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A 3 item screening instrument had moderate sensitivity and specificity for detecting migraine headaches

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 Q In an outpatient primary care setting, what is the accuracy of a brief screening instrument (developed from the International Headache Society [IHS] criteria for migraine) that uses self report for detecting migraine headaches?

Clinical impact ratings GP/FP/Primary care ★★★★★★☆


Embedded ImageDesign:

blinded comparison of a 3 item migraine screening tool with a diagnosis of migraine headache made by headache experts.

Embedded ImageSetting:

27 primary care practices and 12 headache speciality practice sites in the US.

Embedded ImagePatients:

451 patients 18–55 years of age (mean age 39 y, 76% women) who presented for routine primary care appointments and reported ⩾2 headaches in the past 3 months. Exclusion criteria included inability to read and write English, previous diagnosis of migraine, and participation in a previous Pfizer sponsored migraine study.

Embedded ImageDescription of test:

initially, patients completed a 9 item migraine screener—a self rated paper and pencil questionnaire developed by a consensus panel and based on IHS criteria for migraine headaches. An item …

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  • For correspondence: Dr R B Lipton, Albert Einstein College of Medicine, New York, NY, USA.

  • Source of funding: Pfizer Inc.