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Table 4 Level of compliance with standards for the indicators assessed

From: Quality assurance in specialized headache units in Spain: an observational prospective study

Indicators studied

Indicators that meet the benchmark standard (n/N)

Benchmark*

Overall compliance of the standard (YES/NO)

CEF1. Percentage of patients diagnosed with primary chronic headache who, in a period of one year, attend the Emergency Room due to headache or complications of treatment.

5/7

< 30%

YES

CEF2. Percentage of patients with chronic migraine who improve in the assessment according to the MIDAS scale, pre-post measure, at three months following therapeutic intervention.

7/7

> 50%

YES

CEF3. Percentage of patients with primary chronic headache who progress to episodic headache (<  15 days of pain per month) after treatment.

7/7

> 50%

YES

CEF4. Percentage of patients who obtain more than 7/10 points on scales that measure satisfaction with the care provided.

7/7

> 70%

YES

CEF5. Percentage of patients with primary chronic headache treated in the Unit with at least one period of sick leave due to headache in the previous three months.

7/7

< 30%

YES

CEF6. Percentage of patients with primary headache receiving preventive treatment three months after their prescription.

7/7

> 50%

YES

CEF7. Percentage of patients with primary headache in analgesic treatment for more than 10 days a month in the last 3 months in the Specialized Headache Units.

1/7

< 30%

NO

CEF8. Percentage of patients with a diagnosis of primary headache in the Specialized Headache Units or Doctor’s Surgery, without repetition of neuroimaging studies in a one-year period.

0/7

> 70%

NO

CEF9. Percentage of patients with primary chronic headache in non-recommended symptomatic treatment.

4/7

< 30%

YES

CEF10. Percentage of patients with primary chronic headache who suffer one or more adverse events which resulted in treatment being withdrawn.

5/7

< 40%

YES

CEF11. Percentage of patients with cluster headache attended within seven days from the onset.

3/7

> 70%

NO

CEF12. Percentage of pregnant patients with primary headache attended within 15 days of the positive pregnancy test.

3/7

> 70%

NO

CEF13. Percentage of patients with cluster headache episode who have home oxygen therapy.

4/7

> 50%

NO

  1. *Source: Carrillo I, Pozo-Rosich P, Guilabert M, Ignacio E, Pascual J, Porta J, Guerrero A, Mira JJ. Portfolio of services and basic chart of quality indicators for the Specialized Headache Units. Consensus Study. Journal of Neurology. 2018;68:118-122.