An Instrument to Assess Patient Perceptions of Satisfaction With Acute Migraine Treatment (EXPERT Study)
Headache: The Journal of Head and Face Pain,

Lanteri–Minet M et al. – The new instrument should allow easy identification in general practice of the patients receiving an effective or ineffective acute treatment of migraine and thus facilitate the implementation of treatment guidelines for migraine.

Methods
  • A total of 2108 GPs included 11,274 migraine patients
  • Satisfaction with treatment was evaluated using a 4–point verbal scale and a 10–cm visual analog scale (VAS)
  • Treatment effectiveness was assessed by the 4–item questionnaire designed by the French Medico–Economic Evaluation Service (ANAES) and the French Society for the Study of Migraine Headache (SFEMC)

Results
  • In total, 5224 patients (49.8%) stated that they were satisfied with their treatment
  • Mean VAS score was 5.1. Only 17% of patients (1789/10,539) gave positive responses at the 4 questions of the ANAES/SFEMC questionnaire
  • VAS score was high for patients satisfied with their treatment and with good treatment effectiveness
  • Two VAS thresholds were determined using receiver operating characteristic curves that allowed easy identification, with high sensitivity and specificity, of patients satisfied/dissatisfied with their current treatment and with good/poor treatment effectiveness
  • Based on EXPERT data, this instrument showed that only 16% of patients using triptans (597/3719) were dissatisfied and reported poor treatment effectiveness, whereas treatment was inadequate for 63% of those using aspirin or nonsteroidal anti–inflammatory drugs (1882/2992), 74% of those using paracetamol or other analgesics (2229/2998), and 53% of those using ergotamine (253/474)

Please login or register to follow this author.
► Click here to access PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

Your Unread Messages in Pain Management

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Pain Management Articles

1 Transforaminal versus parasagittal interlaminar epidural steroid injection in low back pain with radicular pain: a randomized, double-blind, active-control trial Full Text Pain Physician, July 23, 2014    Free full text

2 Radiofrequency ablation for chronic low back pain: A systematic review of randomized controlled trials Pain Research and Management, October 6, 2014    Review Article    Clinical Article

3 Effectiveness of duloxetine compared with pregabalin and gabapentin in diabetic peripheral neuropathic pain The Clinical Journal of Pain, September 23, 2014    Clinical Article

4 Efficacy of dry needling for treatment of myofascial pain syndrome Journal of Back and Musculoskeletal Rehabilitation, October 22, 2014    Review Article    Clinical Article

5 Medical cannabis laws and opioid analgesic overdose mortality in the United States, 1999-2010 JAMA Internal Medicine, October 2, 2014    Clinical Article

6 Human umbilical cord mesenchymal stem cell transplantation for the treatment of chronic discogenic low back pain Full Text Pain Physician, July 23, 2014    Free full text

7 Treatment of common low back pain: A new approach to an old problem Pain Practice, June 25, 2014    Clinical Article

8 Disc extrusions and bulges in nonspecific low back pain and sciatica: Exploratory randomised controlled trial comparing yoga therapy and normal medical treatment Journal of Back and Musculoskeletal Rehabilitation, October 1, 2014    Evidence Based Medicine

9 Efficacy of the McKenzie method in patients with chronic nonspecific low back pain: A protocol of randomized placebo-controlled trial Physical Therapy, October 8, 2014    Clinical Article

10 Spinal cord stimulation for the treatment of chronic back pain patients: 500-Hz vs. 1000-Hz burst stimulation Neuromodulation: Technology at the Neural Interface, October 28, 2014    Clinical Article

11 Morphine or oxycodone for cancer-related pain? A randomized, open-label, controlled trial Journal of Pain and Symptom Management, October 29, 2014    Clinical Article

12 Effect of vitamin D on musculoskeletal pain and headache: A randomized, double-blind, placebo-controlled trial among adult ethnic minorities in Norway Pain, September 26, 2014    Clinical Article

13 Efficacy and safety of pregabalin for treating painful diabetic peripheral neuropathy: a meta-analysis Acta Anaesthesiologica Scandinavica, October 24, 2014    Review Article    Clinical Article
Exclusive Author Commentary

14 Lumbar fusion versus nonoperative management for treatment of discogenic low back pain: A systematic review and meta-analysis of randomized controlled trials Journal of Spinal Disorders & Techniques, June 30, 2014    Evidence Based Medicine    Review Article    Clinical Article

15 Sugammadex reduces postoperative pain after laparoscopic bariatric surgery: A randomized trial Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, October 7, 2014    Clinical Article

16 Efficacy of memantine in the treatment of fibromyalgia: a double-blind randomised controlled trial with 6-month follow-up Pain, September 16, 2014    Clinical Article

17 Conservative treatments for lumbar radicular pain Current Pain and Headache Reports, September 19, 2014    Review Article

18 Intradiskal methylene blue treatment for diskogenic low back pain PM&R, August 6, 2014    Clinical Article

19 Benzodiazepine use among chronic pain patients prescribed opioids: associations with pain, physical and mental health, and health service utilization Pain Medicine, October 13, 2014    Clinical Article

20 Opioids versus physical therapy for management of chronic back pain Full Text The Journal for Nurse Practitioners , September 26, 2014    Free full text    Clinical Article

Indexed Journals in Pain Management: more