Clinical Outcome of a Headache-specific Multidisciplinary Treatment Program and Adherence to Treatment Recommendations in a Tertiary Headache Center: an Observational Study

Overview

Journal J Headache Pain

Publisher Biomed Central

Date 2011 May 6

PMID 21544647

Citations 56

Authors

Charly Gaul

Christina van Doorn

Nadine Webering

Martha Dlugaj

Zaza Katsarava

Hans-Christoph Diener

Gunther Fritsche

Affiliations

Soon will be listed here.

Abstract

This study investigated the outcome of a 5-day headache-specific multidisciplinary treatment program (MTP) and the adherence to treatment recommendations in 295 prospectively recruited consecutive headache patients [210 migraine, 17 tension-type headache (TTH), 68 combination headache, including 56 medication-overuse headache (MOH)]. Headache frequency decreased from 13.4 (±8.8) to 8.8 (±8.0) days per month after 12-18 months. Forty-three percent of the participants fulfilled the primary outcome (reduction of headache frequency of ≥50%), which was less likely in patients with combination of migraine and TTH compared to migraine (OR = 3.136, p = 0.002) or TTH (OR = 1.029, n.s.). Increasing number of headache days per month (OR = 1.092, p ≤ 0.0001) and adherence to lifestyle modifications (OR = 1.269, p = 0.004) predicted primary outcome. 51 of 56 MOH patients were treated successfully. Thirty-five percent of the patients were adherent to pharmacological prophylaxis, 61% to relaxation therapy, and 72% to aerobic endurance sports. MTP is effective in headache treatment. Adherence to therapy was associated with better outcome.

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