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Three-question screening tools detect migraines: high overall sensitivity, specificity.(Clinical Rounds)
SAN FRANCISCO -- Busy clinicians now have at least two simple, three-question screening tools for migraine headaches.
One screening survey, recently given to 3,014 patients with migraine headaches, had an overall sensitivity of 77% for diagnosing migraine if patients answered "yes" to the first two questions and "no" to the third:
1. Do you have recurrent headaches that interfere with work, family, or social function?
2. Do your headaches last at least 4 hours if untreated?
3. Have you had new or different headaches in the past 6 months?
The specialty of the physician asking the questions did not affect the sensitivity of the tool: 74% were primary care physicians, 21% were neurologists, and the specialty was unknown for 5%, Dr. Roger K. Cady reported in a poster presentation at the annual meeting of the American Neurological Association.
Patients were being seen in private practices for migraines as defined by International Headache Society (IHS) criteria in 79% of patients, by clinical impression in 18%, and by the presence of recurring, disabling headaches in 3%.
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