Clinical outcome of a headache-specific multidisciplinary treatment program and adherence to treatment recommendations in a tertiary headache center: an observational study
2011

Effectiveness of a Multidisciplinary Treatment Program for Headaches

Sample size: 295 publication 10 minutes Evidence: moderate

Author Information

Author(s): Gaul Charly, van Doorn Christina, Webering Nadine, Dlugaj Martha, Katsarava Zaza, Diener Hans-Christoph, Fritsche Günther

Primary Institution: University Hospital Essen, University Duisburg-Essen

Hypothesis

Integrated headache care would lead to reasonable adherence to treatment recommendations and satisfying clinical outcome.

Conclusion

The multidisciplinary treatment program is effective in reducing headache frequency and improving adherence to treatment recommendations.

Supporting Evidence

  • 43% of participants achieved a reduction of headache frequency of ≥50%.
  • Headache frequency decreased from 13.4 to 8.8 days per month after treatment.
  • Adherence to lifestyle modifications predicted better outcomes.

Takeaway

This study shows that a special program for treating headaches can help people feel better and follow their doctor's advice more closely.

Methodology

This was a prospective observational study evaluating the outcome of headache patients following a 5-day multidisciplinary treatment program.

Potential Biases

Patient selection may lead to bias as the study was conducted in a tertiary headache center with highly motivated patients.

Limitations

The study lacked a control condition and was non-randomized, which may introduce bias.

Participant Demographics

{"age":"41 ± 12.9 years","gender_distribution":{"men":33,"women":262}}

Statistical Information

P-Value

p<0.0001

Confidence Interval

95% CI = 1.034–1.144

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1007/s10194-011-0348-y

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