{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T07:31:40Z","timestamp":1790839900848,"version":"4.1.0"},"reference-count":47,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cephalalgia"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>Headache disorders are among the most common neurological conditions in children and adolescents, often continuing into adulthood and causing substantial personal and societal burdens. Yet, the transition from childhood to adult headache care remains under-addressed, with critical clinical practice, policy, and research gaps. This narrative review synthesizes existing evidence and expert perspectives to highlight the urgent need for structured, developmentally appropriate transition models in headache care. It explores the evolving clinical features of headache in adolescence, increased vulnerability to different comorbidities, and changing health system expectations. We present a needs assessment reflecting the educational, emotional, and practical demands of patients and families. We identify provider- and system-level barriers, such as insufficient training, limited structured protocols, and inequitable access to specialized care, as significant obstacles to effective continuity. Drawing from established transition of care frameworks in other neurological conditions (e.g., epilepsy), we propose a dual-pathway model for headache care. We suggest key recommendations for clinicians and policymakers to promote anticipatory, patient-centered, and equitable developmental care strategies. International collaboration is essential to establish standardized guidelines and research priorities supporting optimal long-term outcomes and sustained quality of life for young people with headache disorders.<\/jats:p>","DOI":"10.1177\/03331024251374686","type":"journal-article","created":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T13:04:58Z","timestamp":1756991098000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Transition of headache care from childhood to adulthood: Focusing needs, barriers, and models of care. A position paper of the IHS Child and Adolescent Committee"],"prefix":"10.1177","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2797-2398","authenticated-orcid":false,"given":"Aynur","family":"\u00d6zge","sequence":"first","affiliation":[{"name":"Department of Neurology, Headache Clinic, Mersin, Turkey"},{"name":"NOROM Neuroscience and Excellence Center, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6602-103X","authenticated-orcid":false,"given":"Massimiliano","family":"Valeriani","sequence":"additional","affiliation":[{"name":"Developmental Neurology Unit, Ospedale Pediatrico Bambino Ges\u00f9, Rome, Italy"},{"name":"Systems Medicine Department, Tor Vergata University of Rome, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1643-8392","authenticated-orcid":false,"given":"Vincenzo","family":"Guidetti","sequence":"additional","affiliation":[{"name":"Medicine and Psychology, Sapienza University of Rome Italy, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fumihiko","family":"Sakai","sequence":"additional","affiliation":[{"name":"Saitama Neuropsychiatric, Saitama International Headache Center, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derya","family":"Ulud\u00fcz","sequence":"additional","affiliation":[{"name":"Department of Neurology, Istanbul University Cerrahpasa School of Medicine, \u0130stanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u0131nar","family":"Topalo\u011flu","sequence":"additional","affiliation":[{"name":"Division of Child Neurology, Department of Neurology, Faculty of Medicine, Istanbul University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ishaq","family":"Abu-Arafeh","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Paediatric Neurology. Royal Hospital for Children, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0911-7905","authenticated-orcid":false,"given":"Amy A.","family":"Gelfand","sequence":"additional","affiliation":[{"name":"Department of Neurology &amp; Pediatrics, UCSF, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6535-1109","authenticated-orcid":false,"given":"Licia","family":"Grazzi","sequence":"additional","affiliation":[{"name":"Neuroalgology Department, IRCCS Fondazione Istituto Neurologico Carlo Besta, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5179-5358","authenticated-orcid":false,"given":"Shuu-Jiun","family":"Wang","sequence":"additional","affiliation":[{"name":"The Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan"},{"name":"College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan"},{"name":"Brain Research Center, National Yang Ming Chiao Tung University, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth J.","family":"Mack","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Wisconsin-Madison, Madison, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2880-4396","authenticated-orcid":false,"given":"Toshiyuki","family":"Hikita","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Teikyo University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacques","family":"Bruijn","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Skaraborg Hospital Sk\u00f6vde and Institute of Biomedicine, University of Sk\u00f6vde, Sk\u00f6vde, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena Laura","family":"Orr","sequence":"additional","affiliation":[{"name":"Departments of Pediatrics, Community Health Sciences, &amp; Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew D.","family":"Hershey","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Neurology, Cincinnati Children's Hospital Medical Center, University of Cincinnati, College of Medicine, Cincinnati, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,4]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s10194-023-01541-0"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-020-00892-6"},{"key":"e_1_3_2_4_2","first-page":"1","article-title":"Undifferentiated headache: broadening the approach to headache in children and adolescents, with supporting evidence from a nationwide school-based cross-sectional survey in Turkey","volume":"19","author":"W\u00f6ber-Bing\u00f6l C","year":"2018","unstructured":"W\u00f6ber-Bing\u00f6l C, W\u00f6ber C, Uluduz D, et al. 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