{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T11:59:04Z","timestamp":1762084744507,"version":"build-2065373602"},"reference-count":12,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,6,23]],"date-time":"2024-06-23T00:00:00Z","timestamp":1719100800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["headachejournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Headache"],"published-print":{"date-parts":[[2024,11]]},"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n To apply the 2019 joint American Academy of Neurology (AAN) and American Headache Society (AHS) quality measures for headache management to a cohort of neurology resident physicians and then assess outcomes related to guideline adherence.<\/jats:p>\n <\/jats:sec>\n \n Background<\/jats:title>\n The optimization of headache management is essential to reduce both the individual and systemic impact of these disorders. In 2014, the AAN developed 10 quality measures for evidence\u2010based management of patients with headache. A workgroup updated and condensed its headache quality measures in 2019, narrowing the set to six measurements, four of which would primarily focus on the management of migraine and two of which would address the management of cluster headache.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n This quality improvement study was conducted using a pretest\u2010posttest study design. A pre\u2010intervention survey based on retrospective analysis of five clinic notes for adherence to the measures was designed and distributed to all neurology residents (\n n<\/jats:italic>\n \u2009=\u200932) at a large, academic tertiary referral center. The intervention included the creation of an electronic medical record template to aid residents in following the measures during clinical encounters, as well as the provision of direct feedback based on pre\u2010intervention results. Finally, a post\u2010intervention survey was distributed for completion based on notes written during the intervention period. Analysis was limited to migraine, given the low percentage of cluster headache seen in clinic.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n An increase in adherence was seen in three of the four migraine\u2010related quality measures, with the Use of Abortive Medications for Migraine and Documentation of Counseling on Modifiable Lifestyle and Chronification Factors demonstrating statistically significant improvements (75.8% to 88.0% [\n p<\/jats:italic>\n \u2009=\u20090.013] and 83.9% to 94.0% [\n p<\/jats:italic>\n \u2009=\u20090.029] adherence, respectively). For secondary outcomes, the increase in the utilization of appropriate diagnostic criteria (82.6% to 93.2%,\n p<\/jats:italic>\n \u2009=\u20090.018) was significant, and the self\u2010assessed confidence rating for adherence to guidelines was significant (\n p<\/jats:italic>\n \u2009<\u20090.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This study provides evidence that the quality improvement intervention led to increased adherence to the AAN and AHS migraine\u2010related measures. It is anticipated that increased adherence may lead to improved patient outcomes.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/head.14754","type":"journal-article","created":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T01:43:21Z","timestamp":1719193401000},"page":"1329-1335","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The impact of updates in headache quality measures on adherence to best practices in a neurology resident clinic: A\u00a0quality improvement study"],"prefix":"10.1111","volume":"64","author":[{"given":"Robert H.","family":"Cascella","sequence":"first","affiliation":[{"name":"Washington University School of Medicine in St Louis St Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0660-0667","authenticated-orcid":false,"given":"Christopher C.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Department of Neurology Washington University School of Medicine in St Louis St Louis Missouri USA"},{"name":"Department of Anesthesiology, Perioperative, and Pain Medicine Stanford Healthcare Redwood City California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3403-2791","authenticated-orcid":false,"given":"Enmanuel J.","family":"Perez","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine in St Louis St Louis Missouri USA"},{"name":"Department of Neurology Washington University School of Medicine in St Louis St Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,23]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/head.14024"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32154-2"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000001134"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000010634"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0333102417716933"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/head.13456"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0333102420949180"},{"issue":"8","key":"e_1_2_9_9_1","first-page":"670","article-title":"Guideline for primary care management of headache in adults","volume":"61","author":"Becker WJ","year":"2015","journal-title":"Can Fam Physician"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.86a.19009"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2013-002700"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/00333549141291S206"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/head.12154"}],"container-title":["Headache: The Journal of Head and Face Pain"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/headachejournal.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/head.14754","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T11:54:58Z","timestamp":1762084498000},"score":1,"resource":{"primary":{"URL":"https:\/\/headachejournal.onlinelibrary.wiley.com\/doi\/10.1111\/head.14754"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,23]]},"references-count":12,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1111\/head.14754"],"URL":"https:\/\/doi.org\/10.1111\/head.14754","archive":["Portico"],"relation":{},"ISSN":["0017-8748","1526-4610"],"issn-type":[{"type":"print","value":"0017-8748"},{"type":"electronic","value":"1526-4610"}],"subject":[],"published":{"date-parts":[[2024,6,23]]},"assertion":[{"value":"2023-10-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}