The development of evidence-based guideline for diagnosis and management of headache in Korea

Sun Mi Kim, Young-Hoon Ko, Seoyoung Yoon, Won Sub Kang, Hye Geum Kim, Hye Youn Park, Cheolmin Shin, Yoo Hyun Um, Soyoung Youn, Jae Hon Lee, Seung Ho Jang, Sang Won Jeon, Hong Jun Jeon, Seockhoon Chung, Jae Won Choi, Kyu Man Han, Sang Yeol Lee

Research output: Contribution to journalArticle

Abstract

Objective We aimed to develop the clinical guideline for headache by the systematic review and synthesis of existing evidence-based guidelines. The purpose of developing the guideline was to improve the appropriateness of diagnosis and treatment of headache disorder, and consequently, to improve patients’ pain control and quality of life. The guideline broadly covers the differential diagnosis and treatment of tension-type headache, migraine, cluster headache, and medication-overuse headache. Methods This is a methodological study based on the ADAPTE methodology, including a systematic review of the literature, quality assessment of the guidelines using the Appraisal of Clinical Guidelines for REsearch & Evaluation II (AGREE II) Instrument, as well as an external review using a Delphi technique. The inclusion criteria for systematic search were as follows: topic-relevant, up-to-date guidelines including evidence from within 5 years, evidence-based guidelines, guidelines written in English or Korean, and guidelines issued by academic institutions or government agencies. Results We selected five guidelines and conducted their quality assessment using the AGREE II Instrument. As a result, one guideline was found to be eligible for adaptation. For 13 key questions, a total of 39 recommendations were proposed with the grading system and revised using the nominal group technique. Conclusion Recommendations should be applied to actual clinical sites to achieve the ultimate goal of this guideline; therefore, followup activities, such as monitoring of guideline usage and assessment of applicability of the recommendations, should be performed in the future. Further assessment of the effectiveness of the guideline in Korea is needed.

Original languageEnglish
Pages (from-to)199-205
Number of pages7
JournalPsychiatry Investigation
Volume16
Issue number3
DOIs
Publication statusPublished - 2019 Mar 1

Fingerprint

Korea
Headache
Guidelines
Secondary Headache Disorders
Delphi Technique
Cluster Headache
Government Agencies
Tension-Type Headache
Headache Disorders
Migraine Disorders
Differential Diagnosis

Keywords

  • Cluster headache
  • Guideline
  • Headache
  • Medication-overuse headache
  • Migraine
  • Tension-type headache

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

Cite this

The development of evidence-based guideline for diagnosis and management of headache in Korea. / Kim, Sun Mi; Ko, Young-Hoon; Yoon, Seoyoung; Kang, Won Sub; Kim, Hye Geum; Park, Hye Youn; Shin, Cheolmin; Um, Yoo Hyun; Youn, Soyoung; Lee, Jae Hon; Jang, Seung Ho; Jeon, Sang Won; Jeon, Hong Jun; Chung, Seockhoon; Choi, Jae Won; Han, Kyu Man; Lee, Sang Yeol.

In: Psychiatry Investigation, Vol. 16, No. 3, 01.03.2019, p. 199-205.

Research output: Contribution to journalArticle

Kim, SM, Ko, Y-H, Yoon, S, Kang, WS, Kim, HG, Park, HY, Shin, C, Um, YH, Youn, S, Lee, JH, Jang, SH, Jeon, SW, Jeon, HJ, Chung, S, Choi, JW, Han, KM & Lee, SY 2019, 'The development of evidence-based guideline for diagnosis and management of headache in Korea', Psychiatry Investigation, vol. 16, no. 3, pp. 199-205. https://doi.org/10.30773/pi.2018.11.23
Kim, Sun Mi ; Ko, Young-Hoon ; Yoon, Seoyoung ; Kang, Won Sub ; Kim, Hye Geum ; Park, Hye Youn ; Shin, Cheolmin ; Um, Yoo Hyun ; Youn, Soyoung ; Lee, Jae Hon ; Jang, Seung Ho ; Jeon, Sang Won ; Jeon, Hong Jun ; Chung, Seockhoon ; Choi, Jae Won ; Han, Kyu Man ; Lee, Sang Yeol. / The development of evidence-based guideline for diagnosis and management of headache in Korea. In: Psychiatry Investigation. 2019 ; Vol. 16, No. 3. pp. 199-205.
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AU - Shin, Cheolmin

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AU - Jeon, Sang Won

AU - Jeon, Hong Jun

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N2 - Objective We aimed to develop the clinical guideline for headache by the systematic review and synthesis of existing evidence-based guidelines. The purpose of developing the guideline was to improve the appropriateness of diagnosis and treatment of headache disorder, and consequently, to improve patients’ pain control and quality of life. The guideline broadly covers the differential diagnosis and treatment of tension-type headache, migraine, cluster headache, and medication-overuse headache. Methods This is a methodological study based on the ADAPTE methodology, including a systematic review of the literature, quality assessment of the guidelines using the Appraisal of Clinical Guidelines for REsearch & Evaluation II (AGREE II) Instrument, as well as an external review using a Delphi technique. The inclusion criteria for systematic search were as follows: topic-relevant, up-to-date guidelines including evidence from within 5 years, evidence-based guidelines, guidelines written in English or Korean, and guidelines issued by academic institutions or government agencies. Results We selected five guidelines and conducted their quality assessment using the AGREE II Instrument. As a result, one guideline was found to be eligible for adaptation. For 13 key questions, a total of 39 recommendations were proposed with the grading system and revised using the nominal group technique. Conclusion Recommendations should be applied to actual clinical sites to achieve the ultimate goal of this guideline; therefore, followup activities, such as monitoring of guideline usage and assessment of applicability of the recommendations, should be performed in the future. Further assessment of the effectiveness of the guideline in Korea is needed.

AB - Objective We aimed to develop the clinical guideline for headache by the systematic review and synthesis of existing evidence-based guidelines. The purpose of developing the guideline was to improve the appropriateness of diagnosis and treatment of headache disorder, and consequently, to improve patients’ pain control and quality of life. The guideline broadly covers the differential diagnosis and treatment of tension-type headache, migraine, cluster headache, and medication-overuse headache. Methods This is a methodological study based on the ADAPTE methodology, including a systematic review of the literature, quality assessment of the guidelines using the Appraisal of Clinical Guidelines for REsearch & Evaluation II (AGREE II) Instrument, as well as an external review using a Delphi technique. The inclusion criteria for systematic search were as follows: topic-relevant, up-to-date guidelines including evidence from within 5 years, evidence-based guidelines, guidelines written in English or Korean, and guidelines issued by academic institutions or government agencies. Results We selected five guidelines and conducted their quality assessment using the AGREE II Instrument. As a result, one guideline was found to be eligible for adaptation. For 13 key questions, a total of 39 recommendations were proposed with the grading system and revised using the nominal group technique. Conclusion Recommendations should be applied to actual clinical sites to achieve the ultimate goal of this guideline; therefore, followup activities, such as monitoring of guideline usage and assessment of applicability of the recommendations, should be performed in the future. Further assessment of the effectiveness of the guideline in Korea is needed.

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