ReviewNeurology2021
Factors Associated With, and Mitigation Strategies for, Health Care Disparities Faced by Patients With Headache Disorders.
Open access · greenAbstract readReview
In one paragraph
Review in Neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% of its field
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.
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.
Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.
- Oral preventive medications for migraine in adults aged 18-65: a network meta-analysis.Frontiers in pharmacology · 2025Pooled it
- Trial
- Efficacy and Safety of Rimegepant for the Acute Treatment of Migraine in Adults of Hispanic or Latino Ethnicity: Post Hoc Analysis of Three Randomized, Placebo-Controlled Trials.Neurology and therapy · 2026Article
- Geographic variation in certified headache subspecialty availability in the United States.Headache · 2026Article
- Characteristics and Treatment Patterns in People with Burden of Migraine: A Subgroup Analysis of the OVERCOME Japan 2nd Study.Pain and therapy · 2026Article
- An Evolving Definition of Underserved Populations in Headache Medicine.Current pain and headache reports · 2026Review
- Migraine and risk of adverse obstetric outcomes: a matched cohort study of English linked electronic health records.BMC medicine · 2026Article
- Addressing the Treatment Gap for Pediatric Headache in Underserved Regions.Current pain and headache reports · 2026Review
- Disparities in Headache Care and Research in Children and Adolescents: A Narrative Review.Current pain and headache reports · 2026Review
- Prevalence, medication use, and health care utilization in pediatric primary headache: a school-based cross-sectional study.The journal of headache and pain · 2026Article
- Factors Influencing Healthcare Engagement Among Low-Income Women Experiencing Headaches.Cureus · 2026Article
- Digital Media Use in Adolescents with Migraine: A Topical Review.Current pain and headache reports · 2025Review
- Health disparities in neurology.Nature reviews. Neurology · 2025Review
- Socioeconomic Factors Associated With Migraine Medication Prescription at a Tertiary Headache Center: A Retrospective Cohort Analysis.Neurology. Clinical practice · 2025Article
- Hallmarks of primary headache: part 2- Tension-type headache.The journal of headache and pain · 2025Review
- Mind over migraine: Disease burden, innovative therapies, and managed care trends in treating migraine disease.Journal of managed care & specialty pharmacy · 2025Article
- Social Determinants of Genetics Referral and Completion Rates Among Pediatric Neurology Patients.Pediatric neurology · 2025Article
- Article
- Association of Race and Ethnicity With Emergency Room Rate of Migraine Diagnosis, Testing, and Management in Children With Headache.Neurology · 2025Observational
- Evaluating Modern Therapeutic Interventions for Migraine Management: A Systematic Review.Cureus · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
16 authors at 1 institution in 1 country.
Jessica KiarashiFrom the Department of Neurology and Neurotherapeutics (J.K.), UT Southwestern Medical Center, Dallas, TX; Department of Neurology (J.V.), Mayo Clinic, Scottsdale, AZ; Division of Neurology (C.L.S., M.A.), Children's Hospital of Philadelphia, PA; Departments of Neurology & Pediatrics (C.L.S.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Department of Neurology (S.T.), School of Medicine, University of Alabama at Birmingham; Departments of Neurology and Population Health (M.T.M.), NYU Langone Health, New York, NY; Department of Neurology (S.B.), Weill Cornell Medical College and New York Presbyterian Hospital, NY; UCSF Benioff Children's Hospital (A.C.R., A.E.W.), University of California, San Francisco; Ferkauf Graduate School of Psychology (M.M.), Yeshiva University, Bronx, NY; Department of Neurology (T.S.M.), University of Miami, Leonard M. Miller School of Medicine, FL; Departments of Neurology and Psychiatry (N.R.), Zucker School of Medicine and Northwell Health, Manhasset, NY; Orofacial Pain (S.L.M.), Division of Diagnostic Sciences, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles; Saul R. Korey Department of Neurology (E.S.), Albert Einstein College of Medicine, Bronx, NY; Carolina Headache Institute (A.F.), University of North Carolina School of Medicine, Durham; and Department of Neurology and Ophthalmology (L.C.), Michigan State University College of Human Medicine, East Lansing. jkiarashi@gmail.com.
