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Master Thesis

Prise en charge de la migraine de l'adulte en médecine générale : évaluation des pratiques thérapeutiques en aigu et en chronique à l'échelle régionale

Abstract : Migraine is a frequent condition in general practice. However, it remains under-medicalised despite a significant functional impact. The objective of this study was to make an inventory practices for the treatment of acute and chronic migraine in general medicine. The objective was also to observe the evaluation of the quality of life by practitioners to elaborate propositions to improve this. A questionnaire for general practitioners (GPs) in Rhône-Alpes has been achieved. We received 76 responses. Besides, we conducted an analysis of consultation for migraine in emergency department of CHU de Grenoble in 2011. Our study showed that the recommendations on a crisis treatment are followed. The effectiveness of these treatments, however, is poorly evaluated. It is the same for preventive therapeutic. The use of specialist is not systematic and is mainly in situations of diagnostic uncertainty or treatment failure. Concerning the measurement of the quality of life of migraine patients, GPs say they are partially satisfied with their assessment, based primarily on listening to the patient and drug consumption. They do not use the means structured and published and are seeking training on non-drug therapies and education for patients. At the emergency department, imaging is commonly prescribed, and therapeutic practices are consistent with the recommendations.Evaluation of therapeutic and functional impact of migraine should be the focus of the next revision of the recommendations of the HAS. The use of recommended treatments depending on the factor "medical consultation", then it seems important to book this consultation the place it deserves.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00741476
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Submitted on : Friday, October 12, 2012 - 5:32:39 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:17 AM
Long-term archiving on: : Saturday, December 17, 2016 - 12:26:29 AM

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  • HAL Id : dumas-00741476, version 1

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Marie Popier. Prise en charge de la migraine de l'adulte en médecine générale : évaluation des pratiques thérapeutiques en aigu et en chronique à l'échelle régionale. Médecine humaine et pathologie. 2012. ⟨dumas-00741476⟩

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