Comprehensive Application of the International Classification of Headache Disorders Third Edition, Beta Version.
10.3346/jkms.2016.31.1.106
- Author:
Byung Kun KIM
1
;
Soo Jin CHO
;
Byung Su KIM
;
Jong Hee SOHN
;
Soo Kyoung KIM
;
Myoung Jin CHA
;
Tae Jin SONG
;
Jae Moon KIM
;
Jeong Wook PARK
;
Min Kyung CHU
;
Kwang Yeol PARK
;
Heui Soo MOON
Author Information
1. Department of Neurology, Seoul Eulji Hospital, Eulji University School of Medicine, Seoul, Korea.
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Headache;
Diagnosis;
Migraine Disorders;
Outpatients
- MeSH:
Adult;
Aged;
Aged, 80 and over;
Cross-Sectional Studies;
Female;
Guidelines as Topic;
Headache Disorders/classification/*diagnosis;
Humans;
Male;
Middle Aged;
Migraine Disorders/classification/diagnosis/epidemiology;
Registries;
Republic of Korea;
Tension-Type Headache/classification/diagnosis/epidemiology;
Young Adult
- From:Journal of Korean Medical Science
2016;31(1):106-113
- CountryRepublic of Korea
- Language:English
-
Abstract:
The purpose of this study was to test the feasibility and usefulness of the International Classification of Headache Disorders, third edition, beta version (ICHD-3beta), and compare the differences with the International Classification of Headache Disorders, second edition (ICHD-2). Consecutive first-visit patients were recruited from 11 headache clinics in Korea. Headache classification was performed in accordance with ICHD-3beta. The characteristics of headaches were analyzed and the feasibility and usefulness of this version was assessed by the proportion of unclassified headache disorders compared with ICHD-2. A total of 1,627 patients were enrolled (mean age, 47.4±14.7 yr; 62.8% female). Classification by ICHD-3beta was achieved in 97.8% of headache patients, whereas 90.0% could be classified by ICHD-2. Primary headaches (n=1,429, 87.8%) were classified as follows: 697 migraines, 445 tension-type headaches, 22 cluster headaches, and 265 other primary headache disorders. Secondary headache or painful cranial neuropathies/other facial pains were diagnosed in 163 patients (10.0%). Only 2.2% were not classified by ICHD-3beta. The main reasons for missing classifications were insufficient information (1.6%) or absence of suitable classification (0.6%). The diagnoses differed from those using ICHD-2 in 243 patients (14.9%). Among them, 165 patients were newly classified from unclassified with ICHD-2 because of the relaxation of the previous strict criteria or the introduction of a new diagnostic category. ICHD-3beta would yield a higher classification rate than its previous version, ICHD-2. ICHD-3beta is applicable in clinical practice for first-visit headache patients of a referral hospital.
