Bibliographic Details
| Title: |
Improvement in diagnostic-therapeutic care pathways for women with migraine: an Italian Delphi panel |
| Authors: |
Sabina Cevoli, Piero Barbanti, Cinzia Finocchi, Laura Benedan, Paolo Mariani, Nicoletta Orthmann, Salvatore Bauleo, Paola Brusa, Dorella Cianci, Luca Marozio, Sara Masseroni, Roberto Sangermani, Fabio Frediani, Gianni Allais |
| Source: |
Frontiers in Neurology, Vol 15 (2024) |
| Publisher Information: |
Frontiers Media S.A., 2024. |
| Publication Year: |
2024 |
| Collection: |
LCC:Neurology. Diseases of the nervous system |
| Subject Terms: |
migraine, woman, Delphi, gynecologist, neurologist, pediatrician, Neurology. Diseases of the nervous system, RC346-429 |
| More Details: |
BackgroundMigraine is a highly underestimated and burdensome disease. Real-world studies evidence that migraine is more frequent and severe in women than men. However, to this day, no diagnostic-therapeutic pathways exist to satisfy the specific needs of female patients.MethodsIn this study, migraine experts, specialists in women’s health, patient, and decision makers, analyzed the diagnostic and therapeutic options for women with migraine across various ages and health conditions within the Italian healthcare system. A Delphi approach was used to formulate statements and achieve a consensus.ResultsGaps in clinical practice were identified, and strategies to accommodate women’s needs were proposed. The experts agreed that a socio-behavioral intervention should be planned before any pharmacological treatment in pediatric/adolescent female patients and that the assessment of migraine with aura is considered crucial for adult women requiring contraceptive therapy. Acupuncture emerged as an effective treatment for pregnant and breastfeeding women, and hormone-replacement therapy selection in menopausal patients requires careful consideration to mitigate safety risks. The experts highlighted the absence of literature and guidelines for the management of migraine in women undergoing assisted reproductive procedures or oncological treatment. In light of these observations, the experts advocated the establishment of multidisciplinary collaborations between neurologists/headache specialists and other healthcare professionals, including general practitioners, pediatricians, gynecologists, and oncologists. Comprehensive migraine education for all healthcare professionals potentially involved in managing the disease, including pharmacists, was emphasized. Efforts to increase migraine awareness among women should be prioritized.ConclusionThe insights gained from this Italian consensus study should serve to develop an improved, female-specific pathway to diagnose and treat migraine. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1664-2295 |
| Relation: |
https://www.frontiersin.org/articles/10.3389/fneur.2024.1436258/full; https://doaj.org/toc/1664-2295 |
| DOI: |
10.3389/fneur.2024.1436258 |
| Access URL: |
https://doaj.org/article/61a15dba797744edaa02c1d6d95698f7 |
| Accession Number: |
edsdoj.61a15dba797744edaa02c1d6d95698f7 |
| Database: |
Directory of Open Access Journals |
