• Can Fam Physician · Aug 2015

    Review

    Guideline for primary care management of headache in adults.

    • Werner J Becker, Ted Findlay, Carmen Moga, N Ann Scott, Christa Harstall, and Paul Taenzer.
    • Professor in the Department of Clinical Neurosciences at the University of Calgary in Alberta. wbecker@ucalgary.ca.
    • Can Fam Physician. 2015 Aug 1; 61 (8): 670-9.

    ObjectiveTo increase the use of evidence-informed approaches to diagnosis, investigation, and treatment of headache for patients in primary care.Quality Of EvidenceA comprehensive search was conducted for relevant guidelines and systematic reviews published between January 2000 and May 2011. The guidelines were critically appraised using the AGREE (Appraisal of Guidelines for Research and Evaluation) tool, and the 6 highest-quality guidelines were used as seed guidelines for the guideline adaptation process.Main MessageA multidisciplinary guideline development group of primary care providers and other specialists crafted 91 specific recommendations using a consensus process. The recommendations cover diagnosis, investigation, and management of migraine, tension-type, medication-overuse, and cluster headache.ConclusionA clinical practice guideline for the Canadian health care context was created using a guideline adaptation process to assist multidisciplinary primary care practitioners in providing evidence-informed care for patients with headache.Copyright© the College of Family Physicians of Canada.

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