Juliana VanderPluymFrom the Department of Neurology and Neurotherapeutics (J.K.), UT Southwestern Medical Center, Dallas, TX; Department of Neurology (J.V.), Mayo Clinic, Scottsdale, AZ; Division of Neurology (C.L.S., M.A.), Children's Hospital of Philadelphia, PA; Departments of Neurology & Pediatrics (C.L.S.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Department of Neurology (S.T.), School of Medicine, University of Alabama at Birmingham; Departments of Neurology and Population Health (M.T.M.), NYU Langone Health, New York, NY; Department of Neurology (S.B.), Weill Cornell Medical College and New York Presbyterian Hospital, NY; UCSF Benioff Children's Hospital (A.C.R., A.E.W.), University of California, San Francisco; Ferkauf Graduate School of Psychology (M.M.), Yeshiva University, Bronx, NY; Department of Neurology (T.S.M.), University of Miami, Leonard M. Miller School of Medicine, FL; Departments of Neurology and Psychiatry (N.R.), Zucker School of Medicine and Northwell Health, Manhasset, NY; Orofacial Pain (S.L.M.), Division of Diagnostic Sciences, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles; Saul R. Korey Department of Neurology (E.S.), Albert Einstein College of Medicine, Bronx, NY; Carolina Headache Institute (A.F.), University of North Carolina School of Medicine, Durham; and Department of Neurology and Ophthalmology (L.C.), Michigan State University College of Human Medicine, East Lansing.
Christina L SzperkaFrom the Department of Neurology and Neurotherapeutics (J.K.), UT Southwestern Medical Center, Dallas, TX; Department of Neurology (J.V.), Mayo Clinic, Scottsdale, AZ; Division of Neurology (C.L.S., M.A.), Children's Hospital of Philadelphia, PA; Departments of Neurology & Pediatrics (C.L.S.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Department of Neurology (S.T.), School of Medicine, University of Alabama at Birmingham; Departments of Neurology and Population Health (M.T.M.), NYU Langone Health, New York, NY; Department of Neurology (S.B.), Weill Cornell Medical College and New York Presbyterian Hospital, NY; UCSF Benioff Children's Hospital (A.C.R., A.E.W.), University of California, San Francisco; Ferkauf Graduate School of Psychology (M.M.), Yeshiva University, Bronx, NY; Department of Neurology (T.S.M.), University of Miami, Leonard M. Miller School of Medicine, FL; Departments of Neurology and Psychiatry (N.R.), Zucker School of Medicine and Northwell Health, Manhasset, NY; Orofacial Pain (S.L.M.), Division of Diagnostic Sciences, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles; Saul R. Korey Department of Neurology (E.S.), Albert Einstein College of Medicine, Bronx, NY; Carolina Headache Institute (A.F.), University of North Carolina School of Medicine, Durham; and Department of Neurology and Ophthalmology (L.C.), Michigan State University College of Human Medicine, East Lansing.ORCID 0000-0003-4786-8889
Scott TurnerFrom the Department of Neurology and Neurotherapeutics (J.K.), UT Southwestern Medical Center, Dallas, TX; Department of Neurology (J.V.), Mayo Clinic, Scottsdale, AZ; Division of Neurology (C.L.S., M.A.), Children's Hospital of Philadelphia, PA; Departments of Neurology & Pediatrics (C.L.S.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Department of Neurology (S.T.), School of Medicine, University of Alabama at Birmingham; Departments of Neurology and Population Health (M.T.M.), NYU Langone Health, New York, NY; Department of Neurology (S.B.), Weill Cornell Medical College and New York Presbyterian Hospital, NY; UCSF Benioff Children's Hospital (A.C.R., A.E.W.), University of California, San Francisco; Ferkauf Graduate School of Psychology (M.M.), Yeshiva University, Bronx, NY; Department of Neurology (T.S.M.), University of Miami, Leonard M. Miller School of Medicine, FL; Departments of Neurology and Psychiatry (N.R.), Zucker School of Medicine and Northwell Health, Manhasset, NY; Orofacial Pain (S.L.M.), Division of Diagnostic Sciences, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles; Saul R. Korey Department of Neurology (E.S.), Albert Einstein College of Medicine, Bronx, NY; Carolina Headache Institute (A.F.), University of North Carolina School of Medicine, Durham; and Department of Neurology and Ophthalmology (L.C.), Michigan State University College of Human Medicine, East Lansing.
