{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T10:21:33Z","timestamp":1785320493434,"version":"3.55.0"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2022,10,29]],"date-time":"2022-10-29T00:00:00Z","timestamp":1667001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Helsefonden via Danish Headache Center"},{"name":"Danish Headache Knowledge Center"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Headache disorders are globally prevalent and insufficient treatment contribute to low quality of life, increased disability, and socioeconomic costs. However, headache can to a large extent be treated appropriately by general practitioners.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To explore general practitioners\u2019 (GPs\u2019) management of patients with headache lasting \u22656 months.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In this retrospective descriptive cross-sectional study based on medical audit, all GPs practicing in Vejle municipality (population 116,992), Denmark, were invited to review their latest 20 patients with headache. Outcome measures were headache diagnostics, treatment, and referrals. Factors associated with referral to neurological treatment were examined by logistic regression.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of 26 invited practices, 19 participated reporting on 367 patients with lasting headache (71.4% women; mean-age 48.5 years). One hundred and sixty-one patients had migraine (44%; IQR: 28\u201360%), 140 (38%; IQR: 25\u201344%) had tension-type headache; 243 (66%; IQR: 50\u201379%) used simple analgesics, 147 (40%; IQR: 29\u201359%) triptans, 37 (10%; IQR: 0\u201314%) opioids, 93 (25%; IQR: 20\u201335%) were prescribed preventive medication; 176 (48%; IQR: 48\u201359%) were referred to neurologist, and 92 (25%; IQR: 10\u201337%) were referred to CT or MRI scan. Associated factors for referral were &amp;gt;1 headache diagnosis (aOR 1.75 [95% CI: 1.05\u20132.95]; P = 0.03), post-traumatic headache (aOR 2.53 [95% CI: 1.25\u20135.38]; P = 0.01), unspecific headache (aOR 2.04 [95% CI: 1.08\u20133.93]; P = 0.03), and using preventive treatment (aOR 2.75 [95% CI: 1.68\u20134.57]; P &amp;lt; 0.001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>This study provides insights to how GPs manage patients with long-lasting headache. Focus should be on reducing opioids, increasing preventive treatment, and keeping more patients in primary care.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/fampra\/cmac121","type":"journal-article","created":{"date-parts":[[2022,10,27]],"date-time":"2022-10-27T18:49:19Z","timestamp":1666896559000},"page":"470-476","source":"Crossref","is-referenced-by-count":7,"title":["Diagnostics and management of headache in general practice"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3634-7287","authenticated-orcid":false,"given":"Louise Ninett","family":"Carlsen","sequence":"first","affiliation":[{"name":"Danish Headache Center, Rigshospitalet-Glostrup, University of Copenhagen , Glostrup , Denmark"},{"name":"Danish Knowledge Center on Headache Disorders, Rigshospitalet-Glostrup , Glostrup , Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Stefansen","sequence":"additional","affiliation":[{"name":"Danish Knowledge Center on Headache Disorders, Rigshospitalet-Glostrup , Glostrup , Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peder","family":"Ahnfeldt-Mollerup","sequence":"additional","affiliation":[{"name":"GP Cluster in Vejle , Vejle , Denmark"},{"name":"Research Unit for General Practice, Department of Public Health, University of Southern Denmark, Odense , Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rigmor","family":"H\u00f8jland Jensen","sequence":"additional","affiliation":[{"name":"Danish Headache Center, Rigshospitalet-Glostrup, University of Copenhagen , Glostrup , Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Espen","family":"Saxhaug Kristoffersen","sequence":"additional","affiliation":[{"name":"Department of General Practice, Institute of Health and Society, University of Oslo , Oslo , Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakob","family":"M\u00f8ller Hansen","sequence":"additional","affiliation":[{"name":"Danish Knowledge Center on Headache Disorders, Rigshospitalet-Glostrup , Glostrup , Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesper","family":"Lykkegaard","sequence":"additional","affiliation":[{"name":"Research Unit for General Practice, Department of Public Health, University of Southern Denmark, Odense , Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,10,29]]},"reference":[{"issue":"11","key":"2024081423371671900_CIT0001","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1016\/0895-4356(91)90147-2","article-title":"Epidemiology of headache in a general population\u2014a prevalence study","volume":"44","author":"Rasmussen","year":"1991","journal-title":"J Clin 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