The management and clinical knowledge of headache disorders among general practitioners in Norway: a questionnaire survey

Abstract Background General practitioners (GPs) diagnose and manage a majority of headache patients seeking health care. With the aim to understand the potential for clinical improvement and educational needs, we performed a study to investigate Norwegian GPs knowledge about headache and its clinica...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Espen Saxhaug Kristoffersen, Kashif Waqar Faiz, Jakob Møller Hansen, Erling Andreas Tronvik, Jan C. Frich, Christofer Lundqvist, Bendik Slagsvold Winsvold
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Migraine Medication-overuse headache Education Quality Guidelines Primary care Medicine R
Acceso en línea:	https://doaj.org/article/d46e219b2a934bbb8b5951109ed8bff3
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:d46e219b2a934bbb8b5951109ed8bff3
record_format	dspace
spelling	oai:doaj.org-article:d46e219b2a934bbb8b5951109ed8bff32021-11-14T12:37:30ZThe management and clinical knowledge of headache disorders among general practitioners in Norway: a questionnaire survey10.1186/s10194-021-01350-31129-23691129-2377https://doaj.org/article/d46e219b2a934bbb8b5951109ed8bff32021-11-01T00:00:00Zhttps://doi.org/10.1186/s10194-021-01350-3https://doaj.org/toc/1129-2369https://doaj.org/toc/1129-2377Abstract Background General practitioners (GPs) diagnose and manage a majority of headache patients seeking health care. With the aim to understand the potential for clinical improvement and educational needs, we performed a study to investigate Norwegian GPs knowledge about headache and its clinical management. Methods We invited GPs from a random sample of 130 Norwegian continuous medical education (CME) groups to respond to an anonymous questionnaire survey. Results 367 GPs responded to the survey (73% of invited CME groups, 7.6% of all GPs in Norway). Mean age was 46 (SD 11) years, with an average of 18 (SD 10) years of clinical experience. In general the national treatment recommendations were followed, while the International Classification of Headache Disorders and other international guidelines were rarely used. Overall, 80% (n = 292) of the GPs suggested adequate prophylactic medication for frequent episodic migraine, while 28% (n = 101) suggested adequate prophylactic medication for chronic tension-type headache (CTTH). Half (52%, n = 191)) of the respondents were aware that different types of acute headache medication can lead to medication-overuse headache (MOH), and 59% (n = 217) knew that prophylactic headache medication does not lead to MOH. GPs often used MRI in the diagnostic work-up. GPs reported that lack of good treatment options was a main barrier to more optimized treatment of headache patients. Conclusion The knowledge of management of CTTH and MOH was moderate compared to migraine among Norwegian GPs.Espen Saxhaug KristoffersenKashif Waqar FaizJakob Møller HansenErling Andreas TronvikJan C. FrichChristofer LundqvistBendik Slagsvold WinsvoldBMCarticleMigraineMedication-overuse headacheEducationQualityGuidelinesPrimary careMedicineRENThe Journal of Headache and Pain, Vol 22, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Migraine Medication-overuse headache Education Quality Guidelines Primary care Medicine R
spellingShingle	Migraine Medication-overuse headache Education Quality Guidelines Primary care Medicine R Espen Saxhaug Kristoffersen Kashif Waqar Faiz Jakob Møller Hansen Erling Andreas Tronvik Jan C. Frich Christofer Lundqvist Bendik Slagsvold Winsvold The management and clinical knowledge of headache disorders among general practitioners in Norway: a questionnaire survey
