Evidence map›Paper›PMID 32227596›Full record

ArticleHeadache2020

Migraine Care in the Era of COVID-19: Clinical Pearls and Plea to Insurers.

Christina L Szperka, Jessica Ailani, Rebecca Barmherzig, Brad C Klein, Mia T Minen, Rashmi B Halker Singh, Robert E Shapiro

Open access · bronzeAbstract read
In one paragraph

Article in Headache, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
14.8field-weighted citation impact, top 1% of its field
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

54 citing papers in PubMed, 1 synthesis or guideline pooled it, 107 citations in OpenAlex.

  1. Pooled it
  2. Telemedicine for headache disorders in real-world practice: from patient experience to health system impact.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Post-COVID Headache: A Literature Review.Current pain and headache reports · 2022
    Review
  13. Article
  14. Observational
  15. Chronic low back pain during COVID-19 lockdown: is there a paradox effect?European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Neurological Effects of COVID-19 in Children.Pediatric clinics of North America · 2021
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 7 institutions in 1 country.

Christina L SzperkaDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Jessica AilaniDepartment of Neurology, Medstar Georgetown University Hospital, Washington, DC, USA.
Rebecca BarmherzigDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Brad C KleinAbington Neurological Associates, Ltd., Abington, PA, USA.
Mia T MinenDepartments of Neurology and Population Health, NYU Langone Health, New York, NY, USA.
Rashmi B Halker SinghDepartment of Neurology, Mayo Clinic, Phoenix, AZ, USA.
Robert E ShapiroDepartment of Neurological Sciences, Larner College of Medicine, University of Vermont, Burlington, VA, USA.
Abington Memorial Hospital · USChildren's Hospital of Philadelphia · USGeorgetown University · USNYU Langone Health · USUniversity of Pennsylvania · USUniversity of Vermont · USWinnMed · US

Funding

Occipital Nerve Blocks for Acute Treatment of Pediatric MigraineK23NS102521 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI SZPERKA, CHRISTINA LYNCH · 2018 to 2022
$940k
Progressive Muscle Relaxation for Chronic Pain in an Acute Care SettingK23AT009706 · NCCIH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MINEN, MIA · 2018 to 2022
$923k
NCCIH NIH HHS K23 AT009706NINDS NIH HHS K23 NS102521
6 · The paper itself

Abstract

objectiveTo outline strategies for the treatment of migraine which do not require in-person visits to clinic or the emergency department, and to describe ways that health insurance companies can remove barriers to quality care for migraine.

backgroundCOVID-19 is a global pandemic causing widespread infections and death. To control the spread of infection we are called to observe "social distancing" and we have been asked to postpone any procedures which are not essential. Since procedural therapies are a mainstay of headache care, the inability to do procedures could negatively affect our patients with migraine. In this manuscript we review alternative therapies, with particular attention to those which may be contra-indicated in the setting of COVID-19 infection. DESIGN/

resultsThe manuscript reviews the use of telemedicine visits and acute, bridge, and preventive therapies for migraine. We focus on evidence-based treatment where possible, but also describe "real world" strategies which may be tried. In each section we call out areas where changes to rules from commercial health insurance companies would facilitate better migraine care.

conclusionsOur common goal as health care providers is to maximize the health and safety of our patients. Successful management of migraine with avoidance of in-person clinic and emergency department visits further benefits the current urgent societal goal of maintaining social distance to contain the COVID-19 pandemic.

Indexed as

PandemicsCoronavirus InfectionsCOVID-19HumansInsurance, HealthMigraine DisordersPneumonia, ViralTelemedicineUnited StatesCOVID-19migrainetelemedicinetreatment

Identifiers

PMID32227596
PMCPMC7228371
OpenAlexW3013053649

What OpenQuestion holds

Textmetadata
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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.