ArticleThe journal of headache and pain2019
The HUNT4 study: the validity of questionnaire-based diagnoses.
Article in The journal of headache and pain, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Validation studies on migraine diagnostic tools for use in nonclinical settings: a systematic review.Arquivos de neuro-psiquiatria · 2023Pooled it
- IMU50: a high-frequency multi-modal wrist-worn IMU dataset of 50 subjects over 5 continuous days for supervised and self-supervised learning in free-living conditions.Data in brief · 2026Article
- Childhood maltreatment, trauma, and pain: trauma-related symptoms as mediators in a high-risk group.Pain reports · 2026Article
- Article
- Migraine through puberty and menopausal transition-data from the population-based Norwegian Women and Health study (NOWAC).The journal of headache and pain · 2025Article
- Sensory Nerve Conduction Amplitudes and Z-Compounds Depend on Body Mass Index in Overweight and Obese Individuals.Muscle & nerve · 2025Article
- Is migraine a common manifestation of CADASIL? Arguments Pros.The journal of headache and pain · 2025Article
- Validation of Trøndelag Apnoea Score Proxy for Obstructive Sleep Apnoea in the General Population of Norway: The HUNT Study.Sleep disorders · 2024Article
- Cohort Profile Update: The HUNT Study, Norway.International journal of epidemiology · 2023Article
- Development and validation of a web-based headache diagnosis questionnaire.Scientific reports · 2022Article
- The bidirectional temporal relationship between headache and affective disorders: longitudinal data from the HUNT studies.The journal of headache and pain · 2022Article
- High sensitivity C-reactive protein and risk of migraine in a 11-year follow-up with data from the Nord-Trøndelag health surveys 2006-2008 and 2017-2019.The journal of headache and pain · 2020Article
- Time trends of major headache diagnoses and predictive factors. Data from three Nord-Trøndelag health surveys.The journal of headache and pain · 2020Article
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Authors and funding
6 authors.
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Abstract
backgroundQuestionnaire-based headache diagnoses should be validated against diagnoses made by the gold standard, which is personal interview by a headache expert. The diagnostic algorithm with the best diagnostic accuracy should be used when later analysing the data.
methodsThe Nord-Trøndelag Health Study (HUNT4) was performed between 2017 and 2019. Among HUNT4 participants, a total of 232 (19.3%) out of 1201 randomly invited were interviewed by a headache expert to assess the sensitivity, specificity and kappa value of the questionnaire-based headache diagnoses.
resultsThe median interval between answering the headache questions and the validation interview was 60 days (95% CI 56-62 days). The best agreements were found for self-reported lifetime migraine (sensitivity of 59%, specificity of 99%, and a kappa statistic of 0.65, 95% CI 0.55-0.75), self-reported active migraine (sensitivity of 50%, specificity of 97%, and a kappa statistic of 0.55, 95% 0.39-0.71), liberal criteria of migraine (sensitivity of 64%, specificity of 93%, and a kappa statistic of 0.58, 95% CI 0.43-0.73) and ICDH3-based migraine ≥1 days/month (sensitivity of 50%, specificity of 94%, and a kappa statistic of 0.49, 95% CI 0.30-0.68). For headache suffering ≥1 days/month a sensitivity of 90%, specificity 80%, and a kappa statistic of 0.55, 95% CI 0.41-0-69 were found. For tension-type headache (TTH) ≥ 1 days/month the agreement was 0.33 (95% CI 0.17-0.49).
conclusionThe HUNT4 questionnaire is a valid tool for identifying persons with lifetime migraine, self-reported active migraine and active migraine applying liberal modified criteria. The agreement for TTH was fair.
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