{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T04:30:32Z","timestamp":1771389032707,"version":"3.50.1"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T00:00:00Z","timestamp":1702857600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T00:00:00Z","timestamp":1702857600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Med Res"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Underdiagnosis of migraine causes a significant health burden, including lower quality of life, excessive medication use, and a delay in effective treatment. The purpose of this study was to evaluate migraine diagnosis accuracy and to review the treatment approaches used by neurologists in the Baltic states.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The research was conducted as an anonymous e-survey with four cases in March and April 2021.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>119 practicing adult neurologists have participated. The migraine diagnostic accuracy was 63.2%. The most commonly used diagnostic criteria were moderate\/severe pain, unilateral pain, and disruption of daily activities. Diagnostic accuracy did not differ significantly between neurologists who always use ICHD-3 criteria and those who don\u2019t (68.4% vs. 58.5%, <jats:italic>p<\/jats:italic>\u2009=\u20090.167). It was higher in neurologists who were working in headache centers (91.7% vs. 60.9%, <jats:italic>p<\/jats:italic>\u2009=\u20090.012), and was related to a higher percentage of migraine diagnoses in all consulted headache patients (<jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u20090.202, adjusted <jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u20090.195, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), prophylaxis with onabotulinumtoxin A [OR\u2009=\u20094.332, 95% Cl (1.588\u201311.814)], and anti-CGRP monoclonal antibodies [OR\u2009=\u20092.862, 95% Cl (1.186\u20136.907)].<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Migraine diagnostic accuracy is improved through practical patient counseling and modern treatment prescription. Although the neurologists in the Baltic states follow current European guidelines, there is room for improvement in diagnostic accuracy to reduce migraine burden.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40001-023-01555-z","type":"journal-article","created":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T11:02:32Z","timestamp":1702897352000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Accuracy of migraine diagnosis and treatment by neurologists in the Baltic states: e-survey with clinical case challenge"],"prefix":"10.1186","volume":"28","author":[{"given":"Mantas","family":"Jokubaitis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Greta","family":"Vrublevska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Zvaune","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Braschinsky","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alo-Rainer","family":"Leheste","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gatis","family":"Sakn\u012btis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danils","family":"\u017dukovs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristina","family":"Ryli\u0161kien\u0117","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,12,18]]},"reference":[{"key":"1555_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1177\/0333102417738202","volume":"38","author":"J Olesen","year":"2018","unstructured":"Olesen J. 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Ethics approval was deemed unnecessary by Vilnius Regional Biomedical Research Ethics Committee with respect to the General Data Protection Regulation Principle 26.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"All participants consented to participate by marking confirmation in the e-survey\u00a0that they agree to the use of their anonymous data for scientific publication. According to Article 2 of the Republic of Lithuania's Law on Ethics of Biomedical Research, no particular informed consent was necessary, as affirmed by the Vilnius Regional Biomedical Research Ethics Committee, since anonymous surveys are not considered biomedical research.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"600"}}