description	Abstract Background General practitioners (GPs) diagnose and manage a majority of headache patients seeking health care. With the aim to understand the potential for clinical improvement and educational needs, we performed a study to investigate Norwegian GPs knowledge about headache and its clinical management. Methods We invited GPs from a random sample of 130 Norwegian continuous medical education (CME) groups to respond to an anonymous questionnaire survey. Results 367 GPs responded to the survey (73% of invited CME groups, 7.6% of all GPs in Norway). Mean age was 46 (SD 11) years, with an average of 18 (SD 10) years of clinical experience. In general the national treatment recommendations were followed, while the International Classification of Headache Disorders and other international guidelines were rarely used. Overall, 80% (n = 292) of the GPs suggested adequate prophylactic medication for frequent episodic migraine, while 28% (n = 101) suggested adequate prophylactic medication for chronic tension-type headache (CTTH). Half (52%, n = 191)) of the respondents were aware that different types of acute headache medication can lead to medication-overuse headache (MOH), and 59% (n = 217) knew that prophylactic headache medication does not lead to MOH. GPs often used MRI in the diagnostic work-up. GPs reported that lack of good treatment options was a main barrier to more optimized treatment of headache patients. Conclusion The knowledge of management of CTTH and MOH was moderate compared to migraine among Norwegian GPs.
format	article
author	Espen Saxhaug Kristoffersen Kashif Waqar Faiz Jakob Møller Hansen Erling Andreas Tronvik Jan C. Frich Christofer Lundqvist Bendik Slagsvold Winsvold
author_facet	Espen Saxhaug Kristoffersen Kashif Waqar Faiz Jakob Møller Hansen Erling Andreas Tronvik Jan C. Frich Christofer Lundqvist Bendik Slagsvold Winsvold
author_sort	Espen Saxhaug Kristoffersen
title	The management and clinical knowledge of headache disorders among general practitioners in Norway: a questionnaire survey
title_short	The management and clinical knowledge of headache disorders among general practitioners in Norway: a questionnaire survey
title_full	The management and clinical knowledge of headache disorders among general practitioners in Norway: a questionnaire survey
title_fullStr	The management and clinical knowledge of headache disorders among general practitioners in Norway: a questionnaire survey
title_full_unstemmed	The management and clinical knowledge of headache disorders among general practitioners in Norway: a questionnaire survey
title_sort	management and clinical knowledge of headache disorders among general practitioners in norway: a questionnaire survey
publisher	BMC
publishDate	2021
url	https://doaj.org/article/d46e219b2a934bbb8b5951109ed8bff3
work_keys_str_mv	AT espensaxhaugkristoffersen themanagementandclinicalknowledgeofheadachedisordersamonggeneralpractitionersinnorwayaquestionnairesurvey AT kashifwaqarfaiz themanagementandclinicalknowledgeofheadachedisordersamonggeneralpractitionersinnorwayaquestionnairesurvey AT jakobmøllerhansen themanagementandclinicalknowledgeofheadachedisordersamonggeneralpractitionersinnorwayaquestionnairesurvey AT erlingandreastronvik themanagementandclinicalknowledgeofheadachedisordersamonggeneralpractitionersinnorwayaquestionnairesurvey AT jancfrich themanagementandclinicalknowledgeofheadachedisordersamonggeneralpractitionersinnorwayaquestionnairesurvey AT christoferlundqvist themanagementandclinicalknowledgeofheadachedisordersamonggeneralpractitionersinnorwayaquestionnairesurvey AT bendikslagsvoldwinsvold themanagementandclinicalknowledgeofheadachedisordersamonggeneralpractitionersinnorwayaquestionnairesurvey AT espensaxhaugkristoffersen managementandclinicalknowledgeofheadachedisordersamonggeneralpractitionersinnorwayaquestionnairesurvey AT kashifwaqarfaiz managementandclinicalknowledgeofheadachedisordersamonggeneralpractitionersinnorwayaquestionnairesurvey AT jakobmøllerhansen managementandclinicalknowledgeofheadachedisordersamonggeneralpractitionersinnorwayaquestionnairesurvey AT erlingandreastronvik managementandclinicalknowledgeofheadachedisordersamonggeneralpractitionersinnorwayaquestionnairesurvey AT jancfrich managementandclinicalknowledgeofheadachedisordersamonggeneralpractitionersinnorwayaquestionnairesurvey AT christoferlundqvist managementandclinicalknowledgeofheadachedisordersamonggeneralpractitionersinnorwayaquestionnairesurvey AT bendikslagsvoldwinsvold managementandclinicalknowledgeofheadachedisordersamonggeneralpractitionersinnorwayaquestionnairesurvey
_version_	1718429134723481600

The management and clinical knowledge of headache disorders among general practitioners in Norway: a questionnaire survey

Ejemplares similares