Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014 Jun 16;15(1):40.
doi: 10.1186/1129-2377-15-40.

Validation of a guideline-based decision support system for the diagnosis of primary headache disorders based on ICHD-3 beta

Zhao Dong, Ziming Yin, Mianwang He, Xiaoyan Chen, Xudong Lv  1 , Shengyuan Yu
Affiliations

Validation of a guideline-based decision support system for the diagnosis of primary headache disorders based on ICHD-3 beta

Zhao Dong et al. J Headache Pain. .

Abstract

Background: China may have the largest population of headache sufferers and therefore the most serious burden of disease worldwide. However, the rate of diagnosis for headache disorders is extremely low, possibly due to the relative complexity of headache subtypes and diagnostic criteria. The use of computerized clinical decision support systems (CDSS) seems to be a better choice to solve this problem.

Methods: We developed a headache CDSS based on ICHD-3 beta and validated it in a prospective study that included 543 headache patients from the International Headache Center at the Chinese PLA General hospital, Beijing, China.

Results: We found that the CDSS correctly recognized 159/160 (99.4%) of migraine without aura, 36/36 (100%) of migraine with aura, 20/21 (95.2%) of chronic migraine, and 37/59 (62.7%) of probable migraine. This system also correctly identified 157/180 (87.2%) of patients with tension-type headache (TTH), of which infrequent episodic TTH was diagnosed in 12/13 (92.3%), frequent episodic TTH was diagnosed in 99/101 (98.0%), chronic TTH in 18/20 (90.0%), and probable TTH in 28/46 (60.9%). The correct diagnostic rates of cluster headache and new daily persistent headache (NDPH) were 90.0% and 100%, respectively. In addition, the system recognized 32/32 (100%) of patients with medication overuse headache.

Conclusions: With high diagnostic accuracy for most of the primary and some types of secondary headaches, this system can be expected to help general practitioners at primary hospitals improve diagnostic accuracy and thereby reduce the burden of headache in China.

PubMed Disclaimer

Figures

Figure 1
Figure 1
The development process of headache knowledge.
See this image and copyright information in PMC

References

    1. Villaume De Diego E, Lanteri-Minet M. Recognition and management of migraine in primary care: influence of functional impact measured by the headache impact test (HIT) Cephalalgia. 2005;15:184–190. - PubMed
    1. Wang Y, Zhou J, Fan X, Li X, Ran L, Tan G, Chen L, Wang K, Liu B. Classification and clinical features of headache patients: an outpatient clinic study from China. J Headache Pain. 2011;15:561–567. - PMC - PubMed
    1. Yu S, Liu R, Zhao G, Yang X, Qiao X, Feng J, Fang Y, Cao X, He M, Steiner TJ. The prevalence and burden of primary headaches in China: a population-based door-to-door survey. Headache. 2012;15:582–591. - PubMed
    1. Liu R, Yu S, He M, Zhao G, Yang X, Qiao X, Feng J, Fang Y, Cao X, Steiner TJ. Health-care utilization for primary headache disorders in China: a population-based door-to-door survey. J Headache Pain. 2013;15:47. - PMC - PubMed
    1. Headache Classification Subcommittee of the International Headache Society. The international classification of headache disorders: 2nd edition. Cephalalgia. 2004;15(suppl 1):9–160. - PubMed

Publication types

MeSH terms

LinkOut - more resources