Mia T MinenFrom the Department of Neurology and Neurotherapeutics (J.K.), UT Southwestern Medical Center, Dallas, TX; Department of Neurology (J.V.), Mayo Clinic, Scottsdale, AZ; Division of Neurology (C.L.S., M.A.), Children's Hospital of Philadelphia, PA; Departments of Neurology & Pediatrics (C.L.S.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Department of Neurology (S.T.), School of Medicine, University of Alabama at Birmingham; Departments of Neurology and Population Health (M.T.M.), NYU Langone Health, New York, NY; Department of Neurology (S.B.), Weill Cornell Medical College and New York Presbyterian Hospital, NY; UCSF Benioff Children's Hospital (A.C.R., A.E.W.), University of California, San Francisco; Ferkauf Graduate School of Psychology (M.M.), Yeshiva University, Bronx, NY; Department of Neurology (T.S.M.), University of Miami, Leonard M. Miller School of Medicine, FL; Departments of Neurology and Psychiatry (N.R.), Zucker School of Medicine and Northwell Health, Manhasset, NY; Orofacial Pain (S.L.M.), Division of Diagnostic Sciences, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles; Saul R. Korey Department of Neurology (E.S.), Albert Einstein College of Medicine, Bronx, NY; Carolina Headache Institute (A.F.), University of North Carolina School of Medicine, Durham; and Department of Neurology and Ophthalmology (L.C.), Michigan State University College of Human Medicine, East Lansing.
Susan BronerFrom the Department of Neurology and Neurotherapeutics (J.K.), UT Southwestern Medical Center, Dallas, TX; Department of Neurology (J.V.), Mayo Clinic, Scottsdale, AZ; Division of Neurology (C.L.S., M.A.), Children's Hospital of Philadelphia, PA; Departments of Neurology & Pediatrics (C.L.S.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Department of Neurology (S.T.), School of Medicine, University of Alabama at Birmingham; Departments of Neurology and Population Health (M.T.M.), NYU Langone Health, New York, NY; Department of Neurology (S.B.), Weill Cornell Medical College and New York Presbyterian Hospital, NY; UCSF Benioff Children's Hospital (A.C.R., A.E.W.), University of California, San Francisco; Ferkauf Graduate School of Psychology (M.M.), Yeshiva University, Bronx, NY; Department of Neurology (T.S.M.), University of Miami, Leonard M. Miller School of Medicine, FL; Departments of Neurology and Psychiatry (N.R.), Zucker School of Medicine and Northwell Health, Manhasset, NY; Orofacial Pain (S.L.M.), Division of Diagnostic Sciences, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles; Saul R. Korey Department of Neurology (E.S.), Albert Einstein College of Medicine, Bronx, NY; Carolina Headache Institute (A.F.), University of North Carolina School of Medicine, Durham; and Department of Neurology and Ophthalmology (L.C.), Michigan State University College of Human Medicine, East Lansing.
