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Published in: The Journal of Headache and Pain 1/2017

Open Access 01-12-2017 | Letter to the Editor

Lifting the burden of headache in China: managing migraine in a SMART way

Authors: Shengyuan Yu, Timothy J Steiner

Published in: The Journal of Headache and Pain | Issue 1/2017

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Abstract

With support from Lifting The Burden , a UK-registered charitable organization, a nationwide survey of headache disorders in the Chinese adult population was conducted in 2008–2009. This project, which was within the Global Campaign against Headache, showed that headache disorders have a major adverse impact on public health in China. Subsequently, as essential support for implementing headache services around the country, an enactment of stage 3 (intervention) of the Global Campaign against Headache − the continuing medical education (CME) program Headache Schools − was established. ‘SMART’ (Screen, Migraine, Aura, Red flag and Treatment), a systematic and operational disease management model, was introduced with the aims of enhancing neurologists’ knowledge of migraine, standardizing their diagnostic and treatment approaches, and improving their practices and outcomes. To date, 615 neurologists have been trained and 135 headache clinics have been established. In future, as we promote SMART in CME, we can use the database of our computerized clinical decision support systems to evaluate the impact on treatment outcomes.
Literature
1.
go back to reference Steiner TJ, World Headache Alliance (2004) Lifting the burden: the global campaign against headache. Lancet Neurol 3:204–205CrossRefPubMed Steiner TJ, World Headache Alliance (2004) Lifting the burden: the global campaign against headache. Lancet Neurol 3:204–205CrossRefPubMed
2.
go back to reference Vos T, Barber RM, Bell B, Bertozzi-Villa A, Biryukov S, Bolliger I, Charlson F, Davis A, Degenhardt L, Dicker D, Duan L, Erskine H, Feigin VL, Ferrari AJ, Fitzmaurice C, Fleming T, Graetz N, Guinovart C, Haagsma J, Hansen GM, Hanson SW, Heuton KR, Higashi H, Kassebaum N, Kyu H, Laurie E, Liang X, Lofgren K, Lozano R, MacIntyre MF et al (2015) Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the global burden of disease study 2013. Lancet 386:743–800CrossRef Vos T, Barber RM, Bell B, Bertozzi-Villa A, Biryukov S, Bolliger I, Charlson F, Davis A, Degenhardt L, Dicker D, Duan L, Erskine H, Feigin VL, Ferrari AJ, Fitzmaurice C, Fleming T, Graetz N, Guinovart C, Haagsma J, Hansen GM, Hanson SW, Heuton KR, Higashi H, Kassebaum N, Kyu H, Laurie E, Liang X, Lofgren K, Lozano R, MacIntyre MF et al (2015) Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the global burden of disease study 2013. Lancet 386:743–800CrossRef
3.
go back to reference Steiner TJ, Birbeck GL, Jensen RH, Katsarava Z, Stovner LJ, Martelletti P (2015) Headache disorders are third cause of disability worldwide. J Headache Pain 16:58CrossRefPubMedPubMedCentral Steiner TJ, Birbeck GL, Jensen RH, Katsarava Z, Stovner LJ, Martelletti P (2015) Headache disorders are third cause of disability worldwide. J Headache Pain 16:58CrossRefPubMedPubMedCentral
4.
go back to reference Yu S, Liu R, Zhao G, Yang X, Qiao X, Feng J, Fang Y, Cao X, He M, Steiner T (2012) The prevalence and burden of primary headaches in China: a population-based door-to-door survey. Headache 52:582–591CrossRefPubMed Yu S, Liu R, Zhao G, Yang X, Qiao X, Feng J, Fang Y, Cao X, He M, Steiner T (2012) The prevalence and burden of primary headaches in China: a population-based door-to-door survey. Headache 52:582–591CrossRefPubMed
5.
go back to reference Liu R, Yu S, He M, Zhao G, Yang X, Qiao X, Feng J, Fang Y, Cao X, Steiner TJ (2013) Health-care utilization for primary headache disorders in China: a population-based door-to-door survey. J Headache Pain 14:47CrossRefPubMedPubMedCentral Liu R, Yu S, He M, Zhao G, Yang X, Qiao X, Feng J, Fang Y, Cao X, Steiner TJ (2013) Health-care utilization for primary headache disorders in China: a population-based door-to-door survey. J Headache Pain 14:47CrossRefPubMedPubMedCentral
