偏头痛的预防性治疗模式和治疗满意度:OVERCOME (EU) 研究的结果
Julio Pascual1, Tommaso Panni2, Grazia Dell'Agnello3
1Hospital Universitario Marqués de Valdecilla, Universidad de Cantabria and IDVAL, Santander, Spain.
The journal of headache and pain
|July 17, 2023
概括
偏头痛治疗需要改进,因为许多符合条件的患者不使用预防措施,并且不满意. 这项研究强调了低诊断率,并呼吁更好地获得有效的偏头痛疗法.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 对偏头痛治疗的洞察力对于新可用的预防药物至关重要.
- 了解不同偏头痛群体的现实治疗模式和患者需求是必不可少的.
- OVERCOME (EU) 研究通过基于互联网的调查来解决这些需求.
研究的目的:
- 描述OVERCOME (EU) 偏头痛队列中的传统预防性治疗模式.
- 为了分析治疗模式和患者满意度,在一个符合偏头痛预防药物治疗的子组.
- 评估使用口服药物和毒素A预防偏头痛的使用.
主要方法:
- 在德国和西班牙 (2020年10月至2021年2月) 进行了一项横截面的,非干预性的在线调查.
- 参与者包括年龄≥18岁的成年人,在过去一年报告头痛/偏头痛,通过诊断问卷或医生诊断得到确认.
- 收集的数据涵盖了社会人口结构,临床特征,预防性治疗模式 (传统和CGRP mAbs) 以及患者满意度.
主要成果:
- 在20756名参与者中,78.5%寻求治疗,50.8%被诊断为偏头痛,只有17.7%使用预防药物.
- 目前预防性使用者的一半 (53.3%) 服用药物长达6个月.
- 在那些有资格接受预防治疗的人中,73.9%的人没有使用传统治疗方法,66.8%的人对目前的护理不满意.
结论:
- 只有很少有偏头痛患者被诊断出患有偏头痛,尽管他们寻求医疗护理.
- 需要改善偏头痛治疗和新的预防疗法.
- 需要提高新疗法的疗效和安全性,以提高患者的坚持和满意度.
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