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Audio Interview

Characterizing barriers to care in migraine

Published on November 19, 2024   6 min

A selection of talks on Clinical Practice

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Interviewer: Dr. Dawn Buse, thank you very much for joining us today. You and your colleagues recently published findings from an international study that explore the major barriers to care for people with migraine. The study examined challenges ranging from access to consultation through diagnosis and to receiving appropriate treatment. Your research included data from Canada, France, Germany, Japan, the United Kingdom, and the United States. To start things off, what were the most significant barriers to consultation, diagnosis, and treatment for migraine that were identified in the study? Prof. Buse: Yes. Thank you so much for having me on today. The greatest barrier was at the level of consultation with only 35% of respondents reporting that they were currently under the care of a clinician for headache. This is a crucial first step as our findings suggest that among those who consult a healthcare professional for their migraine, more than half are likely to receive inaccurate diagnosis. Although respondents with chronic migraine were more likely to consult a healthcare professional, they were less likely to receive an accurate diagnosis as well as receive minimally appropriate treatment compared to those with episodic migraine. The same finding was also demonstrated in the first CaMEO paper, which was nearly a decade ago, and sadly things have not significantly improved. Given the severity of chronic migraine and that some products are approved or reimbursed only for chronic migraine, the authors considered that diagnosis of chronic migraine is an important step in optimizing patient care and reducing stigma.

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