6.
go back to reference Li X, Zhou J, Tan G, Wang Y, Ran L, Chen L (2012) Diagnosis and treatment status of migraine: a clinic-based study in China. J Neurol Sci 315:89–92CrossRefPubMed Li X, Zhou J, Tan G, Wang Y, Ran L, Chen L (2012) Diagnosis and treatment status of migraine: a clinic-based study in China. J Neurol Sci 315:89–92CrossRefPubMed
7.
go back to reference Lipton RB, Bigal ME, Diamond M, Freitag F, Reed ML, Stewart WF, AMPP Advisory Group (2007) Migraine prevalence, disease burden, and the need for preventive therapy. Neurology 68:343–349CrossRefPubMed Lipton RB, Bigal ME, Diamond M, Freitag F, Reed ML, Stewart WF, AMPP Advisory Group (2007) Migraine prevalence, disease burden, and the need for preventive therapy. Neurology 68:343–349CrossRefPubMed
8.
9.
go back to reference Streel S, Donneau AF, Dardenne N, Hoge A, Bruyère O, Albert A, Guillaume M, Schoenen J (2015) Validation of an extended French version of ID migraine™ as a migraine-screening tool. Cephalalgia 35:437–442CrossRefPubMed Streel S, Donneau AF, Dardenne N, Hoge A, Bruyère O, Albert A, Guillaume M, Schoenen J (2015) Validation of an extended French version of ID migraine™ as a migraine-screening tool. Cephalalgia 35:437–442CrossRefPubMed
10.
go back to reference Wang X, San YZ, Sun JM, Zhou HB, Li X, Zhang ZM, Zhao YS, Zhu YL (2015) Validation of the Chinese version of ID-migraine in medical students and systematic review with meta-analysis concerning its diagnostic accuracy. J Oral Facial Pain Headache 29:265–278CrossRefPubMed Wang X, San YZ, Sun JM, Zhou HB, Li X, Zhang ZM, Zhao YS, Zhu YL (2015) Validation of the Chinese version of ID-migraine in medical students and systematic review with meta-analysis concerning its diagnostic accuracy. J Oral Facial Pain Headache 29:265–278CrossRefPubMed
12.
go back to reference Dong Z, Yin Z, He M, Chen X, Lv X, Yu S (2014) Validation of a guideline-based decision support system for the diagnosis of primary headache disorders based on ICHD-3 beta. J Headache Pain 15:40CrossRefPubMedPubMedCentral Dong Z, Yin Z, He M, Chen X, Lv X, Yu S (2014) Validation of a guideline-based decision support system for the diagnosis of primary headache disorders based on ICHD-3 beta. J Headache Pain 15:40CrossRefPubMedPubMedCentral
13.
go back to reference Yin Z, Dong Z, Lu X, Yu S, Chen X, Duan H (2015) A clinical decision support system for the diagnosis of probable migraine and probable tension-type headache based on case-based reasoning. J Headache Pain 16:29CrossRefPubMedPubMedCentral Yin Z, Dong Z, Lu X, Yu S, Chen X, Duan H (2015) A clinical decision support system for the diagnosis of probable migraine and probable tension-type headache based on case-based reasoning. J Headache Pain 16:29CrossRefPubMedPubMedCentral
14.
go back to reference Martelletti P, Haimanot RT, Láinez MJ, Rapoport AM, Ravishankar K, Sakai F, Silberstein SD, Vincent M, Steiner TJ (2005) The global campaign (GC) to reduce the burden of headache worldwide. The international team for specialist education (ITSE). J Headache Pain 6:261–263CrossRefPubMedPubMedCentral Martelletti P, Haimanot RT, Láinez MJ, Rapoport AM, Ravishankar K, Sakai F, Silberstein SD, Vincent M, Steiner TJ (2005) The global campaign (GC) to reduce the burden of headache worldwide. The international team for specialist education (ITSE). J Headache Pain 6:261–263CrossRefPubMedPubMedCentral
Metadata
Title
Lifting the burden of headache in China: managing migraine in a SMART way
Authors
Shengyuan Yu
Timothy J Steiner
Publication date
01-12-2017
Publisher
Springer Milan
Published in
The Journal of Headache and Pain / Issue 1/2017
Print ISSN: 1129-2369
Electronic ISSN: 1129-2377
DOI
https://doi.org/10.1186/s10194-017-0790-6

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