Psychiatry Investig.
2019 Mar;16(3):199-205. 10.30773/pi.2018.11.23.
The Development of Evidence-Based Guideline for Diagnosis and Management of Headache in Korea
- Affiliations
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- 1Department of Psychiatry, College of Medicine, Chung-Ang University, Seoul, Republic of Korea.
- 2Department of Psychiatry, Korea University Ansan Hospital, Ansan, Republic of Korea.
- 3Department of Psychiatry, Catholic University of Daegu School of Medicine, Gyeongsan, Republic of Korea.
- 4Department of Psychiaty, College of Medicine, Kyung Hee University, Seoul, Republic of Korea.
- 5Department of Psychiatry, College of Medicine, Yeungnam University, Daegu, Republic of Korea.
- 6Department of Psychiatry, Seoul National University of Bundang Hospital, Seongnam, Republic of Korea.
- 7Department of Psychiatry, Korea University College of Medicine, Seoul, Republic of Korea.
- 8Deparment of Psychiatry, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Republic of Korea.
- 9Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
- 10National Rehabilitation Center, Seoul, Republic of Korea.
- 11Department of Psychiatry, Wonkwang University School of Medicine and Hospital, Iksan, Republic of Korea. psysangyeol@hanmail.net
- 12Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
- 13Department of Psychiatry, Konkuk University Medical Center, Seoul, Republic of Korea.
- 14Department of Neuropsychiatry, Eulji University School of Medicine, Seongnam, Republic of Korea.
- KMID: 2447259
- DOI: http://doi.org/10.30773/pi.2018.11.23
Abstract
OBJECTIVE
We aimed to develop the clinical guideline for headache by the systematic review and synthesis of existing evidence-based guidelines. The purpose of developing the guideline was to improve the appropriateness of diagnosis and treatment of headache disorder, and consequently, to improve patients' pain control and quality of life. The guideline broadly covers the differential diagnosis and treatment of tension-type headache, migraine, cluster headache, and medication-overuse headache.
METHODS
This is a methodological study based on the ADAPTE methodology, including a systematic review of the literature, quality assessment of the guidelines using the Appraisal of Clinical Guidelines for REsearch & Evaluation II (AGREE II) Instrument, as well as an external review using a Delphi technique. The inclusion criteria for systematic search were as follows: topic-relevant, up-to-date guidelines including evidence from within 5 years, evidence-based guidelines, guidelines written in English or Korean, and guidelines issued by academic institutions or government agencies.
RESULTS
We selected five guidelines and conducted their quality assessment using the AGREE II Instrument. As a result, one guideline was found to be eligible for adaptation. For 13 key questions, a total of 39 recommendations were proposed with the grading system and revised using the nominal group technique.
CONCLUSION
Recommendations should be applied to actual clinical sites to achieve the ultimate goal of this guideline; therefore, follow-up activities, such as monitoring of guideline usage and assessment of applicability of the recommendations, should be performed in the future. Further assessment of the effectiveness of the guideline in Korea is needed.
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