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Brief questionnaire helps screen for migraine; three simple questions.(Clinical Rounds)

OB GYN News

| September 01, 2003 | Norton, Patrice G.W. | COPYRIGHT 2003 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

CHICAGO -- A simple, three-question screening tool has been developed for use in primary care settings to flag patients who are likely to have migraine.

The ID Migraine screener asks patients with headache complaints to answer these questions:

1. Has a headache limited your activities for a day or more in the last 3 months?

2. Are you nauseated or sick to your stomach when you have a headache?

3. Does light bother you when you have a headache?

For patients who answer "yes" to at least two of the questions, there is a very good chance that they suffer from migraine, according to the results of a study presented at the annual meeting of the American Headache Society (AHS).

In focus groups, primary care physicians told Dr. Richard B. Lipton and his colleagues at the Albert Einstein College of Medicine, New York, that part of the reason they don't diagnose migraine is that they aren't sure which questions to ask. Many requested a three- or four-question screener to flag patients.

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