Migraine in the real-life clinical practice: results of the observational study of diagnosis and treatment patterns in the urban population of the Russian Federation

Tabeeva G.R.

Sechenov First Moscow State Medical University

Katsarava Z.

Sechenov First Moscow State Medical University (Sechenov University);
University of Duisburg-Essen;
Evangelical Hospital;
EVEX Medical Corporation

Dmitriev G.V.

Novartis Pharma LLC

Lyubovnaya Y.O.

Novartis Pharma LLC

Kovalchuk N.A.

Sechenov First Moscow State Medical University (Sechenov University)

Migraine in the real-life clinical practice: results of the observational study of diagnosis and treatment patterns in the urban population of the Russian Federation

Authors:

Tabeeva G.R., Katsarava Z., Dmitriev G.V., Lyubovnaya Y.O., Kovalchuk N.A.

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Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(12): 40‑50

DOI: 10.17116/jnevro202112112140

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To cite this article:

Tabeeva GR, Katsarava Z, Dmitriev GV, Lyubovnaya YO, Kovalchuk NA. Migraine in the real-life clinical practice: results of the observational study of diagnosis and treatment patterns in the urban population of the Russian Federation. S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(12):40‑50. (In Russ.)
https://doi.org/10.17116/jnevro202112112140

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OBJECTIVE

Analysis of real-life clinical practice data regarding the patterns of diagnosis and treatment of migraine in the Russian Federation.

MATERIAL AND METHODS

An observational real-world cohort study was conducted from January 2013 to December 2018 (over a 5-year period) to analyze the electronic database of 5 large private clinic chains in Moscow and St. Petersburg.

RESULTS

Among 1.15 million people who sought medical care, «G43 Migraine» diagnosis was established in 6.650 people, which accounted for 0.6%. A total of 54% of patients were diagnosed by a neurologist, while 35% by a GP. In roughly half the cases, to diagnose migraine, the doctors had to resort to additional methods of examination. While 53% of patients had indications for preventive treatment, it was prescribed only to 12% of those. Of these, the treatment strategy chosen for 29% of patients was changed: either the intragroup/intergroup switching of the medicinal product took place, or the combined treatment was prescribed.

CONCLUSION

In the real-life outpatient clinical practice, the level of diagnosis of migraine is extremely low. Additional methods of examination are excessively used for the diagnosis of migraine. The insufficient use of preventive medication and common use of therapies with unsubstantiated efficacy in migraine result in frequent changes in the treatment strategy.

Keywords:

migraine

preventive treatment

triptans

MRI

real-life clinical practice

Authors:

Tabeeva G.R.

Sechenov First Moscow State Medical University

Katsarava Z.

Sechenov First Moscow State Medical University (Sechenov University);
University of Duisburg-Essen;
Evangelical Hospital;
EVEX Medical Corporation

Dmitriev G.V.

Novartis Pharma LLC

Lyubovnaya Y.O.

Novartis Pharma LLC

Kovalchuk N.A.

Sechenov First Moscow State Medical University (Sechenov University)

Received:

09.11.2021

Accepted:

17.11.2021

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