From: Study on management of pediatric migraine by general practitioners in northern France
Total | Urban | Rural | OR [CI] | |
---|---|---|---|---|
Question 1. Medication of first intention | ||||
1. Aspirin | 10 | 14 | 6 | 1.2 [0.4–3.8] |
2. Diclofenac | 0 | 0 | 0 | – |
3. Ibuprofen | 45 | 36 | 54 | 0.5 [0.2–1.1] |
4. Niflumic acid | 1 | 2 | 0 | 0.3 [0.1–8.2] |
5. Opioids | 0 | 0 | 0 | – |
6. Paracetamol | 44 | 48 | 40 | 1.3 [0.6–3.1] |
7. Sumatriptan | 0 | 0 | 0 | – |
8. Other | 0 | 0 | 0 | – |
Question 2. Medication of second intention | ||||
1. Ibuprofen | 44 | 46 | 42 | 1.2 [0.5–2.5] |
2. Ergotamine | 2 | 4 | 0 | 3.1 [0.1–77] |
3. Opioids | 0 | 0 | 0 | – |
4. Paracetamol | 24 | 18 | 30 | 0.5 [0.2–1.3] |
5. Sumatriptan | 16 | 12 | 10 | 0.9 [0.3–2.9] |
6. Other triptan | 1 | 2 | 0 | 3.01 [0.1–77] |
7. Aspirin | 12 | 14 | 10 | 1.5 [0.6–3.9] |
Question 3. Dose of ibuprofen | ||||
1. 7.5–10 mg/kg/dose | 3 | 2 | 4 | 0.5 [0.08–2.7] |
2. Dose recommended for body weight | 96 | 96 | 96 | 1 [0.13–7.4] |
3. Other | 1 | 2 | 0 | 5.2 [0.2–111] |
Question 4. Number of ibuprofen doses | ||||
1. 1–2 doses | 44 | 50 | 38 | 1.6 [0.7–3.6] |
2. >2 doses | 56 | 50 | 62 | 0.6 [0.3–1.4] |
Question 5. Reasons of ibuprofen non prescription | ||||
1. Not the reference medication | 17 | 20 | 14 | 1.8 [0.6–5.4] |
2. Too long onset of action | 2 | 4 | 0 | 5.2 [0.2–111] |
3. Adverse effects/toxicity | 26 | 26 | 26 | 1 |
4. Not indicated/ineffective | 6 | 6 | 6 | 1 |
5. No answer | 45 | 36 | 54 | – |
6. Free answer | 8 | 16 | 0 | – |
Question 6. Criteria to start preventive treatment | ||||
1. Frequency of migraine attacks | 76 | 64 | 88 | 0.3 [0.1–0.7]* |
2. Intensity of migraine attacks | 27 | 28 | 26 | 1.1 [0.5–2.7] |
3. Functional disability | 55 | 52 | 58 | 0.8 [0.4–1.8] |
4. Failure/poor tolerance of abortive drugs | 41 | 36 | 46 | 0.7 [0.3–1.5] |
5. Other | 6 | 12 | 0 | – |
Question 7. Type of first intention preventive treatment | ||||
1. Pharmacological treatment | 40 | 22 | 58 | 0.3 [0.1–0.5]* |
2. Non-pharmacological treatment | 8 | 10 | 6 | 1.8 [0.4–7.7] |
3. None | 52 | 68 | 36 | 2.3 [1, 1–5]* |
Question 8. Referral to a specialist | ||||
1. Failure of first intention abortive drug | 17 | 14 | 20 | 7.4 [0.4–147] |
2. Failure of second intention abortive drug | 53 | 58 | 48 | 1.4 [0.7–3.3] |
3. Frequent and/or disabling attacks | 56 | 58 | 54 | 1.6 [0.7–3.5] |
4. Start preventive treatment | 52 | 58 | 46 | 2.1 [0.3–12] |
5. As a matter of course | 6 | 8 | 4 | 0.8 [0.3–2.4] |
6. Other | 3 | 6 | 0 | – |
Question 9. Knowledge of HAS guidelines for pediatric migraine | ||||
1. Yes | 54 | 48 | 60 | 0.6 [0.3–1.3] |
2. No | 46 | 52 | 40 | 1.6 [0.7–3.5] |
Question 10. Reading of HAS guidelines for pediatric migraine | ||||
1. Yes | 24 | 24 | 24 | 1 [0.4–2.5] |
2. No | 76 | 76 | 76 | 1 [0.4–2.5] |