Saudi clinical practice guidelines for the treatment and prevention of migraine headache.

IF 1.2 4区 医学 Q4 CLINICAL NEUROLOGY
Faisal A Al-Suwaidan, Hajer Y Almudaiheem, Haifa F Alotaibi, Waleed A Alhazzani, Khalid W Al-Quliti, Khalidah A Alenzi, Bedor A Al-Omari, Majed M Alabdali, Abubker W Omaer, Saleh M Alrajhi, Ali N Alshoaiby, Ahmed H Al-Jedai
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引用次数: 0

Abstract

Objective: To develop clinical practice guidelines based on evidence based medicine on the use of abortive and preventive therapies for managing migraine headaches. We formulated these guidelines to offer evidence-based recommendations to improve the knowledge of physicians, healthcare professionals, and policymakers in migraine headache management.

Method: A panel of 11 experts from different sectors in Saudi Arabia approved 26 questions on abortive and preventive therapies for migraines. To develop each question, we searched "PubMed" and "Cochrane Library" databases for recent relevant systematic reviews published between 2013 and 2024. We employed the Grading Recommendations, Assessment, Development, and Evaluation methodological approach to ensure the certainty of the collated evidence and to formulate the recommendations. The expert panel voted electronically on each recommendation, and a consensus was defined as >70% agreement.

Results: We formulated a total of 26 recommendations. Of these, 14 are focused on abortive therapy for acute migraine attacks, whereas 12 are focused on the prevention of episodic or chronic migraines. These guidelines strongly recommend the use of paracetamol and ibuprofen as the first-line treatment for mild to moderate migraine. Furthermore, we concluded that propranolol should be considered as the first-line preventive intervention for migraine.

Conclusion: The Saudi clinical practice guidelines offer systematically validated recommendations of migraine headaches in adults. The recommendations are potentially beneficial for all healthcare professionals managing patients with migraine headaches.

沙特治疗和预防偏头痛临床实践指南。
目的:制定基于循证医学的流产和预防治疗偏头痛的临床实践指南。我们制定这些指南是为了提供基于证据的建议,以提高医生、医疗保健专业人员和决策者在偏头痛管理方面的知识。方法:由来自沙特阿拉伯不同部门的11名专家组成的小组批准了关于偏头痛流产和预防性治疗的26个问题。为了提出每个问题,我们在“PubMed”和“Cochrane Library”数据库中检索了2013年至2024年间发表的最新相关系统综述。我们采用分级建议、评估、发展和评价方法来确保整理证据的确定性并制定建议。专家小组对每项建议进行电子投票,共识被定义为>70%的同意。结果:我们共制定了26条建议。其中,14项重点是急性偏头痛发作的流产治疗,而12项重点是预防发作性或慢性偏头痛。这些指南强烈建议使用扑热息痛和布洛芬作为轻中度偏头痛的一线治疗方法。此外,我们得出结论,应考虑将心得安作为偏头痛的一线预防干预措施。结论:沙特临床实践指南为成人偏头痛提供了系统有效的建议。这些建议对所有管理偏头痛患者的医疗保健专业人员都有潜在的益处。
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来源期刊
Neurosciences
Neurosciences 医学-临床神经学
CiteScore
1.40
自引率
0.00%
发文量
54
审稿时长
4.5 months
期刊介绍: Neurosciences is an open access, peer-reviewed, quarterly publication. Authors are invited to submit for publication articles reporting original work related to the nervous system, e.g., neurology, neurophysiology, neuroradiology, neurosurgery, neurorehabilitation, neurooncology, neuropsychiatry, and neurogenetics, etc. Basic research withclear clinical implications will also be considered. Review articles of current interest and high standard are welcomed for consideration. Prospective workshould not be backdated. There are also sections for Case Reports, Brief Communication, Correspondence, and medical news items. To promote continuous education, training, and learning, we include Clinical Images and MCQ’s. Highlights of international and regional meetings of interest, and specialized supplements will also be considered. All submissions must conform to the Uniform Requirements.
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