Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 송태진 | * |
dc.date.accessioned | 2016-08-29T12:08:05Z | - |
dc.date.available | 2016-08-29T12:08:05Z | - |
dc.date.issued | 2016 | * |
dc.identifier.issn | 0017-8748 | * |
dc.identifier.issn | 1526-4610 | * |
dc.identifier.other | OAK-16524 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/231108 | - |
dc.description.abstract | ObjectivesThis study aimed to determine the characteristics and significance of a probable diagnostic entity for primary headache disorder (PHD). BackgroundA diagnosis of probable primary headache disorder (PPHD) is given when a patient's headache fulfills all but one criteria of the third beta edition of the international classification of headache disorder (ICHD-3). Despite the uncertainty regarding this diagnosis, the inclusion of a probable diagnosis entity in this manual may aid in the accurate classification of headache disorders and allow effective treatment strategies to be started at the patient's initial visit. MethodsThis cross-sectional multicenter registry study assessed first-visit patients with complaints of headaches who presented at the outpatient clinics of 11 neurologists in Korea. The classification of a headache disorder was made according to the criteria of the ICHD-3 by each investigator based on the initial evaluation of the patient or by a consensus meeting for uncertain cases. The rates of a probable diagnosis among PPHD patients were assessed and the clinical characteristics of these patients were compared with those of patients with a diagnosis of definite primary headache disorder (DPHD). ResultsA total of 1429 patients were diagnosed with PHD, and 305 (21.3%) of these patients had PPHD. The proportions of PPHD differed among the subtypes of DPHD as follows: migraines (16.1%), tension-type headaches (TTH; 33%), trigeminal autonomic cephalalgia (TAC; 40.9%), and other PHD (14%, P<.001). Patients with PPHD had less severe headache intensity than patients with DPHD (5.82.2 vs 6.5 +/- 2.1, respectively, P<.001) as well as a shorter duration of headache from onset (median: 1 vs 4 months, respectively, P<.001). The most common criteria missing for a definite diagnosis in the PPHD patients were total frequency (52.1%), duration of attack (14.4%), and accompanying symptoms (13.1%). ConclusionsA probable diagnosis was given to 21.3% of the first-visit PHD patients due to incomplete or atypical presentations of the headaches. The incorporation of a probable diagnosis into the ICHD-3 may be useful for reducing the diagnoses of unspecified headaches. | * |
dc.language | English | * |
dc.publisher | WILEY | * |
dc.subject | diagnosis | * |
dc.subject | probable | * |
dc.subject | definite | * |
dc.subject | primary headache disorder | * |
dc.subject | tension-type headache | * |
dc.subject | international classification of headache disorders | * |
dc.subject | outpatient headache clinic | * |
dc.title | Prevalence and Features of a Probable Diagnosis in First-Visit Headache Patients Based on the Criteria of the Third Beta Edition of the International Classification of Headache Disorders: A Prospective, Cross-Sectional Multicenter Study | * |
dc.type | Article | * |
dc.relation.issue | 2 | * |
dc.relation.volume | 56 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 267 | * |
dc.relation.lastpage | 275 | * |
dc.relation.journaltitle | HEADACHE | * |
dc.identifier.doi | 10.1111/head.12742 | * |
dc.identifier.wosid | WOS:000371076900005 | * |
dc.identifier.scopusid | 2-s2.0-84958893424 | * |
dc.author.google | Kim, Soo-Kyoung | * |
dc.author.google | Moon, Heui-Soo | * |
dc.author.google | Cha, Myong-Jin | * |
dc.author.google | Kim, Byung-Su | * |
dc.author.google | Kim, Byung-Kun | * |
dc.author.google | Park, Jeong-Wook | * |
dc.author.google | Park, Kwang-Yeol | * |
dc.author.google | Sohn, Jong-Hee | * |
dc.author.google | Chu, Min-Kyung | * |
dc.author.google | Song, Tae-Jin | * |
dc.author.google | Kim, Jae-Moon | * |
dc.author.google | Cho, Soo-Jin | * |
dc.contributor.scopusid | 송태진(55507164200) | * |
dc.date.modifydate | 20240304123954 | * |