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Comprehensive Application of the International Classification of Headache Disorders Third Edition, Beta Version

Title
Comprehensive Application of the International Classification of Headache Disorders Third Edition, Beta Version
Authors
Kim, Byung-KunCho, Soo-JinKim, Byung-SuSohn, Jong-HeeKim, Soo-KyoungCha, Myoung-JinSong, Tae-JinKim, Jae-MoonPark, Jeong WookChu, Min KyungPark, Kwang-YeolMoon, Heui-Soo
Ewha Authors
송태진
SCOPUS Author ID
송태진scopus
Issue Date
2016
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
ISSN
1011-8934JCR Link1598-6357JCR Link
Citation
vol. 31, no. 1, pp. 106 - 113
Keywords
HeadacheDiagnosisMigraine DisordersOutpatients
Publisher
KOREAN ACAD MEDICAL SCIENCES
Indexed
SCI; SCIE; SCOPUS; KCI WOS scopus
Abstract
The purpose of this study was to test the feasibility and usefulness of the International Classification of Headache Disorders, third edition, beta version (ICHD-3 beta), and compare the differences with the International Classification of Headache Disorders, second edition (ICHD-2). Consecutive first-visit patients were recruited from 11 headache clinics in Korea. Headache classification was performed in accordance with ICHD-3 beta. The characteristics of headaches were analyzed and the feasibility and usefulness of this version was assessed by the proportion of unclassified headache disorders compared with ICHD-2. A total of 1,627 patients were enrolled (mean age, 47.4 +/- 14.7 yr; 62.8% female). Classification by ICHD-3 beta was achieved in 97.8% of headache patients, whereas 90.0% could be classified by ICHD-2. Primary headaches (n = 1,429, 87.8%) were classified as follows: 697 migraines, 445 tension-type headaches, 22 cluster headaches, and 265 other primary headache disorders. Secondary headache or painful cranial neuropathies/other facial pains were diagnosed in 163 patients (10.0%). Only 2.2% were not classified by ICHD-3 beta. The main reasons for missing classifications were insufficient information (1.6%) or absence of suitable classification (0.6%). The diagnoses differed from those using ICHD-2 in 243 patients (14.9%). Among them, 165 patients were newly classified from unclassified with ICHD-2 because of the relaxation of the previous strict criteria or the introduction of a new diagnostic category. ICHD-3 beta would yield a higher classification rate than its previous version, ICHD-2. ICHD-3 beta is applicable in clinical practice for first-visit headache patients of a referral hospital.
DOI
10.3346/jkms.2016.31.1.106
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의료원 > 의료원 > Journal papers
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