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Neurology 2000;55:141-143
© 2000 American Academy of Neurology
Brief Communications

Survey of migraineurs referred to headache specialists: Care, satisfaction, and outcomes

X. H. Hu, MD, PhD, F. O’Donnell, DO, R. S. Kunkel, MD, G. Gerard, MD, L. E. Markson, ScD and M. L. Berger, MD

From Outcomes Research & Management (Drs. Hu, Markson, and Berger), US Human Health, Merck & Co., Inc., West Point, PA; OrthoNeuro, Inc. (Dr. O’Donnell), Westerville, OH; The Cleveland Clinical Foundation (Dr. Kunkel), OH; and The Headache Center of Ohio (Dr. Gerard), Toledo, OH.

Address correspondence and reprint requests to Dr. X. Henry Hu, PO Box 4, WP39-164, West Point, PA 19486.

The authors report a survey of 281 migraineurs recently referred to headache specialists by primary care physicians. Compared with care before referral, specialists spent substantially more time with patients and were more likely to ask patients to take a prophylactic drug and to keep a headache diary, to discuss migraine triggers, and to prescribe 5-hydroxytryptamine1B/1D agonists (triptans). After referral, patients reported improved satisfaction with care and significant decreases in frequency, duration, and severity of attacks.




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