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Development and Validation of the Cluster Headache Screening Questionnaire.
Pil Wook Chung1, Soo Jin Cho2, Byung Kun Kim3
1Department of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Journal of Clinical Neurology (Seoul, Korea)
|January 9, 2019
Summary
The Cluster Headache Screening Questionnaire (CHSQ) is a new tool to quickly identify cluster headache (CH). This reliable screening tool helps in the rapid diagnosis of CH, improving patient outcomes.
Area of Science:
- Neurology
- Clinical Diagnostics
- Headache Medicine
Background:
- Cluster headache (CH) diagnosis is often delayed or missed.
- Developing a screening tool can improve early identification of CH.
Purpose of the Study:
- To develop and validate a self-administered screening questionnaire for cluster headache (CHSQ).
- To address the diagnostic delay in cluster headache patients.
Main Methods:
- Experts selected items from CH diagnostic criteria and migraine characteristics.
- The CHSQ was administered to 330 first-visit headache patients across nine clinics.
- Scoring model accuracy and reliability were assessed based on patient responses.
Main Results:
- The CHSQ includes items on symptoms like eye pain, agitation, and duration, with varying point values.
- The mean CHSQ score was significantly higher in CH patients (12.9) compared to non-CH patients (3.4).
- At a cutoff score of >8, the CHSQ demonstrated high sensitivity (95.2%) and specificity (96%) for CH detection.
Conclusions:
- The Cluster Headache Screening Questionnaire (CHSQ) is a reliable tool.
- CHSQ enables rapid identification of potential cluster headache cases.
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