Evidence map›Paper›PMID 30090777›Full record

ArticleJournal of family medicine and primary care

Is there a misuse of computed tomography in the diagnostic workup of headache? A retrospective record-based study in secondary health-care facility in Saudi Arabia.

Ali Hassan A Ali, Sameer Al-Ghamdi, Mohammed H Karrar, Saud A Alajmi, Osama S Almutairi, Ahmed M Aldalbahi, Yazeed M Alotaibi, Sattam A Alruwaili, Abubaker Y Elamin

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Article in Journal of family medicine and primary care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Ali Hassan A AliDepartment of Anatomy, Prince Sattam Bin Abdulaziz University, Al Kharj, KSA.
Sameer Al-GhamdiDepartment of Family Medicine, Prince Sattam Bin Abdulaziz University, Al Kharj, KSA.
Mohammed H KarrarDepartment of Anatomy, Prince Sattam Bin Abdulaziz University, Al Kharj, KSA.
Saud A AlajmiDepartment of College of Medicine, Prince Sattam Bin Abdulaziz University, Al Kharj, KSA.
Osama S AlmutairiDepartment of College of Medicine, Prince Sattam Bin Abdulaziz University, Al Kharj, KSA.
Ahmed M AldalbahiDepartment of College of Medicine, Prince Sattam Bin Abdulaziz University, Al Kharj, KSA.
Yazeed M AlotaibiDepartment of College of Medicine, Prince Sattam Bin Abdulaziz University, Al Kharj, KSA.
Sattam A AlruwailiDepartment of College of Medicine, Prince Sattam Bin Abdulaziz University, Al Kharj, KSA.
Abubaker Y ElaminDepartment of Histology and Embryology, College of Medicine, Ondokuz Maiz University, Samsun, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHeadache disorders are one of the most prevalent global public-health problems that require placing high demand on health-care Services. Since it is one of the most frequent complaints in clinical practice worldwide, it causes a considerable burden in terms of the social cost. The study aimed to give a guide for the decision on the utilization of computed tomography (CT) in the diagnostic workup and identify if patients require neurological imaging (CT) for proper diagnosis or not. MATERIALS AND

methodsThe study was carried out in the Radiology Department in King Khalid Hospital, Al Kharj, Saudi Arabia from October 15, 2016, to February 15, 2017. A retrospective record-based study conducted using the documented CT reports in the files of patients whom were referred to the radiology department complaining of any type of a headache.

resultsThe data included 210 patients 51% were males and 49% were females. The patients were distributed into age groups; the mean age was 38.46 standard deviation ± 13.56. Among Saudi population, the etiology of headache was varying; the most prevalent type of headache was tension headache 25.71% of the total headache patients followed by cluster 25.24% and the migraine with the lowest proportionality. The majority of the patients' headache pain was mild 60%. Moreover, the CT reports for most of the patients were normal. Spearman Correlation test was used to see if there is a significance in using the CT for any patient who comes with symptoms including headache, and the results have shown that there is no association and clinical significance in using the CT for patients with headache without suspecting other clinical condition (

conclusionHeadache disorders must be on the public-health agenda. Tension, migraine, and cluster-type headaches represent the majority of primary headaches. Statistically no significance or need to obtain CT if there are no life-threatening conditions expected or trauma presented.

Indexed as

Computed tomographyprimary headachesecondary headache

Identifiers

PMID30090777
PMCPMC6060924

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