Abstract:
OBJECTIVE:To evaluate the geographic location of the United Council for Neurologic Subspecialties (UCNS)-certified headache subspecialists as compared with ratios of expected migraine and chronic migraine populations in the United States. BACKGROUND:The UCNS is a professional medical organization that accredits fellowship programs and certifies physicians who demonstrate competence in various neurologic subspecialties, including headache medicine. There are a limited number of UCNS-certified headache subspecialists currently practicing in the United States. METHODS:All of the UCNS-certified headache subspecialists were geographically located and compared with demographic data about state populations obtained from the U.S. Census. The expected migraine and chronic migraine populations were calculated for each state based on recently published epidemiologic data. Ratios of UCNS-certified headache subspecialists to expected migraine and chronic migraine populations were compared for each state. These data were then organized by U.S. Census region and division. RESULTS:As of the 2012 examination cycle, 416 UCNS-certified headache subspecialists are currently practicing in the United States. The states with the highest number of headache subspecialists include New York, California, Ohio, Texas, Florida, and Pennsylvania. Six states have zero headache subspecialists, eight states have one headache subspecialist, and five states have two headache subspecialists. As per the U.S. Census, the total U.S. population for ages 12 years and older is 259,908,563. The total expected migraine population (11.79% of the general population) for ages 12 years and older is 30,594,362. The total expected chronic migraine population (0.91% of the general population) for ages 12 years and older is 2,361,397. The states with the best ratios of headache subspecialists to expected migraine and chronic migraine populations include the District of Columbia, New Hampshire, New York, and Nebraska. Besides states with zero headache subspecialists, the states with the worst ratios of headache subspecialists to expected migraine and chronic migraine populations include Oregon, Mississippi, Arkansas, and Kansas. When organized by U.S. Census regions, the Northeast has the best ratios of headache subspecialists to expected migraine and chronic migraine populations, while the West has the worst ratios of headache subspecialists to expected migraine and chronic migraine populations. In terms of U.S. Census divisions, the Middle Atlantic has the best ratios of headache subspecialists to expected migraine and chronic migraine populations, while the East South Central has the worst ratios of expected migraine and chronic migraine populations. CONCLUSIONS:There is a disproportionately small number of UCNS-certified headache subspecialists compared with the extensive expected migraine and chronic migraine populations in the United States. More UCNS-accredited fellowship programs and more UCNS-certified headache subspecialists are needed in order to ameliorate this disparity.
journal_name
Headachejournal_title
Headacheauthors
Mauser ED,Rosen NLdoi
10.1111/head.12406subject
Has Abstractpub_date
2014-09-01 00:00:00pages
1347-57issue
8eissn
0017-8748issn
1526-4610journal_volume
54pub_type
杂志文章相关文献
HEADACHE文献大全abstract::Reports of increased prevalence of headache in adults and clinical impressions of similar trends in children prompted this epidemiological study on migraine and other headaches. The first stage was carried out in 1974 in children starting school, and the second stage in 1992 using the identical study design, the same ...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.1996.3608466.x
更新日期:1996-09-01 00:00:00
abstract::Aspartame, a popular dietetic sweetener, may provoke headache in some susceptible individuals. Herein, we describe three cases of young women with migraine who reported their headaches could be provoked by chewing sugarless gum containing aspartame. ...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.1997.3710665.x
更新日期:1997-11-01 00:00:00
abstract::Objective - To briefly describe the history of and available data on anti-calcitonin gene-related peptide (CGRP) therapies for headache. Background - CGRP was proposed as a target for primary headache therapies. Translational research involved moving from delineating the relationships between CGRP and primary headache...
journal_title:Headache
pub_type: 杂志文章,评审
doi:10.1111/head.13379
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVES:To assess the measurement properties of the Migraine-Specific Quality of Life Questionnaire version 2.1 (MSQv2.1) electronic patient-reported outcome (ePRO) Role Function-Restrictive (RFR) domain to evaluate the functional impact of migraine in patients with episodic (EM) or chronic migraine (CM) enrolled in...
journal_title:Headache
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1111/head.13497
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:Previous observational studies reported an increased prevalence of asthma in migraine patients. Whether triptans affect the asthma risk has not yet been explored in an epidemiological study. OBJECTIVE:To estimate the risk of newly diagnosed asthma in patients with a general practitioner-diagnosed migraine i...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.2007.01030.x
更新日期:2008-04-01 00:00:00
abstract::Discrimination toward people living with migraine and other headache disorders is widespread and socially accepted. Stigma toward these diseases is both a manifestation of these discriminatory attitudes and a sustainer of them. For those living with migraine and headache disorders, stigma limits the full expression of...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/head.13913
更新日期:2020-10-01 00:00:00
abstract::Although severe short-lasting headaches are rare, they can be considered disabling conditions with a major impact on the quality of life of patients. These headaches can divided broadly in to those associated with autonomic symptoms, so called trigeminal autonomic cephalgias (TACs), and those with few or no autonomic ...