Alexandra C RossFrom the Department of Neurology and Neurotherapeutics (J.K.), UT Southwestern Medical Center, Dallas, TX; Department of Neurology (J.V.), Mayo Clinic, Scottsdale, AZ; Division of Neurology (C.L.S., M.A.), Children's Hospital of Philadelphia, PA; Departments of Neurology & Pediatrics (C.L.S.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Department of Neurology (S.T.), School of Medicine, University of Alabama at Birmingham; Departments of Neurology and Population Health (M.T.M.), NYU Langone Health, New York, NY; Department of Neurology (S.B.), Weill Cornell Medical College and New York Presbyterian Hospital, NY; UCSF Benioff Children's Hospital (A.C.R., A.E.W.), University of California, San Francisco; Ferkauf Graduate School of Psychology (M.M.), Yeshiva University, Bronx, NY; Department of Neurology (T.S.M.), University of Miami, Leonard M. Miller School of Medicine, FL; Departments of Neurology and Psychiatry (N.R.), Zucker School of Medicine and Northwell Health, Manhasset, NY; Orofacial Pain (S.L.M.), Division of Diagnostic Sciences, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles; Saul R. Korey Department of Neurology (E.S.), Albert Einstein College of Medicine, Bronx, NY; Carolina Headache Institute (A.F.), University of North Carolina School of Medicine, Durham; and Department of Neurology and Ophthalmology (L.C.), Michigan State University College of Human Medicine, East Lansing.
Amanda E WagstaffFrom the Department of Neurology and Neurotherapeutics (J.K.), UT Southwestern Medical Center, Dallas, TX; Department of Neurology (J.V.), Mayo Clinic, Scottsdale, AZ; Division of Neurology (C.L.S., M.A.), Children's Hospital of Philadelphia, PA; Departments of Neurology & Pediatrics (C.L.S.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Department of Neurology (S.T.), School of Medicine, University of Alabama at Birmingham; Departments of Neurology and Population Health (M.T.M.), NYU Langone Health, New York, NY; Department of Neurology (S.B.), Weill Cornell Medical College and New York Presbyterian Hospital, NY; UCSF Benioff Children's Hospital (A.C.R., A.E.W.), University of California, San Francisco; Ferkauf Graduate School of Psychology (M.M.), Yeshiva University, Bronx, NY; Department of Neurology (T.S.M.), University of Miami, Leonard M. Miller School of Medicine, FL; Departments of Neurology and Psychiatry (N.R.), Zucker School of Medicine and Northwell Health, Manhasset, NY; Orofacial Pain (S.L.M.), Division of Diagnostic Sciences, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles; Saul R. Korey Department of Neurology (E.S.), Albert Einstein College of Medicine, Bronx, NY; Carolina Headache Institute (A.F.), University of North Carolina School of Medicine, Durham; and Department of Neurology and Ophthalmology (L.C.), Michigan State University College of Human Medicine, East Lansing.
Marissa AntoFrom the Department of Neurology and Neurotherapeutics (J.K.), UT Southwestern Medical Center, Dallas, TX; Department of Neurology (J.V.), Mayo Clinic, Scottsdale, AZ; Division of Neurology (C.L.S., M.A.), Children's Hospital of Philadelphia, PA; Departments of Neurology & Pediatrics (C.L.S.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Department of Neurology (S.T.), School of Medicine, University of Alabama at Birmingham; Departments of Neurology and Population Health (M.T.M.), NYU Langone Health, New York, NY; Department of Neurology (S.B.), Weill Cornell Medical College and New York Presbyterian Hospital, NY; UCSF Benioff Children's Hospital (A.C.R., A.E.W.), University of California, San Francisco; Ferkauf Graduate School of Psychology (M.M.), Yeshiva University, Bronx, NY; Department of Neurology (T.S.M.), University of Miami, Leonard M. Miller School of Medicine, FL; Departments of Neurology and Psychiatry (N.R.), Zucker School of Medicine and Northwell Health, Manhasset, NY; Orofacial Pain (S.L.M.), Division of Diagnostic Sciences, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles; Saul R. Korey Department of Neurology (E.S.), Albert Einstein College of Medicine, Bronx, NY; Carolina Headache Institute (A.F.), University of North Carolina School of Medicine, Durham; and Department of Neurology and Ophthalmology (L.C.), Michigan State University College of Human Medicine, East Lansing.ORCID 0000-0001-5923-2285
