Are doctors accurate when diagnosing themselves with migraine? A study on migraine prevalence among doctors in a tertiary care hospital.
Doctors
Migraine
Neurologists
Prevalence
Journal
Acta neurologica Belgica
ISSN: 2240-2993
Titre abrégé: Acta Neurol Belg
Pays: Italy
ID NLM: 0247035
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
received:
16
02
2021
accepted:
14
06
2021
pubmed:
5
7
2021
medline:
7
1
2022
entrez:
4
7
2021
Statut:
ppublish
Résumé
Migraine is considered an underdiagnosed disease in general population. Different studies show a higher prevalence in neurologists. However, there are few studies about its prevalence in doctors of other specialties, where it could also be superior than in general population. Our aim was to define migraine lifetime prevalence among doctors according to three parameters (previous diagnosis, self-diagnosis and positivity of a screening test). Single-center, descriptive, cross-sectional study based on online surveys with collection of sociodemographic and clinical variables, addressed to doctors of a tertiary hospital. Participants who reported 5 or more headaches throughout their lives were considered "headache sufferers" and were divided in different groups according to their position (specialists or trainees) and their specialty (medical, medical-surgical and surgical or specialties with no direct contact with the patient). The Spanish validated version of the Migraine Screen Questionnaire (MS-Q) was used as screening test. There were 217 participants (response rate of 29%), 72% were women and 56% trainees, mean age 34 years (SD10). 77% were "headache sufferers" Among all participants, migraine lifetime prevalence according to diagnosis by another physician was 15.2%, self-diagnosis 38.2% and positivity of the MS-Q 20.3%; those categories were not mutually exclusive Greater but not statistically significant coexistence of self-diagnosis and positive MS-Q was seen in specialists compared to trainees and in medical specialties. Migraine prevalence among doctors in a tertiary care hospital was higher than in general population, according to all three parameters analyzed. Self-diagnosis was the highest which could reflect an overdiagnosis; further studies are needed to determine this possibility.
Identifiants
pubmed: 34218428
doi: 10.1007/s13760-021-01727-w
pii: 10.1007/s13760-021-01727-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1045-1051Informations de copyright
© 2021. Belgian Neurological Society.
Références
GBD 2015 Disease and Injury Incidence and Prevalence Collaborators (2016) Global, regional and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet 388(10053):1545–1602
doi: 10.1016/S0140-6736(16)31678-6
Steiner TJ, Stovner LJ, Birbeck GL (2013) Migraine: the seventh disabler. Cephalalgia 33(5):289–290
doi: 10.1177/0333102412473843
Headache Classification Committee of the International Headache Society (IHS) (2018) The International Classification of Headache Disorders, 3rd edition. Cephalalgia 38(1):1–211
doi: 10.1177/0333102417738202
Stewart WF, Lipton RB, Celentano DD et al (1992) Prevalence of migraine headache in the United States. Relation to age, income, race, and other sociodemographic factors. JAMA 267(1):64–69
doi: 10.1001/jama.1992.03480010072027
Honkasalo M, Kaprio J, Heikkilä K et al (1993) A population-based survey of headache and migraine in 22,809 adults. Headache 33(8):403–412
doi: 10.1111/j.1526-4610.1993.hed3308403.x
Roy R, Sánchez-Rodríguez E, Galán S et al (2019) Factors associated with migraine in the general population of Spain: results from the European Health Survey 2014. Pain Med 20(3):555–563
doi: 10.1093/pm/pny093
Lipton RB, Diamond S, Reed M et al (2001) Migraine diagnosis and treatment: results from the American migraine study II. Headache 41(7):638–645
doi: 10.1046/j.1526-4610.2001.041007638.x
Lipton RB, Dodick D, Sadovsky R et al (2003) A self-administered screener for migraine in primary care the ID Migraine
