A basic diagnostic headache diary (BDHD) is well accepted and useful in the diagnosis of headache. a multicentre

R Jensen1, C Tassorelli, P Rossi

  • 1Glostrup Hospital, Faculty of Health Sciences, University of Copenhagen, Denmark.

Insights

The basic diagnostic headache diary (BDHD) significantly improves diagnostic completeness for primary headaches like migraine. This tool enhances patient diagnosis and management in headache centers.

Area of Science:

  • Neurology
  • Clinical Diagnostics

Background:

  • Accurate diagnosis of primary headaches is crucial for effective management.
  • Tools to aid in the diagnostic process are valuable for clinicians.

Purpose of the Study:

  • To evaluate the usability and usefulness of the basic diagnostic headache diary (BDHD).
  • To assess the BDHD's role in diagnosing migraine, tension-type headache, and medication-overuse headache across diverse geographical settings.

Main Methods:

  • A randomized controlled trial involving 626 patients across nine countries.
  • Group 1 patients completed the BDHD for at least one month prior to their clinic visit.
  • Group 2 patients received standard clinical interview without the BDHD.

Main Results:

  • Diagnostic completeness was significantly higher in the BDHD group (97.7%) compared to the control group (86.8%).
  • The median number of diagnoses per patient was higher in the BDHD group.
  • The BDHD demonstrated high acceptance rates among both patients and healthcare professionals.

Conclusions:

  • The BDHD is a valuable tool for the diagnostic assessment of common and disabling primary headaches.
  • The diary aids in improving diagnostic accuracy and supports effective headache management strategies.
Abstract

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