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Titolo:
Quality of outcome in treating patients with chronic headache within a hospital specialized for migraine. A cohort study with one-year follow-up
Autore:
Melchart, D; Weidenhammer, W; Pollok-Muller, A; Brand, J; Brand, R; Saller, R;
Indirizzi:
Tech Univ Munich, Zentrum Nat Heilkundliche Forsch, Med Klin & Poliklin 2,Klinikum Rechts Isar, D-80801 Munich, Germany Tech Univ Munich Munich Germany D-80801 ts Isar, D-80801 Munich, Germany Univ Klinikum Zurich, Dept Innere Med, Abt Nat Heilkunde, Zurich, Switzerland Univ Klinikum Zurich Zurich Switzerland Heilkunde, Zurich, Switzerland Migrane Klin Dr J Brand, Konigstein, Germany Migrane Klin Dr J Brand Konigstein Germany J Brand, Konigstein, Germany
Titolo Testata:
FORSCHENDE KOMPLEMENTARMEDIZIN UND KLASSISCHE NATURHEILKUNDE
fascicolo: 4, volume: 8, anno: 2001,
pagine: 219 - 227
SICI:
1424-7364(200108)8:4<219:QOOITP>2.0.ZU;2-S
Fonte:
ISI
Lingua:
GER
Soggetto:
TENSION-TYPE HEADACHE; COMPLEMENTARY MEDICINE; TERM; NETWORK;
Keywords:
migraine; tension-type headache; complementary medicine; catamnesis; outcome study; quality of life;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Melchart, D Tech Univ Munich, Zentrum Nat Heilkundliche Forsch, Med Klin &Poliklin 2,Klinikum Rechts Isar, Kaiserstr 9, D-80801 Munich, Germany TechUniv Munich Kaiserstr 9 Munich Germany D-80801 , Germany
Citazione:
D. Melchart et al., "Quality of outcome in treating patients with chronic headache within a hospital specialized for migraine. A cohort study with one-year follow-up", FORSCH KOM, 8(4), 2001, pp. 219-227

Abstract

Aims:To describe characteristics of in-patients with chronic headache syndromes being treated with complementary methods, short-term effects at time of discharge as well as long-term effects covering a catamnesis of 1 year. Methods: The study was designed as a prospective cohort study with outcome measurements 2 months in advance of admission to the hospital, at admission, and at time of discharge, continued by follow-up queries 2, 6 and 12 months after discharge from the hospital. The parameters for describing the course of headache symptoms were registered by questionnaires and diaries. During the first 6 months in 1996, a total of 424 consecutive patients with migraine or tension-type headache at the 'Migrane-Klinik Konigstein' were included. Results: 82.9% of the patients were women, the mean age was 46,3 +/-13.0 years. The median of the duration of the disease was 23 years, At discharge from the hospital there was a marked improvement regarding frequencyof headache attacks, intensity of headaches, and concomitant symptoms. 60.5% of the patients were classified as 'responders' 67.5% responded to follow-up questionnaires. With exception of the duration of headache attacks, a significant improvement regarding the 6-month-follow-up compared to base level was observed. Intake of drugs could be diminished and quality of life was improved. Patients suffering from tension-type headache showed smaller effects in general. Conclusions: Taking into account the mean duration of disease of more than 20 years the results suggest a clinically relevant success from the patients' view regarding the short-term as well as the long-term course. The problem of data loss with follow-up queries and missing comparative data reduce the conclusiveness of the results.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/20 alle ore 16:59:03