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Clinical utility of an instrument assessing migraine disability: the Migraine Disability Assessment (MIDAS) questionnaire.
Headache. 2001 Oct; 41(9):854-61.H

Abstract

OBJECTIVE

We evaluated the agreement between Migraine Disability Assessment (MIDAS) scores and independent physician judgments about pain, disability, and treatment needs based on patient medical histories.

BACKGROUND

The MIDAS questionnaire measures headache-related disability as lost time due to headache from paid work or school, household work, and nonwork activities.

METHODS

Twelve histories from patients with migraine were presented to 49 primary and specialty care physicians unaware of the MIDAS scores. Physicians graded each patient for pain level (mild, moderate, or severe), level of disability (none, mild, moderate, or severe), and need for medical care (from 0 [lowest] to 100 [highest]). Physicians also identified MIDAS scores they associated with different degrees of disability and with the urgency to prescribe an effective treatment during the first consultation.

RESULTS

The physicians' perceptions of the need for medical care based on medical histories correlated with the MIDAS score (r =.69). Estimates of pain and disability by physicians were directly correlated with increasing MIDAS scores. Using the physicians' clinical judgments, the overall MIDAS score was categorized into four grades of increasing severity.

CONCLUSIONS

Scores on the MIDAS are highly correlated with physician judgments regarding patients' pain, disability, and need for medical care. These findings support the potential utility of the MIDAS questionnaire in clinical practice.

Authors+Show Affiliations

Department of Neurology, Epidemiology, and Social Medicine, Montefiore Headache Unit, Albert Einstein College of Medicine, New York, NY, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

11703471

Citation

Lipton, R B., et al. "Clinical Utility of an Instrument Assessing Migraine Disability: the Migraine Disability Assessment (MIDAS) Questionnaire." Headache, vol. 41, no. 9, 2001, pp. 854-61.
Lipton RB, Stewart WF, Sawyer J, et al. Clinical utility of an instrument assessing migraine disability: the Migraine Disability Assessment (MIDAS) questionnaire. Headache. 2001;41(9):854-61.
Lipton, R. B., Stewart, W. F., Sawyer, J., & Edmeads, J. G. (2001). Clinical utility of an instrument assessing migraine disability: the Migraine Disability Assessment (MIDAS) questionnaire. Headache, 41(9), 854-61.
Lipton RB, et al. Clinical Utility of an Instrument Assessing Migraine Disability: the Migraine Disability Assessment (MIDAS) Questionnaire. Headache. 2001;41(9):854-61. PubMed PMID: 11703471.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical utility of an instrument assessing migraine disability: the Migraine Disability Assessment (MIDAS) questionnaire. AU - Lipton,R B, AU - Stewart,W F, AU - Sawyer,J, AU - Edmeads,J G, PY - 2001/11/13/pubmed PY - 2002/1/5/medline PY - 2001/11/13/entrez SP - 854 EP - 61 JF - Headache JO - Headache VL - 41 IS - 9 N2 - OBJECTIVE: We evaluated the agreement between Migraine Disability Assessment (MIDAS) scores and independent physician judgments about pain, disability, and treatment needs based on patient medical histories. BACKGROUND: The MIDAS questionnaire measures headache-related disability as lost time due to headache from paid work or school, household work, and nonwork activities. METHODS: Twelve histories from patients with migraine were presented to 49 primary and specialty care physicians unaware of the MIDAS scores. Physicians graded each patient for pain level (mild, moderate, or severe), level of disability (none, mild, moderate, or severe), and need for medical care (from 0 [lowest] to 100 [highest]). Physicians also identified MIDAS scores they associated with different degrees of disability and with the urgency to prescribe an effective treatment during the first consultation. RESULTS: The physicians' perceptions of the need for medical care based on medical histories correlated with the MIDAS score (r =.69). Estimates of pain and disability by physicians were directly correlated with increasing MIDAS scores. Using the physicians' clinical judgments, the overall MIDAS score was categorized into four grades of increasing severity. CONCLUSIONS: Scores on the MIDAS are highly correlated with physician judgments regarding patients' pain, disability, and need for medical care. These findings support the potential utility of the MIDAS questionnaire in clinical practice. SN - 0017-8748 UR - https://www.unboundmedicine.com/medline/citation/11703471/Clinical_utility_of_an_instrument_assessing_migraine_disability:_the_Migraine_Disability_Assessment__MIDAS__questionnaire_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0017-8748&date=2001&volume=41&issue=9&spage=854 DB - PRIME DP - Unbound Medicine ER -