doi: 10.1212/01.WNL.0000078940.53438.83
Láinez MJA, Domínguez M, Rejas J et al (2005) Development and validation of the Migraine Screen Questionnaire (MS-Q). Headache 45(10):1328–1338
doi: 10.1111/j.1526-4610.2005.00265.x
Viana M, Khaliq F, Zecca C et al (2020) Poor patient awareness and frequent misdiagnosis of migraine: findings from a large transcontinental cohort. Eur J Neurol 27(3):536–541
doi: 10.1111/ene.14098
Lipton RB, Scher AI, Kolodner K et al (2002) Migraine in the United States: epidemiology and patterns of health care use. Neurology 58(6):885–894
doi: 10.1212/WNL.58.6.885
Brockmann N, Evers S (2010) Migraine in neurologists and headache specialists. Headache 50(1):138–140
doi: 10.1111/j.1526-4610.2009.01578.x
Alstadhaug KB, Hernandez A, Næss H et al (2012) Migraine among Norwegian neurologists. Headache 52(9):1369–1376
doi: 10.1111/j.1526-4610.2012.02216.x
Lu SR, Wang SJ, Fuh JL (2006) The practice pattern of migraine management among neurologists in Taiwan. Cephalalgia 26(3):310–313
doi: 10.1111/j.1468-2982.2005.01041.x
Yeh WZ, Blizzard L, Taylor BV (2018) What is the actual prevalence of migraine? Brain behav 8(6):e00950. https://doi.org/10.1002/brb3.950
doi: 10.1002/brb3.950
pubmed: 30106228
pmcid: 5991594
Hettiarachchi J, Lipton RB, Dodick D et al (2012) A self administered screener for migraine in primary care. Neurology 61(3):375–382
Evans RW, Evans RE, Kell HJ (2010) A survey of family doctors on the likeability of migraine and other common diseases and their prevalence of migraine. Cephalalgia 30(5):620–623
doi: 10.1111/j.1468-2982.2009.01966.x
Waters WE (1975) Migraine in general practitioners. Brit J prev soc med 29:48–52
Dalsgaard-Nielsen T, Ulrich J (1973) Prevalence and heredity of migraine and migrainoid headaches among 461 Danish doctors. Headache 12(4):168–172
doi: 10.1111/j.1526-4610.1973.hed1204168.x
Bigal ME, Liberman JN, Lipton RB (2006) Age-dependent prevalence and clinical features of migraine. Neurology 67(2):246–251
doi: 10.1212/01.wnl.0000225186.76323.69
Edmeads J, Findlay H, Tugwell P et al (1992) Impact of migraine and tension-type headache on life-style, consulting behaviour, and medication use: a Canadian Population Survey. Can J Neurol Sci 20(2):131–137
doi: 10.1017/S0317167100047697
Viticchi G, Falsetti L, Pettinari P et al (2014) Headache in a population of hospital workers. Neurol Sci 35(Suppl 1):157–158
doi: 10.1007/s10072-014-1759-8
Bekkelund SI, Salvesen R (2006) Is uncertain diagnosis a more frequent reason for referring migraine patients to neurologist than other headache syndromes? Eur J Neurol 13(12):1370–1373
doi: 10.1111/j.1468-1331.2006.01523.x
Bartolini M, Viticchi G, Falsetti L et al (2014) Migraine in health workers: working in a hospital can be considered an advantage? Neurol Sci 35:27–29
doi: 10.1007/s10072-014-1737-1
Hansen LC, Gaul C, Pogatzki-Zahn E, Baron R, Gierthmühlen J (2020) Do doctors treat themselves differently than their patients? Study on the self-treatment of migraine among German neurologists and pain specialists. Cephalalgia 40(8):788–796
doi: 10.1177/0333102420907593
Evers S, Brockmann N, Summ O et al (2020) Primary headache and migraine in headache specialists—does personal history of doctors matter? Cephalalgia 40(1):96–106
doi: 10.1177/0333102419873671
Bordini CA, Bigal ME (2006) Migraine in the Elderly: a comparison with migraine in young adults. Headache 46(2):312–316
doi: 10.1111/j.1526-4610.2006.00343.x
Wijeratne T, Tang M (2009) Prevalence of migraine in the elderly: a narrated review. Neuroepidemiology 52(1–2):104–110
Starling AJ (2018) Diagnosis and management of headache in older adults. Mayo Clin Proc 93(2):252–262
doi: 10.1016/j.mayocp.2017.12.002
Wang X, Zhou HB, Sun JM et al (2016) The prevalence of migraine in university students: a systematic review and meta-analysis. Eur J Neurol 23(3):464–475
doi: 10.1111/ene.12784