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Erschienen in: The Journal of Headache and Pain 1/2014

Open Access 01.12.2014 | Meeting abstract

EHMTI-0346. Do nurses improve migraine management in primary care?

verfasst von: P van den Berg, B Kollen, P Veenstra, G de Jong

Erschienen in: The Journal of Headache and Pain | Sonderheft 1/2014

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Background

There are indications that a primary health care nurse may improve the treatment of migraine patients.

Methods

We conducted a non-randomized controlled prospective cohort study in primary care practices. In total 235 patients, diagnosed with migraine with or without aura according to ICHD-2 criteria, between 18 and 65 years of age, were included. Patients with migraine treated only by their general practitioner (control group) were compared to patients managed by a nurse supervised by a general practitioner (intervention group). Primary outcome was the difference in referral rate to a neurologist because of migraine.

Results

In the intervention group, fewer migraine patients were referred to the neurologist (3.5% vs. 29.8% in the control group, p=0.001). The reduction in mean monthly headache days compared to baseline was apparent in the intervention group at 6 months (6.8 vs. 5.3 in the control group, p=0.006) and 9 months (4.7 vs. 2.1 days in the control group, p=0.006). At 9 months there was no significant change in dichotomized HIT score, compared to baseline (p= 0.068). Change in satisfaction of patients with treatment compared to baseline after 9 months did not differ significantly between the control and intervention group (p=0.070).

Interpretation

The care administered by a primary care nurse supervised by a general practitioner resulted in less referrals to the neurologist and more headache-free days per month, but no change in HIT score. There was no difference in change from baseline in satisfaction scores between patients of both groups.
No conflict of interest.
Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://​creativecommons.​org/​licenses/​by/​4.​0), which permits use, duplication, adaptation, distribution, and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Metadaten
Titel
EHMTI-0346. Do nurses improve migraine management in primary care?
verfasst von
P van den Berg
B Kollen
P Veenstra
G de Jong
Publikationsdatum
01.12.2014
Verlag
Springer Milan
Erschienen in
The Journal of Headache and Pain / Ausgabe Sonderheft 1/2014
Print ISSN: 1129-2369
Elektronische ISSN: 1129-2377
DOI
https://doi.org/10.1186/1129-2377-15-S1-J18

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