Maya MarzoukFrom the Department of Neurology and Neurotherapeutics (J.K.), UT Southwestern Medical Center, Dallas, TX; Department of Neurology (J.V.), Mayo Clinic, Scottsdale, AZ; Division of Neurology (C.L.S., M.A.), Children's Hospital of Philadelphia, PA; Departments of Neurology & Pediatrics (C.L.S.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Department of Neurology (S.T.), School of Medicine, University of Alabama at Birmingham; Departments of Neurology and Population Health (M.T.M.), NYU Langone Health, New York, NY; Department of Neurology (S.B.), Weill Cornell Medical College and New York Presbyterian Hospital, NY; UCSF Benioff Children's Hospital (A.C.R., A.E.W.), University of California, San Francisco; Ferkauf Graduate School of Psychology (M.M.), Yeshiva University, Bronx, NY; Department of Neurology (T.S.M.), University of Miami, Leonard M. Miller School of Medicine, FL; Departments of Neurology and Psychiatry (N.R.), Zucker School of Medicine and Northwell Health, Manhasset, NY; Orofacial Pain (S.L.M.), Division of Diagnostic Sciences, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles; Saul R. Korey Department of Neurology (E.S.), Albert Einstein College of Medicine, Bronx, NY; Carolina Headache Institute (A.F.), University of North Carolina School of Medicine, Durham; and Department of Neurology and Ophthalmology (L.C.), Michigan State University College of Human Medicine, East Lansing.
Teshamae S MonteithFrom the Department of Neurology and Neurotherapeutics (J.K.), UT Southwestern Medical Center, Dallas, TX; Department of Neurology (J.V.), Mayo Clinic, Scottsdale, AZ; Division of Neurology (C.L.S., M.A.), Children's Hospital of Philadelphia, PA; Departments of Neurology & Pediatrics (C.L.S.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Department of Neurology (S.T.), School of Medicine, University of Alabama at Birmingham; Departments of Neurology and Population Health (M.T.M.), NYU Langone Health, New York, NY; Department of Neurology (S.B.), Weill Cornell Medical College and New York Presbyterian Hospital, NY; UCSF Benioff Children's Hospital (A.C.R., A.E.W.), University of California, San Francisco; Ferkauf Graduate School of Psychology (M.M.), Yeshiva University, Bronx, NY; Department of Neurology (T.S.M.), University of Miami, Leonard M. Miller School of Medicine, FL; Departments of Neurology and Psychiatry (N.R.), Zucker School of Medicine and Northwell Health, Manhasset, NY; Orofacial Pain (S.L.M.), Division of Diagnostic Sciences, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles; Saul R. Korey Department of Neurology (E.S.), Albert Einstein College of Medicine, Bronx, NY; Carolina Headache Institute (A.F.), University of North Carolina School of Medicine, Durham; and Department of Neurology and Ophthalmology (L.C.), Michigan State University College of Human Medicine, East Lansing.
Noah RosenFrom the Department of Neurology and Neurotherapeutics (J.K.), UT Southwestern Medical Center, Dallas, TX; Department of Neurology (J.V.), Mayo Clinic, Scottsdale, AZ; Division of Neurology (C.L.S., M.A.), Children's Hospital of Philadelphia, PA; Departments of Neurology & Pediatrics (C.L.S.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Department of Neurology (S.T.), School of Medicine, University of Alabama at Birmingham; Departments of Neurology and Population Health (M.T.M.), NYU Langone Health, New York, NY; Department of Neurology (S.B.), Weill Cornell Medical College and New York Presbyterian Hospital, NY; UCSF Benioff Children's Hospital (A.C.R., A.E.W.), University of California, San Francisco; Ferkauf Graduate School of Psychology (M.M.), Yeshiva University, Bronx, NY; Department of Neurology (T.S.M.), University of Miami, Leonard M. Miller School of Medicine, FL; Departments of Neurology and Psychiatry (N.R.), Zucker School of Medicine and Northwell Health, Manhasset, NY; Orofacial Pain (S.L.M.), Division of Diagnostic Sciences, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles; Saul R. Korey Department of Neurology (E.S.), Albert Einstein College of Medicine, Bronx, NY; Carolina Headache Institute (A.F.), University of North Carolina School of Medicine, Durham; and Department of Neurology and Ophthalmology (L.C.), Michigan State University College of Human Medicine, East Lansing.
