• Military medicine · Aug 2022

    The Primary Care Management of Headache: Synopsis of the 2020 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline.

    • Jason J Sico, Franz Macedo, Jeffrey Lewis, Christopher Spevak, Rebecca Vogsland, Aven Ford, Karen Skop, and James Sall.
    • Headache Centers of Excellence (HCoE) Program, National Programs Center, Orange, CT 06477, USA.
    • Mil Med. 2022 Aug 25; 187 (9-10): e1091-e1102.

    IntroductionIn June of 2020, the U.S. DVA and DoD approved a new joint clinical practice guideline for assessing and managing patients with headache. This guideline provides a framework to evaluate, treat, and longitudinally manage the individual needs and preferences of patients with headache.MethodsIn October of 2018, the DVA/DoD Evidence-Based Practice Work Group convened a guideline development panel that included clinical stakeholders and conformed to the National Academy of Medicine's tenets for trustworthy clinical practice guidelines.ResultsThe guideline panel developed key questions, systematically searched and evaluated the literature, created a 1-page algorithm, and advanced 42 recommendations using the Grading of Recommendations Assessment, Development, and Evaluation system.ConclusionThis synopsis summarizes the key features of the guideline in three areas: prevention, assessing and treating medication overuse headache, and nonpharmacologic and pharmacologic management of headache.Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2021. This work is written by (a) US Government employee(s) and is in the public domain in the US.

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