Abstract:
OBJECTIVE:Cluster headache (CH) may cause excruciating pain and not all patients get satisfactory help. Patient dissatisfaction with general practitioners (GPs) and neurologists, and use of complementary and alternative treatment (CAM) may reflect this. The authors studied patient satisfaction with doctors' treatment and use of CAM in a Norwegian CH cohort. SUBJECTS:A total of 196 subjects with a cluster headache diagnosis were identified in the registers of two neurological departments in North Norway. DESIGN:Of these, 70 with a confirmed diagnosis according to the second edition of the International Classification of Headache Disorders (ICHD-2) completed a comprehensive questionnaire with questions concerning satisfaction with doctors' treatment, use of CAM, and effect of both treatment regimes. RESULTS:Satisfaction with doctors' treatment was reported in 44/70 (63%) (GPs) and 50/70 (71%) (neurologists) while 39/70 (56%) were satisfied with both. Too long a time to diagnosis, median four years, was the most commonly reported claim regarding doctors' treatment. Use of CAM was reported in 27/70 (39%), and 14/70 (20%) reported experience with ≥ 2 CAM. Ten patients reported benefit from CAM (37% of "CAM users"). The average cluster period was longer in CAM-users than others (p = 0.02), but CAM use was not associated with age, education, use of medication, effect of conventional treatment, duration of cluster attacks, or time to diagnosis. CONCLUSION:About two-thirds of CH patients were satisfied with treatment from either GPs or neurologists, and about one-third had used CAM. Despite experiencing diagnostic delay and severe pain, cluster patients seem in general to be satisfied with doctors' conventional treatment.
journal_name
Scand J Prim Health Carejournal_title
Scandinavian journal of primary health careauthors
Bekkelund SI,Ofte HK,Alstadhaug KBdoi
10.3109/02813432.2014.944410subject
Has Abstractpub_date
2014-09-01 00:00:00pages
111-6issue
3eissn
0281-3432issn
1502-7724journal_volume
32pub_type
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journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439008994941
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journal_title:Scandinavian journal of primary health care
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abstract::OBJECTIVE. This study examined whether age, gender, and comorbidity were of importance for an individual's choice of listing with either a public or a private primary health care (PHC) practice. DESIGN AND SETTING. The study was a register-based closed cohort study in one private and one public PHC practice in Bleking...
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doi:10.1080/028134399750002520
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更新日期:2013-06-01 00:00:00
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更新日期:2017-06-01 00:00:00
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journal_title:Scandinavian journal of primary health care
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