Salvador L ManrriquezFrom the Department of Neurology and Neurotherapeutics (J.K.), UT Southwestern Medical Center, Dallas, TX; Department of Neurology (J.V.), Mayo Clinic, Scottsdale, AZ; Division of Neurology (C.L.S., M.A.), Children's Hospital of Philadelphia, PA; Departments of Neurology & Pediatrics (C.L.S.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Department of Neurology (S.T.), School of Medicine, University of Alabama at Birmingham; Departments of Neurology and Population Health (M.T.M.), NYU Langone Health, New York, NY; Department of Neurology (S.B.), Weill Cornell Medical College and New York Presbyterian Hospital, NY; UCSF Benioff Children's Hospital (A.C.R., A.E.W.), University of California, San Francisco; Ferkauf Graduate School of Psychology (M.M.), Yeshiva University, Bronx, NY; Department of Neurology (T.S.M.), University of Miami, Leonard M. Miller School of Medicine, FL; Departments of Neurology and Psychiatry (N.R.), Zucker School of Medicine and Northwell Health, Manhasset, NY; Orofacial Pain (S.L.M.), Division of Diagnostic Sciences, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles; Saul R. Korey Department of Neurology (E.S.), Albert Einstein College of Medicine, Bronx, NY; Carolina Headache Institute (A.F.), University of North Carolina School of Medicine, Durham; and Department of Neurology and Ophthalmology (L.C.), Michigan State University College of Human Medicine, East Lansing.
Elizabeth SengFrom the Department of Neurology and Neurotherapeutics (J.K.), UT Southwestern Medical Center, Dallas, TX; Department of Neurology (J.V.), Mayo Clinic, Scottsdale, AZ; Division of Neurology (C.L.S., M.A.), Children's Hospital of Philadelphia, PA; Departments of Neurology & Pediatrics (C.L.S.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Department of Neurology (S.T.), School of Medicine, University of Alabama at Birmingham; Departments of Neurology and Population Health (M.T.M.), NYU Langone Health, New York, NY; Department of Neurology (S.B.), Weill Cornell Medical College and New York Presbyterian Hospital, NY; UCSF Benioff Children's Hospital (A.C.R., A.E.W.), University of California, San Francisco; Ferkauf Graduate School of Psychology (M.M.), Yeshiva University, Bronx, NY; Department of Neurology (T.S.M.), University of Miami, Leonard M. Miller School of Medicine, FL; Departments of Neurology and Psychiatry (N.R.), Zucker School of Medicine and Northwell Health, Manhasset, NY; Orofacial Pain (S.L.M.), Division of Diagnostic Sciences, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles; Saul R. Korey Department of Neurology (E.S.), Albert Einstein College of Medicine, Bronx, NY; Carolina Headache Institute (A.F.), University of North Carolina School of Medicine, Durham; and Department of Neurology and Ophthalmology (L.C.), Michigan State University College of Human Medicine, East Lansing.
Alan FinkelFrom the Department of Neurology and Neurotherapeutics (J.K.), UT Southwestern Medical Center, Dallas, TX; Department of Neurology (J.V.), Mayo Clinic, Scottsdale, AZ; Division of Neurology (C.L.S., M.A.), Children's Hospital of Philadelphia, PA; Departments of Neurology & Pediatrics (C.L.S.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Department of Neurology (S.T.), School of Medicine, University of Alabama at Birmingham; Departments of Neurology and Population Health (M.T.M.), NYU Langone Health, New York, NY; Department of Neurology (S.B.), Weill Cornell Medical College and New York Presbyterian Hospital, NY; UCSF Benioff Children's Hospital (A.C.R., A.E.W.), University of California, San Francisco; Ferkauf Graduate School of Psychology (M.M.), Yeshiva University, Bronx, NY; Department of Neurology (T.S.M.), University of Miami, Leonard M. Miller School of Medicine, FL; Departments of Neurology and Psychiatry (N.R.), Zucker School of Medicine and Northwell Health, Manhasset, NY; Orofacial Pain (S.L.M.), Division of Diagnostic Sciences, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles; Saul R. Korey Department of Neurology (E.S.), Albert Einstein College of Medicine, Bronx, NY; Carolina Headache Institute (A.F.), University of North Carolina School of Medicine, Durham; and Department of Neurology and Ophthalmology (L.C.), Michigan State University College of Human Medicine, East Lansing.
