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36 results for “primary headache”
Data from: Headache study: The management of chronic headache with referral from primary care to direct access to Magnetic Resonance Imaging (MRI) compared to Neurology services: an observational prospective study in London
<p><b>Objectives</b>. To evaluate the cost, accessibility and patient satisfaction implications of two clinical pathways used in the management of chronic headache.</p> <p><b>Intervention</b>. Management of chronic headache following referral from Primary Care that differed in the first appointment, either a Neurology appointment or an MRI brain scan.</p> <p><b>Design and setting</b>. A pragmatic, non-randomised, prospective, single-center study at a Central Hospital in London.</p> <p><b>Participants. </b>Adult patients with chronic headache referred from Primary to Secondary Care.</p> <p><b>Primary and secondary outcome measures.</b> Participants' use of health care services and costs were estimated using primary and secondary care databases and questionnaires quarterly up to 12 months post-recruitment. Cost analyses were compared using generalised linear models (GLM). Secondary outcomes assessed: access to care, patient satisfaction, headache burden and self-perceived quality of life using headache-specific (MIDAS, HIT-6) and a generic questionnaire (EQ-5D-5L).</p> <p><b>Results. </b>Mean (SD) cost up to 6 months post-recruitment per participant was £578 (£420) for the Neurology group (n=128) and £245 (£172) for the MRI group (n=95), leading to an estimated mean cost difference of £333 (95% CI £253 to £413, p<0.001). The mean cost difference at 12 months increased to £518 (95% CI £401 to £637, p<0.001). When adjusted for baseline and follow-up imbalances between groups, this remained statistically significant. The utilisation of brain MRI improved access to care compared to the Neurology group (p<0.001). Participants in the Neurology group reported higher levels of satisfaction associated with the pathway and led to greater change in care management.</p> <p><b>Conclusion. </b>Direct referral to brain MRI from Primary Care led to cost-savings and quicker access to care but lower satisfaction levels when compared with referral to Neurology services. Further research into the use of brain MRI for a subset of patient population more likely to be reassured by a negative brain scan should be considered.</p>
Primary Headaches and Irritable Bowel Syndrome.
ClinicalTrials.gov study NCT05057533. IPD Sharing: Not stated. Countries: 1. Publications: 3.
Neuroimaging Studies of Chronic Primary Headaches Using Positron Emission Tomography and Magnetic Resonance Imaging
ClinicalTrials.gov study NCT01741246. IPD Sharing: Not stated. Countries: 1. Publications: 22.
Can a Specific OMT Protocol Influence Patient Pain and Associated Analgesia Use for Primary Headache Disorders?
ClinicalTrials.gov study NCT06546462. IPD Sharing: NO. Countries: 1. Publications: 2.
Effectiveness of Eye Mask and Headset in Primary Headache
ClinicalTrials.gov study NCT04178252. IPD Sharing: NO. Countries: 1. Publications: 4.
Impementation of the Exercise Recommendations for the Treatment of Primary Headaches: A Qualitative Approach to the Headache Units in Catalonia
ClinicalTrials.gov study NCT06127888. IPD Sharing: UNDECIDED. Countries: 1. Publications: 12.
Hydration in Children and Adolescents With Primary Headaches
ClinicalTrials.gov study NCT06816849. IPD Sharing: NO. Countries: 1. Publications: 3.
Assessing the Diagnostic Accuracy of an On-line Questionnaire for Diagnosis of Primary Headache Disorders
ClinicalTrials.gov study NCT03304886. IPD Sharing: NO. Countries: 1. Publications: 1.
nVNS for the Prevention and Treatment of Primary Headache
ClinicalTrials.gov study NCT06277063. IPD Sharing: YES. Countries: 1. Publications: 5.
Clinical Features and Current Treatment of Primary Headache
ClinicalTrials.gov study NCT06883955. IPD Sharing: UNDECIDED. Countries: 1. Publications: 2.
Acceptance and Commitment Therapy vs Medical Treatment as Usual Wait-list Control for Primary Headache Sufferers
ClinicalTrials.gov study NCT02734992. IPD Sharing: NO. Countries: 1. Publications: 1.
RegistRare: a Retro-prospective Registry of Rare Primary Headaches in Italian Tertiary Headache Centres
ClinicalTrials.gov study NCT03416114. IPD Sharing: UNDECIDED. Countries: 1. Publications: 1.
Assessment of Inflammation in Primary Headaches
ClinicalTrials.gov study NCT04891848. IPD Sharing: NO. Countries: 1. Publications: 1.
Influence of Main Psychological and Social Factors on Primary Headaches
ClinicalTrials.gov study NCT03577548. IPD Sharing: NO. Countries: 1. Publications: 2.
Data from: Headache study: The management of chronic headache with referral from primary care to direct access to Magnetic Resonance Imaging (MRI) compared to Neurology services: an observational prospective study in London
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Data from: Primary care management of headaches and how direct-access MRI fits: a qualitative study of UK general practitioners' views
Objectives To develop a better understanding of General Practitioners' (GPs) views and experiences of the management of patients with headaches and use of direct access magnetic resonance imaging (MRI) scans, and observe outcomes of an educational session offered by a GP with a Special Interest (GPwSI) to GPs. Design A qualitative study using semi-structured interviews, analysed using thematic analysis. A GPwSI in headaches visited practices delivering a talk on headache medication, diagnosis, and management. Setting Sixteen (16) primary care family practices in South London, United Kingdom. Participants Twenty (20) General Practitioners. Results Not all GPs were aware of the availability of direct access MRI, but all acknowledged having used referral or direct-scans to manage patients' concern about their headaches. A normal scan result helped resolve uncertainty for patient and GP, and helped management towards discussion of preventative treatment. However, patients with psychological and/or severe headache symptoms could not necessarily be reassured. GPs reported difficulty interpreting radiology reports, particularly incidental abnormalities. Those who received the educational talk gained knowledge in diagnosis and medication, improving their confidence in management. Conclusions Increased access to imaging, training in headache management, addressing physical and psychological symptoms, and standardized reporting of scans, may improve GP use of direct access MRI in future.
Temperament and Character Traits, Alexithymia Levels, and Attachment Styles in Children and Adolescents with Primary Headaches
<p>This is the data that supports my research findings for my article.</p>
Droperidol Versus Metoclopramide + Diphenhydramine for the Treatment of Primary Headaches
ClinicalTrials.gov study NCT01406860. IPD Sharing: Not stated. Countries: 1. Publications: 0.
Impact of MBI on Biopsychosocial Factors and QOL in Children With Primary Headaches
ClinicalTrials.gov study NCT06822673. IPD Sharing: YES. Countries: 1. Publications: 0.
Data from: Primary care management of headaches and how direct-access MRI fits: a qualitative study of UK general practitioners’ views
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