Thus, migraine, as of the 1960s, had become a
legitimate and treatable medical condition. As such,
interest began to develop in the classification of and
research in the disease of migraine. More migraine
preventive agents followed, and it might be expected
that patients benefitted. However, almost 50 years
after methysergide, the American Migraine Prevalence
and Prevention Study3 investigated preventive
migraine treatment in the United States and found
disappointing results. In this large population study,
using a validated self-administered questionnaire, the
authors determined that although more than 25% of
migraineurs surveyed would qualify for prevention,
only a small proportion (3-13%) were actually receiving
preventive therapy for migraine.
Thus, as migraine prevention continues to be
chronically underused, frequent but treatable headaches
go unchecked and the migraine population
remains underserved. One contributory factor may
be patient unawareness, and this could improve with
educational efforts. Other factors on the part of providers
including lack of familiarity with the process of
patient selection, medication initiation and monitoring,
and assessment of outcomes could also play a
role.
Thus, migraine, as of the 1960s, had become a
legitimate and treatable medical condition. As such,
interest began to develop in the classification of and
research in the disease of migraine. More migraine
preventive agents followed, and it might be expected
that patients benefitted. However, almost 50 years
after methysergide, the American Migraine Prevalence
and Prevention Study3 investigated preventive
migraine treatment in the United States and found
disappointing results. In this large population study,
using a validated self-administered questionnaire, the
authors determined that although more than 25% of
migraineurs surveyed would qualify for prevention,
only a small proportion (3-13%) were actually receiving
preventive therapy for migraine.
Thus, as migraine prevention continues to be
chronically underused, frequent but treatable headaches
go unchecked and the migraine population
remains underserved. One contributory factor may
be patient unawareness, and this could improve with
educational efforts. Other factors on the part of providers
including lack of familiarity with the process of
patient selection, medication initiation and monitoring,
and assessment of outcomes could also play a
role.
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