Larry CharlestonFrom the Department of Neurology and Neurotherapeutics (J.K.), UT Southwestern Medical Center, Dallas, TX; Department of Neurology (J.V.), Mayo Clinic, Scottsdale, AZ; Division of Neurology (C.L.S., M.A.), Children's Hospital of Philadelphia, PA; Departments of Neurology & Pediatrics (C.L.S.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia; Department of Neurology (S.T.), School of Medicine, University of Alabama at Birmingham; Departments of Neurology and Population Health (M.T.M.), NYU Langone Health, New York, NY; Department of Neurology (S.B.), Weill Cornell Medical College and New York Presbyterian Hospital, NY; UCSF Benioff Children's Hospital (A.C.R., A.E.W.), University of California, San Francisco; Ferkauf Graduate School of Psychology (M.M.), Yeshiva University, Bronx, NY; Department of Neurology (T.S.M.), University of Miami, Leonard M. Miller School of Medicine, FL; Departments of Neurology and Psychiatry (N.R.), Zucker School of Medicine and Northwell Health, Manhasset, NY; Orofacial Pain (S.L.M.), Division of Diagnostic Sciences, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles; Saul R. Korey Department of Neurology (E.S.), Albert Einstein College of Medicine, Bronx, NY; Carolina Headache Institute (A.F.), University of North Carolina School of Medicine, Durham; and Department of Neurology and Ophthalmology (L.C.), Michigan State University College of Human Medicine, East Lansing.ORCID 0000-0002-7708-5394
Cornell University · US
Funding
Clinical Decision Support for Patient Migraine ManagementK23NS096107 · NINDS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI SENG-TAMACCIO, ELIZABETH K · 2016 to 2020
$965kOccipital Nerve Blocks for Acute Treatment of Pediatric MigraineK23NS102521 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI SZPERKA, CHRISTINA LYNCH · 2018 to 2022
$940kProgressive Muscle Relaxation for Chronic Pain in an Acute Care SettingK23AT009706 · NCCIH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MINEN, MIA · 2018 to 2022
$923kNCCIH NIH HHS K23 AT009706NINDS NIH HHS K23 NS096107NINDS NIH HHS K23 NS102521
Abstract
objectiveTo review contemporary issues of health care disparities in headache medicine with regard to race/ethnicity, socioeconomic status (SES), and geography and propose solutions for addressing these disparities.
methodsAn Internet and PubMed search was performed and literature was reviewed for key concepts underpinning disparities in headache medicine. Content was refined to areas most salient to our goal of informing the provision of equitable care in headache treatment through discussions with a group of 16 experts from a range of headache subspecialties.
resultsTaken together, a multitude of factors, including racism, SES, insurance status, and geographical disparities, contribute to the inequities that exist within the health care system when treating headache disorders. Interventions such as improving public education, advocacy, optimizing telemedicine, engaging in community outreach to educate primary care providers, training providers in cultural sensitivity and competence and implicit bias, addressing health literacy, and developing recruitment strategies to increase representation of underserved groups within headache research are proposed as solutions to ameliorate disparities.
conclusionNeurologists have a responsibility to provide and deliver equitable care to all. It is important that disparities in the management of headache disorders are identified and addressed.
Indexed as
Headache DisordersHealthcare DisparitiesHumans
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