Utility of the ID-migraine tool in migraine without aura diagnosis: an experience from Nigeria
Under-recognition and consequent mismanagement of migraine highlight the importance of quick and easier tools for migraine diagnosis. The ID-migraine, a 3-item migraine diagnosis tool, fits the description of such a rapid tool. This study tested the accuracy of the ID-migraine tool in migraine witho...
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doaj-f2169d0ce86e46419848ead6e706f4d92020-11-25T02:45:45ZengDeccan College of Medical SciencesJournal of Medical and Allied Sciences2231-16962231-170X2020-12-01102919710.5455/jmas.9996699966Utility of the ID-migraine tool in migraine without aura diagnosis: an experience from NigeriaSidney Kelechi Oparah0Udeme Essien Asibong1Emmanuel Omamurhomu Olose2Simon Izuchukwu Ozomma3Department of Internal Medicine, University of Calabar Teaching Hospital, Etagbor, PMB 1115 Calabar 2018, Nigeria Department of Family Medicine, University of Calabar Teaching Hospital, Etagbor, PMB 1115 Calabar 2018, Nigeria Faculty of Medicine, University of Calabar Teaching Hospital, Etagbor, PMB 1115 Calabar 2018, Nigeria Department of Internal Medicine, University of Calabar Teaching Hospital, Etagbor, PMB 1115 Calabar 2018, NigeriaUnder-recognition and consequent mismanagement of migraine highlight the importance of quick and easier tools for migraine diagnosis. The ID-migraine, a 3-item migraine diagnosis tool, fits the description of such a rapid tool. This study tested the accuracy of the ID-migraine tool in migraine without aura diagnosis, to determine its usefulness in our setting. This cross-sectional accuracy study was done in Calabar, Nigeria. We compared the ID-migraine tool with the International Headache Society criteria in migraine without aura diagnosis on persons with recurrent headaches, within the previous three months, recruited from a pool of 220 clinical students in Calabar, Nigeria. Data analysis was done with Statistical Package for the Social Sciences software version 20, and we set the level of significance at p < 0.05. Fifty-one persons who had recurrent headaches from the pool of students, comprising 25 (49%) males and 26 (51%) females, completed the study. The mean age of the participants was 24.2 years±4.6. The derived sensitivity, specificity, accuracy, positive predictive and negative predictive values of the 3-item migraine diagnosis tool were 69.2%, 63.1%, 64.7%, 39.1% and 85.7%, respectively (kappa=0.26; p=0.043). The ID-migraine tool had moderate sensitivity and specificity in our study and a low level of agreement with the reference standard. Its usefulness may be more in excluding migraine in persons with recurrent headaches. [J Med Allied Sci 2020; 10(2.000): 91-97]http://www.ejmanager.com/fulltextpdf.php?mno=99966diagnosesdisordersheadachesmigraineneurological |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sidney Kelechi Oparah Udeme Essien Asibong Emmanuel Omamurhomu Olose Simon Izuchukwu Ozomma |
spellingShingle |
Sidney Kelechi Oparah Udeme Essien Asibong Emmanuel Omamurhomu Olose Simon Izuchukwu Ozomma Utility of the ID-migraine tool in migraine without aura diagnosis: an experience from Nigeria Journal of Medical and Allied Sciences diagnoses disorders headaches migraine neurological |
author_facet |
Sidney Kelechi Oparah Udeme Essien Asibong Emmanuel Omamurhomu Olose Simon Izuchukwu Ozomma |
author_sort |
Sidney Kelechi Oparah |
title |
Utility of the ID-migraine tool in migraine without aura diagnosis: an experience from Nigeria |
title_short |
Utility of the ID-migraine tool in migraine without aura diagnosis: an experience from Nigeria |
title_full |
Utility of the ID-migraine tool in migraine without aura diagnosis: an experience from Nigeria |
title_fullStr |
Utility of the ID-migraine tool in migraine without aura diagnosis: an experience from Nigeria |
title_full_unstemmed |
Utility of the ID-migraine tool in migraine without aura diagnosis: an experience from Nigeria |
title_sort |
utility of the id-migraine tool in migraine without aura diagnosis: an experience from nigeria |
publisher |
Deccan College of Medical Sciences |
series |
Journal of Medical and Allied Sciences |
issn |
2231-1696 2231-170X |
publishDate |
2020-12-01 |
description |
Under-recognition and consequent mismanagement of migraine highlight the importance of quick and easier tools for migraine diagnosis. The ID-migraine, a 3-item migraine diagnosis tool, fits the description of such a rapid tool. This study tested the accuracy of the ID-migraine tool in migraine without aura diagnosis, to determine its usefulness in our setting. This cross-sectional accuracy study was done in Calabar, Nigeria. We compared the ID-migraine tool with the International Headache Society criteria in migraine without aura diagnosis on persons with recurrent headaches, within the previous three months, recruited from a pool of 220 clinical students in Calabar, Nigeria. Data analysis was done with Statistical Package for the Social Sciences software version 20, and we set the level of significance at p < 0.05. Fifty-one persons who had recurrent headaches from the pool of students, comprising 25 (49%) males and 26 (51%) females, completed the study. The mean age of the participants was 24.2 years±4.6. The derived sensitivity, specificity, accuracy, positive predictive and negative predictive values of the 3-item migraine diagnosis tool were 69.2%, 63.1%, 64.7%, 39.1% and 85.7%, respectively (kappa=0.26; p=0.043). The ID-migraine tool had moderate sensitivity and specificity in our study and a low level of agreement with the reference standard. Its usefulness may be more in excluding migraine in persons with recurrent headaches. [J Med Allied Sci 2020; 10(2.000): 91-97] |
topic |
diagnoses disorders headaches migraine neurological |
url |
http://www.ejmanager.com/fulltextpdf.php?mno=99966 |
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