Journal of Capital Medical University ›› 2023, Vol. 44 ›› Issue (3): 482-486.doi: 10.3969/j.issn.1006-7795.2023.03.019

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Investigation and analysis of migraine diagnosis and treatment in general practitioners

Zhao Huiqing,  Zhang Yaqing*   

  1. Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China
  • Received:2022-11-27 Online:2023-06-21 Published:2023-06-08
  • Supported by:
    This study was supported by Capital Health Development Scientific Research Project (2022-3-7053).

Abstract: Objective To evaluate the cognition and diagnosis of migraine of general practitioners, so as to provide reference for further improving the general practitioner’s ability to diagnose and treat migraine. Methods The questionnaire entitled “General Practitioners Migraine Diagnosis and Treatment Status Survey” was designed according to the relevant problems in the diagnosis and treatment of migraine. The demographic characteristics of the respondents and their mastery of the current clinical diagnosis and treatment of migraine were collected. From June 1 to September 30, 2021, 500 general practitioners were selected by the method of cross-sectional survey. A total of 500 questionnaires were sent and 450 (90%) valid questionnaires were collected. The results of 450 questionnaires were summarized and analyzed. Results The survey showed that the average age of 450 respondents was (36.6±7.2) years old, including 208 (46.22%) male general practitioners. 75.81% of the respondents had a bachelor's degree, and 39.72% of them owned intermediate professional titles (32.31% with senior professional titles and the remaining 28.97% with junior professional titles). In clinical practice, 85.58% of general practitioners had treated headache patients. Only 20.66% had studied the International Classification of Headache Disorders, 3rd edition (ICHD-3), and the knowledge of ICHD-3 among respondents from tertiary hospitals was significantly better than that those from primary and secondary hospitals (P<0.000 1). Only about 30% of the subjects correctly answered the duration and diagnostic criteria of migraine attacks. 56.74% of the respondents had considered the use of drugs for migraine prevention, but the knowledge of medication indications and drug choices still were needed. Conclusions There is still a gap in the current knowledge of migraine diagnosis and treatment among general practitioners. In the future, we should further strengthen the general practitioner in professional knowledge training to improve the general practitioner's ability of cognition and diagnosis and treatment on migraine, so as to reduce the disease burden of migraine.

Key words: migraine, diagnosis and treatment,  questionnaire,  demographic data

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