ArticleThe journal of headache and pain2014
Validation of a guideline-based decision support system for the diagnosis of primary headache disorders based on ICHD-3 beta.
Article in The journal of headache and pain, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Diagnostic and classification tools for chronic headache disorders: A systematic review.Cephalalgia : an international journal of headache · 2019Pooled it
- Methodology and baseline characteristics of the China Migraine registry (CHIME): a nationwide, multi-center, prospective cohort study of 11,814 patients.The journal of headache and pain · 2026Observational
- [CefaleApp: A Mobile Application for Migraine Diagnosis in Primary Health Care].Revista de neurologia · 2026Article
- Professional-Facing Digital Health Technology for the Care of Patients With Chronic Pain: Scoping Review.Journal of medical Internet research · 2025Article
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- Clinical decision support system using hierarchical fuzzy diagnosis model for migraine and tension-type headache based on International Classification of Headache Disorders, 3rd edition.Frontiers in neurology · 2024Article
- Verification of a clinical decision support system for the diagnosis of headache disorders based on patient-computer interactions: a multi-center study.The journal of headache and pain · 2023Article
- The Application of Knowledge-Based Clinical Decision Support Systems to Enhance Adherence to Evidence-Based Medicine in Chronic Disease.Journal of healthcare engineering · 2023Review
- Gradually shifting clinical phenomics in migraine spectrum: a cross-sectional, multicenter study of 5438 patients.The journal of headache and pain · 2022Article
- Development and validation of a web-based headache diagnosis questionnaire.Scientific reports · 2022Article
- Computerized migraine diagnostic tools: a systematic review.Therapeutic advances in chronic disease · 2022Article
- Validation of an algorithm for automated classification of migraine and tension-type headache attacks in an electronic headache diary.The journal of headache and pain · 2020Article
- Predicting Common Audiological Functional Parameters (CAFPAs) as Interpretable Intermediate Representation in a Clinical Decision-Support System for Audiology.Frontiers in digital health · 2020Article
- Lifting the burden of headache in China: managing migraine in a SMART way.The journal of headache and pain · 2017Article
- Comprehensive Application of the International Classification of Headache Disorders Third Edition, Beta Version.Journal of Korean medical science · 2016Article
- A clinical decision support system for the diagnosis of probable migraine and probable tension-type headache based on case-based reasoning.The journal of headache and pain · 2015Article
- Gleaning after the European Headache Federation consensus statement on refractory chronic migraine.The journal of headache and pain · 2014Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChina may have the largest population of headache sufferers and therefore the most serious burden of disease worldwide. However, the rate of diagnosis for headache disorders is extremely low, possibly due to the relative complexity of headache subtypes and diagnostic criteria. The use of computerized clinical decision support systems (CDSS) seems to be a better choice to solve this problem.
methodsWe developed a headache CDSS based on ICHD-3 beta and validated it in a prospective study that included 543 headache patients from the International Headache Center at the Chinese PLA General hospital, Beijing, China.
resultsWe found that the CDSS correctly recognized 159/160 (99.4%) of migraine without aura, 36/36 (100%) of migraine with aura, 20/21 (95.2%) of chronic migraine, and 37/59 (62.7%) of probable migraine. This system also correctly identified 157/180 (87.2%) of patients with tension-type headache (TTH), of which infrequent episodic TTH was diagnosed in 12/13 (92.3%), frequent episodic TTH was diagnosed in 99/101 (98.0%), chronic TTH in 18/20 (90.0%), and probable TTH in 28/46 (60.9%). The correct diagnostic rates of cluster headache and new daily persistent headache (NDPH) were 90.0% and 100%, respectively. In addition, the system recognized 32/32 (100%) of patients with medication overuse headache.
conclusionsWith high diagnostic accuracy for most of the primary and some types of secondary headaches, this system can be expected to help general practitioners at primary hospitals improve diagnostic accuracy and thereby reduce the burden of headache in China.
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