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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
10:39

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache

Published on: June 2, 2014

Core Performance Measures for Migraine Headache: A Review by the American College of Physicians

Amir Qaseem1, Rhea E Powell2, Brook Watts3

  • 1American College of Physicians, Philadelphia, Pennsylvania (A.Q., K.C., S.T.).

Annals of Internal Medicine
|April 20, 2026
PubMed

Insights

Migraine affects 15% of the US population, yet few performance measures exist. This review examines current migraine measures and proposes a core measure for better patient care quality.

Area of Science:

  • Neurology
  • Health Services Research
  • Quality Improvement

Background:

  • Migraine is a prevalent chronic neurological disorder affecting 15% of the US population.
  • Current performance measurement for migraine in pay-for-performance programs is limited, with only one measure in use.
  • The American College of Physicians (ACP) emphasizes evidence-based, methodologically sound performance measures for quality improvement.

Purpose of the Study:

  • To review the existing performance measure for migraine.
  • To consider the development of a core performance measure for migraine management.
  • To inform physicians, payers, and policymakers on migraine performance measurement.

Main Methods:

  • Review of the current migraine performance measure.
  • Application of the ACP's rigorous review process for performance measures.
  • Consideration of criteria for a potential core performance measure.

Main Results:

  • Identified a single existing performance measure for migraine.
  • Highlighted the need for more robust and evidence-based performance measures.
  • Proposed a framework for developing a core performance measure for migraine.

Conclusions:

  • There is a significant gap in performance measurement for migraine care.
  • The ACP's review process can guide the development of high-quality migraine performance measures.
  • Improved performance measures are crucial for enhancing patient care and outcomes in migraine management.

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