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  • Title: Predictors of outcome of the treatment programme in a multidisciplinary headache centre.
    Author: Jensen R, Zeeberg P, Dehlendorff C, Olesen J.
    Journal: Cephalalgia; 2010 Oct; 30(10):1214-24. PubMed ID: 20855367.
    Abstract:
    INTRODUCTION: Despite the high prevalence of headaches, multidisciplinary headache clinics are few and their efficacy still needs validation. The objective was to characterise patients and treatment results in a tertiary headache centre. SUBJECTS AND METHODS: A systematic review of all referred patients in the Danish Headache Centre in a 2-year period. Outcome results were analysed with respect to diagnoses and sociodemographics. RESULTS: A total of 1326 patients with a mean age of 43.7 years and male : female ratio of 3 : 7 were included. In total, frequency and absence rate from work were reduced from 20 to 11 days (P < 0.001) and 5 to 2 days/month (P < 0.001), respectively. Predictors for good outcome were female gender, migraine, triptan overuse and a frequency of 10 days/month, whereas tension-type headache and overuse of simple analgesics predicted a poor outcome. CONCLUSIONS: The present analysis provided support for a multidisciplinary approach in a tertiary headache centre. Further evaluation of specific treatment strategies and outcome predictors are important for future planning.
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