Evidence map›Paper›PMID 23695038›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2013

Multidisciplinary approach to patients with chronic migraine and medication overuse: experience at the Besta Headache Center.

L Grazzi

Abstract read
PubMed Publisher
In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Instrumental assessment of physiotherapy and onabolulinumtoxin-A on cervical and headache parameters in chronic migraine.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Observational
  3. Review
  4. Review
  5. Proposal of a model for multidisciplinary treatment program of chronic migraine with medication overuse: preliminary study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2015
    Article
  6. Review
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

1 author.

L GrazziDepartment of Clinical Neuroscience, Headache Unit, C. Besta Neurological Institute and Foundation, Via Celoria, 11 20133, Milan, Italy. grazzi.l@istituto-besta.it

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The question concerning treatment of chronic forms of migraine associated with medication overuse has been largely debated and discussed in the last years and clinical experience has indicated the withdrawal as the first step to treat these patients as the withdrawal is useful so that a preventive pharmacologic therapy can be effective. Moreover, in the last 15 years it has been realized that chronic migraine with medication overuse is clearly a biobehavioral disorder. This clinical condition is not only a painful condition residing in an abnormality of receptor physiology; it is more aptly recognized as a condition wherein emotion and pain are intermingled. For this reason a multidisciplinary strategy of treatment which considers every aspect of individual life, social and emotional, is needed.

Indexed as

Pain ClinicsAnalgesics, OpioidChronic DiseaseHeadacheHumansSubstance-Related DisordersAnalgesics, Opioid

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.