journal_title:Headache
pub_type: 杂志文章,评审
doi:10.1111/head.12213
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of rizatriptan for acute migraine treatment and patient satisfaction with the drug in usual clinical practice settings. BACKGROUND:Although rizatriptan has been shown to effectively relieve migraine symptoms in clinical trials, we wished to assess its utility in typical patient ...
journal_title:Headache
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1046/j.1526-4610.2003.03045.x
更新日期:2003-03-01 00:00:00
abstract:BACKGROUND:Despite the expanding therapeutic armamentarium, many people with episodic migraine (EM) have unmet acute treatment needs. OBJECTIVE:To determine the relative frequency of prespecified types of "unmet treatment needs" in persons with EM in a US population-based sample. METHODS:Eligible participants complet...
journal_title:Headache
pub_type: 杂志文章,随机对照试验
doi:10.1111/head.12154
更新日期:2013-09-01 00:00:00
abstract::Long-lasting severe headaches are reported to occur in up to 83% of patients who have undergone resection of acoustic neuroma, especially through a suboccipital approach. These headaches, however, are not well defined. The objective of this study was to assess the frequency and character of new-onset headaches after r...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.1999.3902089.x
更新日期:1999-02-01 00:00:00
abstract::Exercise, as a method of migraine management has been discussed theoretically and tested empirically. The consensus is that exercise can help to reduce the frequency, intensity and/or duration of migraine attacks. Conversely, there are case studies which, with few exceptions, suggest that periods of exercise can preci...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.1991.hed3109616.x
更新日期:1991-10-01 00:00:00
abstract:OBJECTIVES:To investigate the efficacy and long-term outcome of intravenous prochlorperazine for the treatment of refractory chronic daily headache. BACKGROUND:Unlike dihydroergotamine, the treatment results of intravenous neuroleptics as first-line agents for refractory chronic daily headache have rarely been reporte...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.2000.00126.x
更新日期:2000-10-01 00:00:00
abstract:BACKGROUND:Oxygen and triptans are drugs of first choice to abort cluster headache attacks. However, clinical predictors of treatment response are unavailable. OBJECTIVE:We aimed to identify predictors of acute treatment response among patients with cluster headache. METHODS:We investigated 246 cluster headache patie...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.2007.00862.x
更新日期:2007-07-01 00:00:00
abstract::Subarachnoid hemorrhage as a complication of acupuncture has been reported in only a few cases. We report another case and discuss the implications of subarachnoid hemorrhage following acupuncture. Although acupuncture has traditionally been thought to be relatively safe, physicians should be aware that it may be a ca...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.2008.01139.x
更新日期:2008-09-01 00:00:00
abstract::The intimate relationship between sleep and headache has been recognized for centuries, yet the relationship remains clinically and nosologically complex. Headaches associated with nocturnal sleep have often been perceived as either the cause or result of disrupted sleep. An understanding of the anatomy and physiology...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.2003.03055.x
更新日期:2003-03-01 00:00:00
abstract:OBJECTIVE:To determine the pain intensity of cluster headache through a large survey by comparing it to other painful disorders. Furthermore, to investigate the relationship between maximal pain, autonomic, and other clinical symptoms, as well as demographic attributes of cluster headache. BACKGROUND:The pain of clust...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/head.14021
更新日期:2020-12-18 00:00:00
abstract:OBJECTIVE:To determine if the use of a uniform treatment pathway might be effective in treating patients with primary chronic daily headache. METHODS:Thirty-three consecutive patients with primary chronic daily headache were managed according to a treatment pathway which involved sequential administration of divalproe...
journal_title:Headache
pub_type: 临床试验,杂志文章
doi:10.1046/j.1526-4610.1999.3909650.x
更新日期:1999-10-01 00:00:00
abstract::A case is reported in which a patient with sexual and orgasmic headaches was treated successfully with a calcium channel blocker, diltiazem. To the best of our knowledge, this is the first case of successful treatment of sexual headaches with calcium channel blockers reported in the English medical literature. The lit...
