Analysis of headache management in Andalusia.

Autor:	Millán Vázquez M; Hospital Universitario Virgen del Rocío, Sevilla, Spain. Electronic address: manuel.millan@sspa.juntadeandalucia.es., Lamas Pérez R; Hospital Universitario Virgen del Rocío, Sevilla, Spain., Viguera Romero FJ; Hospital Universitario Virgen Macarena, Sevilla, Spain., Jurado Cobo C; Hospital Universitario Reina Sofía, Córdoba, Spain., Jiménez Parra M; Hospital Universitario Virgen de la Victoria, Málaga, Spain., Gómez Camello A; Hospital Universitario Clínico San Cecilio, Granada, Spain., Jiménez Hernández MD; Hospital Universitario Virgen del Rocío, Sevilla, Spain., León F; Centro de Salud Zaidín Sur, Granada, Spain., Frías Rodríguez JF; Hospital Universitario Virgen de las Nieves, Granada, Spain., González Oria C; Hospital Universitario Virgen del Rocío, Sevilla, Spain.
Jazyk:	angličtina
Zdroj:	Neurologia [Neurologia (Engl Ed)] 2023 Jun; Vol. 38 Suppl 1, pp. S1-S12. Date of Electronic Publication: 2023 Apr 28.
DOI:	10.1016/j.nrleng.2023.04.007
Abstrakt:	Introduction and Objective: Headache is a frequent reason for consultation between primary care physicians, emergency services physicians, and neurology specialists; however, it is not always well managed. The Andalusian Society of Neurology's Headache Study Group (SANCE) aimed to analyse headache management at different levels of care. Material and Methods: We conducted a descriptive cross-sectional study with data gathered through a retrospective survey in July 2019. Participants completed a series of structured questionnaires on different social and work-related variables from 4 different groups of healthcare professionals (primary care [PC], emergency departments, neurology departments, headache units). Results: A total of 204 healthcare professionals completed the survey: 35 emergency department physicians, 113 PC physicians, 37 general neurologists, and 19 neurologists specialising in headache. Eighty-five percent of PC physicians reported prescribing preventive drugs, which were maintained for at least 6 months (59%), with flunarizine and amitriptyline being the most commonly used. Most patients attended at neurology consultations (65%) are referred by PC physicians, with changes in the headache pattern being the main reason for referral (74%). Healthcare professionals across all levels of care showed great interest in headache and in receiving training in headache management (97% of PC physicians, 100% of emergency services physicians, 100% of general neurologists). Conclusions: Migraine sparks great interest among healthcare professionals from different levels of care. Our results also reveal a lack of resources for headache management, which is reflected in the long waiting times. Other means of bilateral communication between different levels of care should be explored (eg, e-mail). (Copyright © 2023 Sociedad Española de Neurología. Published by Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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