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《Guidelines for all doctors in the diagnosis and management of Migraine and Tension-Type Headache》內容預覽

《Guidelines for all doctors in the diagnosis and management of Migraine and Tension-Type Headache》內容簡介

　　Guidelinesforalldoctors
inthediagnosisandmanagementofMigraineandTension-TypeHeadache
2004
WritingCommittee:
T.J.Steiner
E.A.MacGregor
P.T.G.Davies
HeadacheintheUK
Affectsnearlyeveryoneoccasionally
Isaproblemforaround40%ofpeople
Isoneofthemostfrequentcausesofconsultationinbothgeneralpracticeandneurologicalclinics
Representsanimmensesocioeconomicburden
MigraineintheUK
Affects12-15%ofthepopulation
Affects3Xmorewomenthanmen
Mosttroublesomelateteenstoearly50s
Alsooccursinchildrenandtheelderly
MigraineintheUK
Anestimated187,000attackseveryday
Almost90,000peopleabsentfromworkorschoo**result
Annualcostthroughlostworkandimpairedeffectivenessmaybe￡1.5billion
Despitethesestatisticsmigraineseemstobeunder-diagnosedandunder-treated
Tension-typeHeadache(TTH)
Affectsupto80%ofpeople
Oftenreferredtoasa‘normal’or‘ordinary’headachebypatients
Mostdonotconsultadoctor
Highprevalenceresultsinasimilareconomicburdentomigrainevialostworkorreducedworkingeffectiveness
2-3%ofadultshavechronicTTH(i.e.TTH>15dayspermonth)
ChronicTTHcanresultinsubstantialdisabilityandworkabsence

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