Healthcare providers' perceptions and prescribing behaviors of short-term prevention treatment of migraine in the United States.

IF 1.7 Q4 CLINICAL NEUROLOGY
Teshamae S Monteith, Nemin Chen, Jessica Cirillo, Lucy Abraham, Aaron Jenkins, Phillip Saccone, Chelsea Leroue, Feng Dai, Karina Nakajima, Elizabeth McCaig, Jessica Ailani
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Abstract

Aims: Short-term prevention (STP) therapies are used to prevent migraine during anticipated exposure to known triggers. However, little is known about healthcare providers' (HCPs) attitudes and prescribing practices regarding STP. This study aimed to characterize real-world STP treatment perceptions and prescribing behaviors among US HCPs.

Materials and methods: US HCPs aware of STP treatment completed a cross-sectional survey (August-September 2024) assessing demographic and practice characteristics, STP perceptions, and patient factors considered when prescribing STP.

Results: Over 90% of HCPs agreed that migraine treatment should provide patients with flexibility to control their attacks. Gepants were the most frequently prescribed STP treatment (71.9%), with rimegepant being the most prescribed gepant for STP (84.1%). Menstrual migraine (83.3%) and the ability to predict triggers (78.2%) were the most frequently considered patient characteristics. Primary care providers and nurse practitioners/physician assistants considered a wider array of patient factors than headache specialists and other neurologists.

Conclusions: HCPs aware of STP believe patients with migraine, especially those with perimenstrual attacks, may benefit from STP treatment. Gepants were the most prescribed STP migraine treatment.

美国医疗保健提供者对偏头痛短期预防治疗的认知和处方行为。
目的:短期预防(STP)疗法用于在预期暴露于已知触发因素期间预防偏头痛。然而,很少了解医疗保健提供者(HCPs)的态度和处方实践STP。本研究旨在描述现实世界STP治疗观念和美国HCPs的处方行为。材料和方法:了解STP治疗的美国HCPs完成了一项横断面调查(2024年8月至9月),评估了人口统计学和实践特征、STP认知以及开STP处方时考虑的患者因素。结果:超过90%的HCPs认为偏头痛治疗应提供患者控制发作的灵活性。最常用的STP治疗药物是Gepants(71.9%),最常用的STP治疗药物是rimegepant(84.1%)。经期偏头痛(83.3%)和预测触发因素的能力(78.2%)是最常被认为的患者特征。初级保健提供者和执业护士/医师助理比头痛专家和其他神经科医生考虑更多的患者因素。结论:意识到STP的医护人员认为偏头痛患者,特别是月经周围发作的患者,可能从STP治疗中受益。患者是最常用的STP偏头痛治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pain management
Pain management CLINICAL NEUROLOGY-
CiteScore
2.90
自引率
5.90%
发文量
62
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