Single-item migraine screening tests, self-reported bothersome headache or stripe pattern hypersensitivity?
| Autor: | Hsiangkuo Yuan, J. D. Goldberg, Mary Hopkins, Stephen D. Silberstein |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Screening test Cross-sectional study Migraine Disorders Single item Diagnosis Differential 03 medical and health sciences Young Adult 0302 clinical medicine Pregnancy Internal medicine medicine Humans Mass Screening Photosensitivity Disorders Young adult Hypersensitivity test Mass screening Aged Aged 80 and over business.industry Headache General Medicine Odds ratio Middle Aged medicine.disease Surgery Cross-Sectional Studies Neurology Migraine ROC Curve 030221 ophthalmology & optometry Female Neurology (clinical) business 030217 neurology & neurosurgery Photic Stimulation |
| Zdroj: | Acta neurologica Scandinavica. 134(4) |
| ISSN: | 1600-0404 |
| Popis: | Background A simple screening tool may potentially help the migraine diagnosis in a primary care setting. The use of single-item tests, such as stripe pattern hypersensitivity test and self-reported bothersome headache (HA) question, as migraine screening tools have not been fully explored. Methods Two hundred and fifty-four subjects (patients and companions) were randomly enrolled from an OB/GYN clinic (men 82, women 172; age 38 ± 14). They were instructed to rate the stripe sensitivity level (0–4) and to report any bothersome HA (yes/no). A brief structured HA interview was conducted to describe the HA characteristics and for migraine diagnosis based on the ICHD-IIIβ criteria. Results In a multivariate model, bothersome HA question and stripe pattern hypersensitivity test were both significantly associated with EM+PM+CM (odds ratio: 24.0, P < 0.01 vs 2.6, P = 0.01) or EM (odds ratio: 16.2, P < 0.01 vs 3.0, P < 0.01). Bothersome HA question had a greater screening power than stripe pattern hypersensitivity for screening EM+PM+CM (area under the ROC curve: 0.84 [95% CI 0.78–0.89] vs 0.62 [95% CI 0.55–0.69]) or EM (area under the ROC curve: 0.80 [95% CI 0.73–0.86] vs 0.64 [95% CI 0.56–0.72]). Conclusion When performed in an OB/GYN clinic, self-reported bothersome HA question seemed more powerful than visual stripe pattern test in screening migraine thus could potentially be used as a single-item screening test. |
| Databáze: | OpenAIRE |
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