World Rural Health Conference
Home Print this page Email this page Small font size Default font size Increase font size
Users Online: 3039
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2019  |  Volume : 8  |  Issue : 6  |  Page : 1925-1930

Factors associated with delayed diagnosis of migraine: A hospital-based cross-sectional study


1 Department of Neurology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
2 All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
3 Department of Physiology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
4 Department of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India

Correspondence Address:
Dr. Nirendra Kumar Rai
Department of Neurology, All India Institute of Medical Sciences, Saket Nagar, Bhopal - 462 020, Madhya Pradesh
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfmpc.jfmpc_376_19

Rights and Permissions

Context: Migraine is common debilitating disorders, affecting 10 to 20% of the world's population. However, proper diagnosis is delayed due to many factors. Aims: To determine various factors associated with delayed diagnosis of migraine. Settings and Design: Hospital-based cross-sectional study. Materials and Methods: Patients attending Neurology OPD of AIIMS Bhopal and satisfying diagnostic criteria of the International Headache Society (ICHD-3β) for migraine were selected for study. MIDAS, MINI, and ROME-III were used. First diagnosis was considered as “Appropriate” if patients were previously diagnosed as “migraine” or getting treatment for it; otherwise labeled as “Inappropriate.” Statistical Analysis: Associations were tested by Chi-square, t-test, or Mann-Whitney test. Logistic regression analysis was used for identifying independent factors associated with inappropriate diagnosis. Results: Hundred patients (female = 77) of migraine were included. Mean age (SD) was 32.42 (10.74). Diagnosis was “inappropriate” in 65 patients. Number of inappropriate diagnosis/appropriate diagnosis was 10/40 (25%) by neurologists; 35/39 (89.3%) by physicians; 18/18 (100%) by ophthalmologists. Factors associated with “Inappropriate Diagnosis” were “Neurologist vs Other Doctors” {10 (25%) vs 55 (91.7%), P < 0.001}; throbbing vs other types of headache {51 (60.7%) vs 14 (87%), P = 0.047}; and temporal vs other sites {9 (42.9%) vs 56 (70.9%), P = 0.017}. Patients with “Inappropriate Diagnosis” had to expend more money {7000 (4,500; 12,500) vs 4000 (1000, 6000), P < 0.01; median (interquartile range) all in INR}. Other clinical parameters including vertigo, cervical pain, anxiety, depression, and functional gastrointestinal symptoms were not associated with delayed diagnosis. Conclusion: Delayed diagnosis and misdiagnosis is very frequent in migraine, leading to financial burden to patients. Management of common disorders like migraine should be addressed in undergraduate medical teaching curriculum.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed209    
    Printed8    
    Emailed0    
    PDF Downloaded32    
    Comments [Add]    

Recommend this journal