Cited by 318Migraine and Headache StudiesTraumatic Brain Injury ResearchTemporomandibular Joint Disorders

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Assessing and Managing All Aspects of Migraine: Migraine Attacks, Migraine-Related Functional Impairment, Common Comorbidities, and Quality of Life

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Buse, Dawn C., Rupnow, Marcia F.T., Lipton, Richard B.·2009·Mayo Clinic Proceedings

DOI 10.1016/s0025-6196(11)60561-2PMC PMC2676125

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Abstract

Migraine can be characterized as a chronic disorder with episodic attacks and the potential for progression to chronic migraine. We conducted a PubMed literature search (January 1, 1970 through May 31, 2008) for studies on the impact of migraine, including disability, health-related quality of life (HRQoL), comorbidities, and instruments used by health care professionals to treat patients with migraine. Numerous studies have shown that migraine substantially impairs a person's functions during attacks and diminishes HRQoL during and between attacks. Despite its impact, migraine remains underestimated, underdiagnosed, and undertreated. Several tools are available to help physicians assess the impact of migraine on the daily activities and HRQoL of their patients, such as the 36-Item Short-Form Health Survey and the Headache Impact Test. Improving communication during the office visit through active listening, use of open-ended questions, and use of the "ask-tell-ask" strategy can also help in assessing migraine-related impairment. Together, these tools and communication techniques can lead to a more complete assessment of how migraine affects patients' lives and can aid in the development of the optimal treatment plan for each patient. Both pharmacotherapy (acute and preventive treatment strategies) and nonpharmacological therapies play important roles in the management of migraine.

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Authors: Buse, D. C., Rupnow, M. F. T., & Lipton, R. B.
Affiliations: Albert Einstein College of Medicine (US)
Janssen Scientific Affairs (United States) (US)
Corresponding author: Buse, Dawn C.
ORCID: Buse, Dawn C.
Lipton, Richard B.
Venue: Mayo Clinic Proceedings
Publisher: Elsevier BV
Published: 2009-05
Volume: 84
Issue: 5
Pages: 422-435
ISSN: 0025-6196 (ISSN-L)
DOI: 10.1016/s0025-6196(11)60561-2
PMC: PMC2676125
OpenAlex: W2112004018
Cited by: 318
References: 141
Citations by year: 2026: 33 · 2025: 23 · 2024: 30 · 2023: 31 · 2022: 22 · 2021: 29 · 2020: 23 · 2019: 20 · 2018: 19 · 2017: 6 · 2016: 10 · 2015: 15 · 2014: 10 · 2013: 14 · 2012: 15
FWCI: 1.34
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Mayo Clinic Proceedings (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: AstraZeneca
Allergan
Topics: Health Sciences › Medicine › Clinical Neurology › Migraine and Headache Studies
Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
Health Sciences › Dentistry › Oral Surgery › Temporomandibular Joint Disorders
Keywords: migraine, health-related quality of life, migraine comorbidity, chronic migraine, migraine underdiagnosis, Headache Impact Test, SF-36, physician-patient communication, acute migraine treatment, migraine prophylaxis
MeSH terms: Chronic Disease, Disability Evaluation, Humans, Migraine Disorders, Quality of Life, Surveys and Questionnaires, Comorbidity, Disease Progression

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Assessing and Managing All Aspects of Migraine: Migraine Attacks, Migraine-Related Functional Impairment, Common Comorbidities, and Quality of Life

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