The Development of Evidence-Based Guideline for Diagnosis and Management of Headache in Korea
- Author:
Sun Mi KIM
1
;
Young Hoon KO
;
Seoyoung YOON
;
Won Sub KANG
;
Hye Geum KIM
;
Hye Youn PARK
;
Cheolmin SHIN
;
Yoo Hyun UM
;
Soyoung YOUN
;
Jae Hon LEE
;
Seung Ho JANG
;
Sang Won JEON
;
Hong Jun JEON
;
Seockhoon CHUNG
;
Jae Won CHOI
;
Kyu Man HAN
;
Sang Yeol LEE
Author Information
- Publication Type:Original Article
- Keywords: Headache; Guideline; Tension-type headache; Migraine; Cluster headache; Medication-overuse headache
- MeSH: Cluster Headache; Delphi Technique; Diagnosis; Diagnosis, Differential; Follow-Up Studies; Government Agencies; Headache Disorders; Headache; Korea; Methods; Migraine Disorders; Quality of Life; Tension-Type Headache
- From:Psychiatry Investigation 2019;16(3):199-205
- CountryRepublic of Korea
- Language:English
- Abstract: OBJECTIVE: We aimed to develop the clinical guideline for headache by the systematic review and synthesis of existing evidence-based guidelines. The purpose of developing the guideline was to improve the appropriateness of diagnosis and treatment of headache disorder, and consequently, to improve patients’ pain control and quality of life. The guideline broadly covers the differential diagnosis and treatment of tension-type headache, migraine, cluster headache, and medication-overuse headache. METHODS: This is a methodological study based on the ADAPTE methodology, including a systematic review of the literature, quality assessment of the guidelines using the Appraisal of Clinical Guidelines for REsearch & Evaluation II (AGREE II) Instrument, as well as an external review using a Delphi technique. The inclusion criteria for systematic search were as follows: topic-relevant, up-to-date guidelines including evidence from within 5 years, evidence-based guidelines, guidelines written in English or Korean, and guidelines issued by academic institutions or government agencies. RESULTS: We selected five guidelines and conducted their quality assessment using the AGREE II Instrument. As a result, one guideline was found to be eligible for adaptation. For 13 key questions, a total of 39 recommendations were proposed with the grading system and revised using the nominal group technique. CONCLUSION: Recommendations should be applied to actual clinical sites to achieve the ultimate goal of this guideline; therefore, follow-up activities, such as monitoring of guideline usage and assessment of applicability of the recommendations, should be performed in the future. Further assessment of the effectiveness of the guideline in Korea is needed.
