A consensus protocol for the management of medication-overuse headache: Evaluation in a multicentric, multinational study

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dc.contributor.authorTassorelli, C.
dc.contributor.authorJensen, R.
dc.contributor.authorAllena, M.
dc.contributor.authorDe Icco, R.
dc.contributor.authorSances, G.
dc.contributor.authorKatsarava, Z.
dc.contributor.authorLainez, M.
dc.contributor.authorLeston, J. A.
dc.contributor.authorFadic, R.
dc.contributor.authorSpadafora, S.
dc.contributor.authorPagani, M.
dc.contributor.authorNappi, G.
dc.date.accessioned2025-01-23T21:43:52Z
dc.date.available2025-01-23T21:43:52Z
dc.date.issued2014
dc.description.abstractIntroduction: The management of medication-overuse headache (MOH) is often difficult and no specific guidelines are available as regards the most practical and effective approaches. In this study we defined and tested a consensus protocol for the management of MOH on a large population of patients distributed in different countries.
dc.description.abstractSubjects and methods: The protocol was based on evidence from the literature and on consolidated expertise of the members of the consensus group. The study was conducted according to a multicentric interventional design with the enrolment of 376 MOH subjects in four centres from Europe and two centres in Latin America. The majority of patients were treated according to an outpatient detoxification programme. The post-detoxification follow-up lasted six months.
dc.description.abstractResults: At the final evaluation, two-thirds of the subjects were no longer overusers and in 46.5% of subjects headache had reverted back to an episodic pattern of headache. When comparing the subjects who underwent out-patient detoxification vs those treated with in-patient detoxification, both regimens proved effective, although the drop-out rate was higher in the out-patient approach.
dc.description.abstractConclusions: The present findings support the effectiveness and usability of the proposed consensus protocol in different countries with different health care modalities.
dc.description.funderCOMOESTAS Project - EC
dc.fuente.origenWOS
dc.identifier.doi10.1177/0333102414521508
dc.identifier.eissn1468-2982
dc.identifier.issn0333-1024
dc.identifier.urihttps://doi.org/10.1177/0333102414521508
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/101684
dc.identifier.wosidWOS:000340949500002
dc.issue.numero9
dc.language.isoen
dc.pagina.final655
dc.pagina.inicio645
dc.revistaCephalalgia
dc.rightsacceso restringido
dc.subjectMedication-overuse headache
dc.subjectchronic headache
dc.subjectmigraine
dc.subjectdetoxification
dc.subjectconsensus protocol
dc.subjectanalgesics
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleA consensus protocol for the management of medication-overuse headache: Evaluation in a multicentric, multinational study
dc.typeartículo
dc.volumen34
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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