Validation of a Digital Headache Calendar at a Tertiary Referral Center
Background: Headache calendars are essential tools in monitoring changes in headache frequency and type. They are used in clinical practice for long-term monitoring, but their validation remains limited. The aim of this study was to validate the use of a digital calendar in monitoring single migrain...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-12-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/14/1/21 |
| _version_ | 1797359023241035776 |
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| author | Amalie Kjerrumgaard Jeppe Hvedstrup Louise Ninett Carlsen Kristine Dyre Henrik Schytz |
| author_facet | Amalie Kjerrumgaard Jeppe Hvedstrup Louise Ninett Carlsen Kristine Dyre Henrik Schytz |
| author_sort | Amalie Kjerrumgaard |
| collection | DOAJ |
| description | Background: Headache calendars are essential tools in monitoring changes in headache frequency and type. They are used in clinical practice for long-term monitoring, but their validation remains limited. The aim of this study was to validate the use of a digital calendar in monitoring single migraine and tension-type headache attacks. Methods: From July 2022 to February 2023, patients diagnosed with migraine and tension-type headache were enrolled. The validation of the digital calendar involved the comparison of self-reported single headache attacks in the digital calendar with the diagnostic headache diary based on the ICHD-3 criteria for migraine and tension-type headache. Sensitivity and specificity were calculated to assess reliability, and the level of agreement was calculated using kappa statistics. Results: This study included 30 patients (87% women) diagnosed with migraine and tension-type headache. The level of agreement in the classification of a single migraine attack revealed a sensitivity of 82% and a specificity of 78%, representing a substantial level of agreement (κ = 0.60). The classification of a single tension-type headache attack revealed a sensitivity of 84% and a specificity of 72%, with a moderate level of agreement (κ = 0.54). Conclusions: The digital calendar proves effective in monitoring single headache attacks in patients with migraine and tension-type headache. In clinical practice, we recommend using the digital calendar as a monitoring tool for headache patients, as they can accurately identify true migraine and tension-type headache days. |
| first_indexed | 2024-03-08T15:09:40Z |
| format | Article |
| id | doaj.art-b8bf8f5ba9fb4253b02d115de60ce6f0 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-08T15:09:40Z |
| publishDate | 2023-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-b8bf8f5ba9fb4253b02d115de60ce6f02024-01-10T14:53:38ZengMDPI AGDiagnostics2075-44182023-12-011412110.3390/diagnostics14010021Validation of a Digital Headache Calendar at a Tertiary Referral CenterAmalie Kjerrumgaard0Jeppe Hvedstrup1Louise Ninett Carlsen2Kristine Dyre3Henrik Schytz4Danish Headache Center, Department of Neurology, Copenhagen University Hospital—Rigshospitalet-Glostrup, 2600 Glostrup, DenmarkDanish Headache Center, Department of Neurology, Copenhagen University Hospital—Rigshospitalet-Glostrup, 2600 Glostrup, DenmarkDanish Headache Center, Department of Neurology, Copenhagen University Hospital—Rigshospitalet-Glostrup, 2600 Glostrup, DenmarkCenter for IT and Medical Technology, Department Patient at Home, Team Prevention and Outpatient Treatment, The Capital Region of Denmark, 2100 Copenhagen, DenmarkDanish Headache Center, Department of Neurology, Copenhagen University Hospital—Rigshospitalet-Glostrup, 2600 Glostrup, DenmarkBackground: Headache calendars are essential tools in monitoring changes in headache frequency and type. They are used in clinical practice for long-term monitoring, but their validation remains limited. The aim of this study was to validate the use of a digital calendar in monitoring single migraine and tension-type headache attacks. Methods: From July 2022 to February 2023, patients diagnosed with migraine and tension-type headache were enrolled. The validation of the digital calendar involved the comparison of self-reported single headache attacks in the digital calendar with the diagnostic headache diary based on the ICHD-3 criteria for migraine and tension-type headache. Sensitivity and specificity were calculated to assess reliability, and the level of agreement was calculated using kappa statistics. Results: This study included 30 patients (87% women) diagnosed with migraine and tension-type headache. The level of agreement in the classification of a single migraine attack revealed a sensitivity of 82% and a specificity of 78%, representing a substantial level of agreement (κ = 0.60). The classification of a single tension-type headache attack revealed a sensitivity of 84% and a specificity of 72%, with a moderate level of agreement (κ = 0.54). Conclusions: The digital calendar proves effective in monitoring single headache attacks in patients with migraine and tension-type headache. In clinical practice, we recommend using the digital calendar as a monitoring tool for headache patients, as they can accurately identify true migraine and tension-type headache days.https://www.mdpi.com/2075-4418/14/1/21migrainetension-type headachedigital calendarvalidation study |
| spellingShingle | Amalie Kjerrumgaard Jeppe Hvedstrup Louise Ninett Carlsen Kristine Dyre Henrik Schytz Validation of a Digital Headache Calendar at a Tertiary Referral Center Diagnostics migraine tension-type headache digital calendar validation study |
| title | Validation of a Digital Headache Calendar at a Tertiary Referral Center |
| title_full | Validation of a Digital Headache Calendar at a Tertiary Referral Center |
| title_fullStr | Validation of a Digital Headache Calendar at a Tertiary Referral Center |
| title_full_unstemmed | Validation of a Digital Headache Calendar at a Tertiary Referral Center |
| title_short | Validation of a Digital Headache Calendar at a Tertiary Referral Center |
| title_sort | validation of a digital headache calendar at a tertiary referral center |
| topic | migraine tension-type headache digital calendar validation study |
| url | https://www.mdpi.com/2075-4418/14/1/21 |
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