcomes. what have we learned, where do we stand?: Views and perspectives",
abstract = "Barriers to optimal migraine care have traditionally been divided into a number of categories: under-recognition and underconsultation by migraine sufferers; underdiagnosis and undertreatment by health care professionals; lack of follow-up and treatment optimization. These {"}traditional{"} barriers have been recognized and addressed for at least 15 years. Epidemiologic studies suggest that consultation, diagnosis, and treatment rates for migraine have improved although many migraine sufferers still do not get optimal treatment. Herein, we revisit the problem, review areas of progress, and expand the discussion of barriers to migraine care. We hypothesize that the subjective nature of pain and difficulty in communicating it contributes to clinical and societal barriers to care. We then revisit some of the traditional barriers to care, contrasting rates of recognition, diagnosis, and treatment over the past 15 years. We follow by addressing new barriers to migraine care that have emerged as a function of the knowledge gained in this process.",
keywords = "Barriers to care, Migraine outcomes, Satisfaction",
author = "Marcelo Bigal and Krymchantowski, {Abouch Valenty} and Lipton, {Richard B.}",
year = "2009",
month = "7",
doi = "10.1111/j.1526-4610.2009.01410.x",
language = "English (US)",
volume = "49",
pages = "1028--1041",
journal = "Headache",
issn = "0017-8748",
publisher = "Wiley-Blackwell",
number = "7",

}

TY - JOUR

T1 - Barriers to satisfactory migraine outcomes. what have we learned, where do we stand?

T2 - Views and perspectives

AU - Bigal, Marcelo

AU - Krymchantowski, Abouch Valenty

AU - Lipton, Richard B.

PY - 2009/7

Y1 - 2009/7

N2 - Barriers to optimal migraine care have traditionally been divided into a number of categories: under-recognition and underconsultation by migraine sufferers; underdiagnosis and undertreatment by health care professionals; lack of follow-up and treatment optimization. These "traditional" barriers have been recognized and addressed for at least 15 years. Epidemiologic studies suggest that consultation, diagnosis, and treatment rates for migraine have improved although many migraine sufferers still do not get optimal treatment. Herein, we revisit the problem, review areas of progress, and expand the discussion of barriers to migraine care. We hypothesize that the subjective nature of pain and difficulty in communicating it contributes to clinical and societal barriers to care. We then revisit some of the traditional barriers to care, contrasting rates of recognition, diagnosis, and treatment over the past 15 years. We follow by addressing new barriers to migraine care that have emerged as a function of the knowledge gained in this process.

AB - Barriers to optimal migraine care have traditionally been divided into a number of categories: under-recognition and underconsultation by migraine sufferers; underdiagnosis and undertreatment by health care professionals; lack of follow-up and treatment optimization. These "traditional" barriers have been recognized and addressed for at least 15 years. Epidemiologic studies suggest that consultation, diagnosis, and treatment rates for migraine have improved although many migraine sufferers still do not get optimal treatment. Herein, we revisit the problem, review areas of progress, and expand the discussion of barriers to migraine care. We hypothesize that the subjective nature of pain and difficulty in communicating it contributes to clinical and societal barriers to care. We then revisit some of the traditional barriers to care, contrasting rates of recognition, diagnosis, and treatment over the past 15 years. We follow by addressing new barriers to migraine care that have emerged as a function of the knowledge gained in this process.

KW - Barriers to care

KW - Migraine outcomes

KW - Satisfaction

UR - http://www.scopus.com/inward/record.url?scp=67651184037&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=67651184037&partnerID=8YFLogxK

U2 - 10.1111/j.1526-4610.2009.01410.x

DO - 10.1111/j.1526-4610.2009.01410.x

M3 - Article

C2 - 19389137

AN - SCOPUS:67651184037

VL - 49

SP - 1028

EP - 1041

JO - Headache

JF - Headache

SN - 0017-8748

IS - 7

ER -