Validation studies on migraine diagnostic tools for use in nonclinical settings: a systematic review

作者：Du Wei, Li Ping Wong, Tharani Loganathan, Rongrui Tang, Yue Chang, Hanni Zhou, Mohammed K. A. Kaabar · 发表于：Arquivos de Neuro-Psiquiatria · 年份：2022 · DOI：10.1055/s-0042-1756490 · 被引用次数：15 · 研究领域：Migraine and Headache Studies、Traumatic Brain Injury Research、Acute Ischemic Stroke Management

BACKGROUND: Migraine underdiagnosis and undertreatment are so widespread, that hence is essential to diagnose migraine sufferers in nonclinical settings. A systematic review of validation studies on migraine diagnostic tools applicable to nonclinical settings can help researchers and practitioners in tool selection decisions. OBJECTIVE: To systematically review and critically assess published validation studies on migraine diagnostic tools for use in nonclinical settings, as well as to describe their diagnostic performance. METHODS: A multidisciplinary workgroup followed transparent and systematic procedures to collaborate on this work. PubMed, Medline, and Web of Science were searched for studies up to January 17, 2022. The QUADAS-2 was employed to assess methodological quality, and the quality thresholds adopted by the Global Burden Disease study were used to tail signaling questions. RESULTS: From 7,214 articles identified, a total of 27 studies examining 19 tools were eligible for inclusion. There has been no high-quality evidence to support any tool for use of migraine diagnosis in nonclinical settings. The diagnostic accuracy of the ID-migraine, structured headache and HARDSHIP questionnaires have been supported by moderate-quality evidence, with sensitivity and specificity above 70%. Of them, the HARDSHIP questionnaire has been the most extensively validated. The remaining 16 tools have provided poor-quality evidence for migraine diagnosis in nonclinical populations. C...