journal_title:Headache
pub_type: 杂志文章,评审
doi:10.1111/j.1526-4610.1991.hed3103141.x
更新日期:1991-03-01 00:00:00
abstract:OBJECTIVE:To compare the efficacy and tolerability of sumatriptan nasal spray (NS) (5, 20 mg) versus placebo in the acute treatment of migraine in adolescent subjects. BACKGROUND:Currently, no triptan is approved in the United States for the treatment of migraine in adolescent subjects (12 to 17 years). In a previous ...
journal_title:Headache
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1111/j.1526-4610.2006.00339.x
更新日期:2006-02-01 00:00:00
abstract::Central excitatory circuits could be involved in the pathophysiology of pain; particularly, the genesis of chronic pain. The "second pain" is the sensation that follows the initial pain after an appropriate nociceptive stimulus. The second pain is amplified by repeating the stimulus after brief intervals (temporal sum...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.1997.3708486.x
更新日期:1997-09-01 00:00:00
abstract:BACKGROUND:Many children suffering from chronic headache and migraine present with comorbid functional disability, including physical, social, emotional, and academic activities. For children severely impaired by headache, intensive interdisciplinary pain rehabilitation treatment (IIPT) can improve functioning. However...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/head.13389
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVE:To identify and investigate any dysfunction of neuromuscular transmission in episodic cluster headache. BACKGROUND:Abnormal neuromuscular transmission has been shown in migraine with aura and in migraine without aura by using single fiber electromyography. Especially for migraine with aura, a genetic cause h...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.2003.03103.x
更新日期:2003-06-01 00:00:00
abstract::The CBF studies performed so far during attacks of migraine, may be interpreted as favouring "the vascular theory." This applies to migraine with aura as well as to migraine without aura. Migraine without aura may be due to mild focal CBF reduction--too mild to be detected by the available CBF techniques (i.e. 20% or ...
journal_title:Headache
pub_type: 杂志文章,评审
doi:10.1111/j.1526-4610.1990.hed3005269.x
更新日期:1990-04-01 00:00:00
abstract:OBJECTIVE:To investigate differences in topographical pressure pain sensitivity maps of the scalp between patients with migraine and healthy controls considering the chronicity (episodic/chronic) and side (strictly unilateral/bilateral) of the symptoms. BACKGROUND:It seems that the trigeminal area is sensitized in mig...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/head.12984
更新日期:2017-02-01 00:00:00
abstract::In order to obtain data regarding peripheral levels of beta-endorphin in head pain syndromes, we evaluated the plasma beta-endorphin secretory pattern in 12 adult male patients suffering from cluster headache. Blood samples were drawn every 2 hours for a 24-hour period, and in addition at 30-minute intervals for 120 m...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.1996.3610603.x
更新日期:1996-11-01 00:00:00
abstract:BACKGROUND:It is generally felt that patient education and patient knowledge regarding triptan use for acute migraine management are important for successful and safe treatment. It is unclear how knowledgeable triptan users are regarding their triptan, how much education occurs when triptans are prescribed, and the imp...
journal_title:Headache
pub_type: 杂志文章,多中心研究
doi:10.1111/head.12286
更新日期:2014-04-01 00:00:00
abstract::To assess the burden of migraine, we compared the productivity and the perceived health of 991 migraine sufferers (IHS criteria), 1,004 other-headache sufferers, and 1,757 nonheadache sufferers randomly chosen among volunteers from employees of the French national gas and electricity company. The extent of absenteeism...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.1997.3702071.x
更新日期:1997-02-01 00:00:00
abstract::We report two cases of sleep disturbances and perceptual disorder appearing in close temporal relationship with initiation of flunarizine therapy for migraine prophylaxis: these side effects disappeared after therapy interruption; resumption of the drug in one case was associated with symptom recurrence. ...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.1990.hed3002062.x
更新日期:1990-01-01 00:00:00
abstract:OBJECTIVE:The objective of this study is to determine the incidence, character, and outcome of headache in patients with unruptured intracranial aneurysms who had been treated to avoid the risk of rupture. BACKGROUND:There are a variety of clinical manifestations associated with unruptured intracranial aneurysms. Amon...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.2006.00630.x
更新日期:2007-05-01 00:00:00
abstract:OBJECTIVE:To study the therapeutic potential of the subcutaneous administration of Nalpha-methylhistamine in migraine prophylaxis. BACKGROUND:The histamine catabolite, Nalpha-methylhistamine, possesses a selective affinity for H3 receptors. We consequently considered it viable to conduct a clinical pharmacological stu...
journal_title:Headache
pub_type: 临床试验,杂志文章
doi:10.1046/j.1526-4610.2003.03074.x
更新日期:2003-04-01 00:00:00