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How do patients referred to neurologists for headache differ from those managed in primary care?

Ridsdale, Leone, Clark, Lucy V., Dowson, Andrew J., Goldstein, Laura H., Jenkins, Linda M., McCrone, Paul, Seed, Paul T. (2007) How do patients referred to neurologists for headache differ from those managed in primary care? British Journal of General Practice, 57 . pp. 388-395. (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:2897)

The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided. (Contact us about this Publication)
Official URL
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC204701...

Abstract

Headache is the neurological symptom most frequently presented to GPs and referred to neurologists, but little is known about how referred patients differ from patients managed by GPs.

Aim

Prospective study.

Setting

This study examined 488 eligible patients consulting GPs with primary headache over 7 weeks and 81 patients referred to neurologists over 1 year. Headache disability was measured by the Migraine Disability Assessment Score, headache impact by the Headache Impact Test, emotional distress by the Hospital Anxiety and Depression Scale and illness perception was assessed using the illness perception questionnaire.

Results

Patients who consult for headache experience severe disability and impact, and up to a third report anxiety and/or depression. Referral is not related to clinical severity of headaches, but is associated with higher consultation frequency and patients' anxiety and concern about their headache symptoms.

Item Type: Article
Uncontrolled keywords: headache; migraine disorders; neurology; primary health care; referral and consultation.
Subjects: R Medicine > R Medicine (General)
H Social Sciences > H Social Sciences (General)
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Paula Loader
Date Deposited: 28 Apr 2008 09:01 UTC
Last Modified: 28 May 2019 13:38 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/2897 (The current URI for this page, for reference purposes)
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