Evidence map›Paper›PMID 28827275›Full record

ArticleBMJ open2017

Living with chronic migraine: a qualitative study on female patients' perspectives from a specialised headache clinic in Spain.

Domingo Palacios-Ceña, Beatriz Neira-Martín, Lorenzo Silva-Hernández, Diego Mayo-Canalejo, Lidiane Lima Florencio, César Fernández-de-Las-Peñas, Héctor García-Moreno, David García-Azorín, María Luz Cuadrado

Abstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

9 authors.

Domingo Palacios-CeñaDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, ITPSE Research Group, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain.
Beatriz Neira-MartínDepartment of Neurology, Headache Clinic, Hospital Clínico San Carlos, Madrid, Spain.
Lorenzo Silva-HernándezDepartment of Neurology, Headache Clinic, Hospital Clínico San Carlos, Madrid, Spain.
Diego Mayo-CanalejoDepartment of Neurology, Headache Clinic, Hospital Clínico San Carlos, Madrid, Spain.
Lidiane Lima FlorencioUniversidade de São Paulo HCFMRP-USP, Ribeirão Preto, Brazil.
César Fernández-de-Las-PeñasDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, ITPSE Research Group, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain.
Héctor García-MorenoDepartment of Neurology, Headache Clinic, Hospital Clínico San Carlos, Madrid, Spain.
David García-AzorínDepartment of Neurology, Headache Clinic, Hospital Clínico San Carlos, Madrid, Spain.
María Luz CuadradoDepartment of Neurology, Headache Clinic, Hospital Clínico San Carlos, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to explore the views and experiences of a group of Spanish women suffering from chronic migraine (CM).

settingHeadache clinic at a university hospital in Madrid (Spain).

participantsPurposeful sampling of patients that attended a specialised headache clinic for the first time between June 2016 and February 2017 was performed. The patients included were females aged 18-65 and with positive diagnoses of CM according to the International Classification of Headache disorders (third edition, beta version), with or without medication overuse. Accordingly, 20 patients participated in the study with a mean age of 38.65 years (SD 13.85).

designQualitative phenomenological study.

methodsData were collected through in-depth interviews, researchers' field notes and patients' drawings. A thematic analysis was performed following appropriate guidelines for qualitative research.

resultsFive main themes describing the significance of suffering emerged: (a) the shame of suffering from an invisible condition; (b) treatment: between need, scepticism and fear; (c) looking for physicians' support and sincerity and fighting misconceptions; (d) limiting the impact on daily life through self-control; and (e) family and work: between understanding and disbelief. The disease is experienced as an invisible process, and the journey to diagnosis can be a long and tortuous one. Drug prescription by the physician is greeted with distrust and scepticism. Patients expect sincerity, support and the involvement of their doctors in relation to their disease. Pain becomes the main focus of the patient's life, and it requires considerable self-control. The disease has a strong impact in the work and family environment, where the patient may feel misunderstood.

conclusionsQualitative research offers insight into the way patients with CM experience their disease and it may be helpful in establishing a more fruitful relationship with these patients.

Indexed as

Quality of LifeSelf-ControlAdultAmbulatory Care FacilitiesChronic DiseaseFemaleHumansInternational Classification of DiseasesInterviews as TopicMiddle AgedMigraine DisordersPhysician-Patient RelationsQualitative ResearchSampling StudiesSocial AdjustmentSpainchronic migraineheadache disordersmigrainepatientsqualitative researchquality of life

Identifiers

PMID28827275
PMCPMC5724120

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.