Toward Evidence-Based Management of Migraine

Article Abstract:

A study published in 2000 supports the 1999 recommendation of the US Headache Consortium that doctors should not follow the step care strategy for treating migraine. This strategy begins with the cheapest and safest drugs and only uses more expensive drugs if the first treatment fails. This strategy was less effective than stratified care, which uses whatever drug will be most effective.

Editorial, Drug therapy

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Management of recalled pacemakers and implantable cardioverter-defibrillators: A decision analysis model

Article Abstract:

A decision analysis model is constructed to examine the implications of immediate device replacement compared to continued monitoring of devices under advisory in the context of pacemakers and implantable cardioverter-defibrillators. The decision to replace a devise under advisory is determined by the incidence of malfunction and the likely effects of device failure, the analysis of which provides a framework for managing recalled devices in the context of device, patient and institutional characteristics.

Product standards, safety, & recalls, Care and treatment, Usage, Product defects and recalls, Cardiac patients, Implantable cardioverter-defibrillators

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Does this patient with headache have a migraine or need neuroimaging?

Article Abstract:

A study was conducted to determine the usefulness of the history and physical examination that distinguish patients with migraine from those with other headache types and that which identify those patients who should undergo neuroimaging. It is found that 4 simple historical features can accurately diagnose migraine and those found with significant intracranial abnormality, should undergo neuroimaging.

Diagnosis, Nervous system diseases, Headache

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