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Application of the ICHD-II criteria to the diagnosis of primary chronic headaches via a computerized structured record.
Headache. 2007 Jan; 47(1):38-44.H

Abstract

BACKGROUND

The authors recently developed a software program designed to analyze clinical data from patients affected by primary headache. The program is based exclusively on the International Classification of Headache Disorders 2nd edition (ICHD-II) criteria. This software examines all the diagnoses of primary headaches on the basis of the variables needed to fulfill these mandatory criteria.

METHODS

We tested the software, Primary Headaches Analyser 1.0 INT (PHA), by entering and analyzing clinical data from 200 consecutive patients affected by primary chronic headaches and evaluating the corresponding output diagnoses.

RESULTS

The diagnosis of chronic migraine (1.5.1) was obtained in 68 cases (34 %) and that of probable chronic migraine (1.6.5) plus probable medication-overuse headache (8.2.8) in 46 (23%). Chronic tension-type headache (2.3) and probable chronic tension-type headache (2.4.3) plus probable medication-overuse headache (8.2.8) were diagnosed in 24 (12%) and 2 (1%) patients, respectively. Moreover, 4 and 12 patients, respectively, received both the diagnosis of chronic migraine (1.5.1) plus chronic tension-type headache (2.3) and of probable migraine (1.6.1) without aura plus chronic tension-type headache (2.3). In the remaining 44 cases (22%), none of the chronic primary headaches disorders defined by ICHD-II received an output diagnosis from the program. This was due mainly to the fact that the criteria fulfilled were insufficient for the diagnoses of migraine without (1.1) aura plus chronic migraine or, more infrequently, chronic tension-type headache.

CONCLUSIONS

Our software program permitted diagnoses of chronic migraine, chronic tension-type or their probable forms (with or without MOH) in 78% of 200 patients with headache 15 or more days per month. In the remaining cases the inability to provide a specific diagnosis may be explained in part by the fact that the criteria for both diagnoses are too stringent and do not accurately reflect variations of the headache pattern in these chronic forms.

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Authors+Show Affiliations

Sarchielli P
Neurologic Clinic, Department of Medical and Surgical Specialties and Public Health, University of Perugia, Italy.
Pedini M
No affiliation info available
Coppola F
No affiliation info available
Rossi C
No affiliation info available
Baldi A
No affiliation info available
Corbelli I
No affiliation info available
Mancini ML
No affiliation info available
Calabresi P
No affiliation info available

MeSH

AdultDiagnosis, Computer-AssistedFemaleHeadache DisordersHumansMaleMigraine DisordersSoftware ValidationTension-Type Headache

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

17355492

Citation

Sarchielli, Paola, et al. "Application of the ICHD-II Criteria to the Diagnosis of Primary Chronic Headaches Via a Computerized Structured Record." Headache, vol. 47, no. 1, 2007, pp. 38-44.
Sarchielli P, Pedini M, Coppola F, et al. Application of the ICHD-II criteria to the diagnosis of primary chronic headaches via a computerized structured record. Headache. 2007;47(1):38-44.
Sarchielli, P., Pedini, M., Coppola, F., Rossi, C., Baldi, A., Corbelli, I., Mancini, M. L., & Calabresi, P. (2007). Application of the ICHD-II criteria to the diagnosis of primary chronic headaches via a computerized structured record. Headache, 47(1), 38-44.
Sarchielli P, et al. Application of the ICHD-II Criteria to the Diagnosis of Primary Chronic Headaches Via a Computerized Structured Record. Headache. 2007;47(1):38-44. PubMed PMID: 17355492.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Application of the ICHD-II criteria to the diagnosis of primary chronic headaches via a computerized structured record. AU - Sarchielli,Paola, AU - Pedini,Mauro, AU - Coppola,Francesca, AU - Rossi,Cristiana, AU - Baldi,Antonio, AU - Corbelli,Ilenia, AU - Mancini,Maria Luisa, AU - Calabresi,Paolo, PY - 2007/3/16/pubmed PY - 2007/4/18/medline PY - 2007/3/16/entrez SP - 38 EP - 44 JF - Headache JO - Headache VL - 47 IS - 1 N2 - BACKGROUND: The authors recently developed a software program designed to analyze clinical data from patients affected by primary headache. The program is based exclusively on the International Classification of Headache Disorders 2nd edition (ICHD-II) criteria. This software examines all the diagnoses of primary headaches on the basis of the variables needed to fulfill these mandatory criteria. METHODS: We tested the software, Primary Headaches Analyser 1.0 INT (PHA), by entering and analyzing clinical data from 200 consecutive patients affected by primary chronic headaches and evaluating the corresponding output diagnoses. RESULTS: The diagnosis of chronic migraine (1.5.1) was obtained in 68 cases (34 %) and that of probable chronic migraine (1.6.5) plus probable medication-overuse headache (8.2.8) in 46 (23%). Chronic tension-type headache (2.3) and probable chronic tension-type headache (2.4.3) plus probable medication-overuse headache (8.2.8) were diagnosed in 24 (12%) and 2 (1%) patients, respectively. Moreover, 4 and 12 patients, respectively, received both the diagnosis of chronic migraine (1.5.1) plus chronic tension-type headache (2.3) and of probable migraine (1.6.1) without aura plus chronic tension-type headache (2.3). In the remaining 44 cases (22%), none of the chronic primary headaches disorders defined by ICHD-II received an output diagnosis from the program. This was due mainly to the fact that the criteria fulfilled were insufficient for the diagnoses of migraine without (1.1) aura plus chronic migraine or, more infrequently, chronic tension-type headache. CONCLUSIONS: Our software program permitted diagnoses of chronic migraine, chronic tension-type or their probable forms (with or without MOH) in 78% of 200 patients with headache 15 or more days per month. In the remaining cases the inability to provide a specific diagnosis may be explained in part by the fact that the criteria for both diagnoses are too stringent and do not accurately reflect variations of the headache pattern in these chronic forms. SN - 0017-8748 UR - https://www.unboundmedicine.com/medline/citation/17355492/Application_of_the_ICHD_II_criteria_to_the_diagnosis_of_primary_chronic_headaches_via_a_computerized_structured_record_ L2 - https://doi.org/10.1111/j.1526-4610.2007.00651.x DB - PRIME DP - Unbound Medicine ER -