ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2008
A new GP with special interest headache service: observational study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Referral interventions from primary to specialist care: a systematic review of international evidence.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Pooled it
- Quality in the provision of headache care. 1: systematic review of the literature and commentary.The journal of headache and pain · 2012Pooled it
- Article
- A machine learning approach to support triaging of primary versus secondary headache patients using complete blood count.PloS one · 2023Article
- Observational
- Should GPs have direct access to imaging for headache? A qualitative study of patients' views in the UK.BMJ open · 2019Article
- Assessing patient satisfaction with a microsuction service in general practice: a comparative study.BJGP open · 2019Article
- Implementing and evaluating a primary care service for oral surgery: a case study.BMC health services research · 2018Article
- Primary care management of headaches and how direct-access MRI fits: a qualitative study of UK general practitioners' views.BMJ open · 2017Article
- Achieving a balance between the physical and the psychological in headache.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
- Experience from two decades of the Cambridge Rapid Access Neurology Clinic.Clinical medicine (London, England) · 2015Article
- Service use and costs for people with headache: a UK primary care study.The journal of headache and pain · 2011Article
- Why do GPs with a special interest in headache investigate headache presentations with neuroradiology and what do they find?The journal of headache and pain · 2011Article
- Impact of GP direct-access computerised tomography for the investigation of chronic daily headache.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
- No more neurophobia: welcome neurology in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is poor access to neurology services for patients in the community.
aimTo describe the training of GPs with special interest (GPwSI) in headache and the setting up of a GPwSI clinic in general practice, and report on a comparison with the existing neurology service in terms of case severity, patient satisfaction, and cost. DESIGN OF STUDY: New service provision and evaluation by a questionnaire survey.
settingGeneral practice and hospital neurology service in inner-city London.
methodThe intervention involved training GPs as GPwSIs and setting up a GP headache service. A questionnaire survey was conducted, measuring headache impact, satisfaction, and cost estimates.
resultsHeadache impact was not significantly different between the two groups of patients, referred to hospital and to a GPwSI. Patients were significantly more satisfied with the GPwSI service, particularly that the service was effective in helping to relieve their symptoms (89% versus 76%; adjusted odds ratio=7.7; 95% confidence interval=2.7 to 22.4). The cost per first appointment was estimated to be pound sterling 136, with pound sterling 68 for subsequent contacts. These are lower than costs for neurologist contacts.
conclusionGPwSI services can satisfy the needs of patients with similar headache impact at costs that are lower than those for secondary care services.
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Registered trials
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