Evidence map›Paper›PMID 20198381›Full record

ArticleJournal of neurology2010

Imaging results in a consecutive series of 530 new patients in the Birmingham Headache Service.

C E Clarke, J Edwards, D J Nicholl, A Sivaguru

Abstract read
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In one paragraph

Article in Journal of neurology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Review
  2. Article
  3. Imaging in headache disorders.Australian prescriber · 2022
    Review
  4. Article
  5. Updates in the Diagnostic Approach of Headache.Current pain and headache reports · 2021
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Headache neuroimaging: Routine testing when guidelines recommend against them.Cephalalgia : an international journal of headache · 2015
    Article
  15. It IS a tumor -- current review of headache and brain tumor.Current pain and headache reports · 2014
    Review
  16. Article
  17. Headache and vasculitis.Current pain and headache reports · 2013
    Review
  18. Article
  19. Should GPs have direct access to neuroradiological investigation when adults present with headache?The British journal of general practice : the journal of the Royal College of General Practitioners · 2011
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

C E ClarkeSchool of Clinical and Experimental Medicine, College of Medicine and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, UK. c.e.clarke@bham.ac.uk
J Edwards
D J Nicholl
A Sivaguru

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Guidelines recommend imaging only headache patients with sinister features in the history or on examination. We prospectively collected data on imaging newly presenting patients to a UK headache service. CT and MRI results were classified as normal or showing an insignificant or significant abnormality. Over 5 years, 3,655 new patients (69% female; mean age 42.0 years) with headache disorders were seen. Five hundred thirty (14.5%) underwent imaging with large differences in the proportion referred by each consultant. There were more insignificant abnormalities on MRI (46%) than CT (28%). There were 11 significantly abnormal results (2.1% of those imaged). Significant abnormalities were found in patients diagnosed with migraine in 1.2% and in 0.9% of those with tension-type headache. Significant abnormalities in those suspected to have an intracranial abnormality occurred in 5.5%. This supports the practice of selecting patients with suspicious findings for imaging, rather than imaging all patients.

Indexed as

AdultBrain NeoplasmsFemaleHeadache DisordersHumansMaleMiddle AgedMigraine DisordersNervous System MalformationsPrevalenceProspective StudiesReferral and ConsultationTension-Type HeadacheUnited KingdomVasculitis

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.