The Utility of a Digital Platform to Help Specialists Training in The Management of Headaches: An Italian Experience
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2019, Vol 15, Issue 1
Abstract
The primary headaches, especially migraine, are an increasing epidemiological disorder with an important impact on the public health. Migraine is at the seventh place among the more disabling disorders, more than demyelinating diseases or epilepsies. The prevalence is around 7.7%, involving a range of age between 2 and 70 years. However only in Italy less than 30% of patients have been visited by family physicians, 14% consulted a headache specialist and only 4% followed a prophylactic therapy [1]. Migraine is considered an “iceberg disease” where the unknown disease to doctors is greater than known disease [1,2]. These specific features are undervalued, likely due to an underestimation of the problem by health policies [3,4], with a deep negative impact on the practice of general doctors (unrecognition and/or undertreatment of primary headaches, over-reliance on emergency departments etc), pediatricians and headache specialists (superficial approach to a complex disease, reduced adherence to guidelines, poor communication among pediatric and adult headache specialist with general doctors or pediatricians or other specialists)
Authors and Affiliations
Vincenzo Raieli, Luca Maria Messina, Flavia Drago, Filippo Brighina
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