Evidence map›Paper›PMID 42465551›Full record

ArticleFrontiers in neurology

Headache service quality in Egypt: current status, identified gaps, and strategic directions.

Amr Hassan, Mona Hussein, Rehab Magdy, Derya Uludüz, Aynur Özge, Semih Taşdelen, Sarkhan Amirguliyev, Tayyar Şaşmaz, Mohamad Osama Abdulghani, Ramez Reda Moustafa and 10 more

Abstract read
In one paragraph

Article in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

20 authors.

Amr HassanDepartment of Neurology, Cairo University, Cairo, Egypt.
Mona HusseinDepartment of Neurology, Beni-Suef University, Beni-Suef, Egypt.
Rehab MagdyDepartment of Neurology, Cairo University, Cairo, Egypt.
Derya UludüzDepartment of Neurology, Medical Faculty, Istanbul Atlas University, Istanbul, Türkiye.
Aynur ÖzgeHeadache Clinic, Mersin, Türkiye.
Semih TaşdelenDepartment of Neurology, İstanbul Faculty of Medicine, İstanbul University, Istanbul, Türkiye.
Sarkhan AmirguliyevAzerbaijan State Institute of Advanced Training of Doctors Named After Aziz Aliyev, Baku, Azerbaijan.
Tayyar ŞaşmazSchool of Medicine, Mersin University, Mersin, Türkiye.
Mohamad Osama AbdulghaniDepartment of Neurology, Ain Shams University, Cairo, Egypt.
Ramez Reda MoustafaDepartment of Neurology, Ain Shams University, Cairo, Egypt.
Ahmed EssmatDepartment of Neurology, Al Azhar University, Cairo, Egypt.
Osama YacoubDepartment of Neurology, Cairo University, Cairo, Egypt.
Mohamed AbdelghaffarDepartment of Neurology, Fayoum University, Fayoum, Egypt.
Nourhan Abdelmohsen TahaDepartment of Neurology, Ain Shams University, Cairo, Egypt.
Anas ElgenidiDepartment of Neurology, Cairo University, Cairo, Egypt.
Nahla MerghanyDepartment of Neurology, Cairo University, Cairo, Egypt.
Sherien Mohamed FaragDepartment of Neurology, Ain Shams University, Cairo, Egypt.
May M FayezDepartment of Neurology, El Mounira Hospital, Ministry of Health, Cairo, Egypt.
Doaa Mahmoud KhalilDepartment of Public Health and Community Medicine, Beni-Suef University, Beni-Suef, Egypt.
Rami BursteinDepartment of Anaesthesia, Critical Care and Pain Medicine, Deaconess Medical Center, Boston, MA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Headache disorders are a leading cause of disability worldwide, yet service delivery in low- and middle-income countries (LMICs) like Egypt remains understudied. This study aimed to assess the national landscape of headache care in Egypt, focusing on provider training, treatment access, medication availability, and systemic disparities. Methods: This cross-sectional study is part of a larger multinational initiative conducted under the auspices of the International Headache Society (IHS). The study included 321 Egyptian neurologists. The data collection process was carried out through both electronic surveys and in-person interviews. The surveys included questions covering the following items: profile of headache patients, characteristics of healthcare services available for headache patients, headache medication choices and affordability, and perceived barriers to proper headache management. Results: Based on the neurologists' perspective, the primary headaches accounted for 85% (65-90%) of all headache cases, whereas secondary headaches accounted for 10% (5-20%) of headache cases. About 91.9% of the neurologists reported that anxiety was the most common comorbidity with headache, followed by depression (81.9%). Approximately 80.1% ( Conclusion: This study identifies urgent gaps in the equity, affordability, and structure of headache care in Egypt. Policy action is needed to implement structured headache services, expand provider training, and improve access to essential and newly developed medications.

Indexed as

Egyptlow- and middle-income countries (LMICs)medication accessprovider trainingstructured headache services

Identifiers

PMID42465551
PMCPMC13372702

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.