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The McMaster Pediatric Migraine Questionnaire: a prospective validation study
Robyn Whitney1, Oksana Borys1, David J A Callen1
1Division of Pediatric Neurology, Department of Pediatrics, McMaster Children's Hospital, McMaster University, Hamilton, Ontario, Canada.
Pediatric Neurology
|February 20, 2015
Summary
A new screening tool, the McMaster Migraine Tool, can help pediatricians diagnose migraine in children aged 5-12. This easy-to-use questionnaire aids in the early detection and management of pediatric migraine.
Area of Science:
- Pediatric Neurology
- Clinical Diagnostics
Background:
- Migraine impacts 4%-11% of elementary school children, posing diagnostic challenges.
- Accurate diagnosis in this age group is crucial for effective management.
Purpose of the Study:
- To develop a migraine screening questionnaire for general pediatricians.
- To validate the questionnaire for diagnosing migraine in children aged 5-12.
Main Methods:
- Developed the McMaster Migraine Tool based on International Classification of Headache Disorders-II criteria.
- Assessed questionnaire validity by comparing its diagnoses with those of a pediatric neurologist.
- Evaluated ease of use by families.
Main Results:
- The McMaster Migraine Tool demonstrated 84% sensitivity and 69% specificity in diagnosing migraine.
- The tool was used on 69 children referred to a Pediatric Neurology Clinic.
- Families rated the questionnaire's ease of use as 9 out of 10.
Conclusions:
- The McMaster Migraine Tool is a potentially valuable aid for diagnosing migraine in children aged 5-12.
- Its ease of use and completion facilitate expedited diagnosis and management.
- Widespread application could improve pediatric migraine care.

