Buture, A., Boland, J.W., Dikomitis, Lisa, Huang, C., Ahmed, F. (2020) Development and evaluation of a screening tool to aid the diagnosis of a cluster headache. Brain Sciences, 10 (2). ISSN 2076-3425. (doi:10.3390/brainsci10020077) (KAR id:98461)
PDF
Publisher pdf
Language: English
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
|
|
Download this file (PDF/2MB) |
Preview |
Request a format suitable for use with assistive technology e.g. a screenreader | |
Official URL: https://doi.org/10.3390/brainsci10020077 |
Abstract
Cluster headache (CH), a severe primary headache, is often misdiagnosed and mismanaged. The aim of this study was to develop and evaluate a screening tool to aid the diagnosis of CH. We developed a novel 12-item screening tool. This was comprised of four components: (1) images depicting headache pain; (2) pain descriptors; (3) key questions that could differentiate between CH and migraine; and (4) a visual analogue pain scale. The total possible questionnaire score ranged from 3-32. Patients with CH and migraines (control group) were recruited prospectively from a headache centre in the North of England, UK. Two-hundred and ninety-six patients were included in the study: 81 CH patients, 36 of which suffer with episodic CH and 45 with chronic CH; 215 migraine patients, 92 of which suffer with episodic migraine and 123 with chronic migraine. The mean questionnaire score was higher in CH patients versus migraine patients (28.4 versus 19.5). At a cut-off score of >25 out of 32, the screening tool had a sensitivity of 86.4% and a specificity of 92.0% in differentiating between CH and migraine. The screening tool could be a useful instrument to aid the diagnosis of a CH. The images depicting headache pain do not clearly discriminate between CH and migraine.
Item Type: | Article |
---|---|
DOI/Identification number: | 10.3390/brainsci10020077 |
Uncontrolled keywords: | Drawings, Images, Intervention development, Migraine, Questionnaire, Sensitivity, Specificity, Survey, adult, aged, area under the curve, Article, case control study, cluster headache, controlled study, diagnostic error, diagnostic test accuracy study, e-mail, female, human, image analysis, major clinical study, male, migraine, pain assessment, pain intensity, pain severity, predictive value, primary headache, prospective study, questionnaire, receiver operating characteristic, restlessness, screening test, sensitivity and specificity, teleconsultation, visual analog scale |
Subjects: | R Medicine |
Divisions: | Divisions > Division of Natural Sciences > Kent and Medway Medical School |
Depositing User: | Manfred Gschwandtner |
Date Deposited: | 30 Nov 2022 17:33 UTC |
Last Modified: | 06 Dec 2022 10:17 UTC |
Resource URI: | https://kar.kent.ac.uk/id/eprint/98461 (The current URI for this page, for reference purposes) |
- Link to SensusAccess
- Export to:
- RefWorks
- EPrints3 XML
- BibTeX
- CSV
- Depositors only (login required):