The burden of headache in China: validation of diagnostic questionnaire for a population-based survey

The Journal of Headache and Pain

Original

Xiu-Tang Cao¹  Xiang-Yang Qiao²  Ruo-Zhuo Liu³  Sheng-Yuan Yu³  Yan-Nan Fang⁴  Jia-Chun Feng⁵  Gang Zhao⁶  Xiao-Su Yang⁷  Timothy J. Steiner⁸ 

[1] Department of Health and Economics, Chinese PLA General Hospital, Beijing, China;Department of Neurology, Affiliated Huashan Hospital of Fudan University, Shanghai, China;Department of Neurology, Chinese PLA General Hospital, Fuxing Road 28, Haidian District, 100853, Beijing, China;Department of Neurology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong Province, China;Department of Neurology, The First Hospital of Jilin University, Changchun, Jilin Province, China;Department of Neurology, The Fourth Military Medical University, Xian, Shaanxi Province, China;Department of Neurology, Xiaya Hospital of Centre-south University, Changsha, Hunan Province, China;Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway;

关键词: Epidemiology;    Questionnaire;    Headache;    Migraine;    Tension-type headache;    Burden of headache;   

DOI  :  10.1007/s10194-011-0336-2

 received in 2010-10-20, accepted in 2010-12-13,  发布年份 2011

来源: Springer

【 摘 要 】

The objective of this study was to test the validity, in the Chinese population, of the Lifting The Burden diagnostic questionnaire for the purpose of a population-based survey of the burden of headache in China. From all regions of China, a population-based sample of 417 respondents had completed the structured questionnaire in a door-to-door survey conducted by neurologists from local hospitals calling unannounced. They were contacted for re-interview by telephone by headache specialists who were unaware of the questionnaire diagnoses. A screening question ascertained whether headache had occurred in the last year. If they had, the specialists applied their expertise and ICHD-II diagnostic criteria to make independent diagnoses which, as the gold standard, were later compared with the questionnaire diagnoses. There were 18 refusals; 399 interviews were conducted in 202 women and 197 men aged 18–65 years (mean age 44.4 ± 12.6 years). In comparison to the specialists’ diagnoses, the sensitivity, specificity, positive predictive value, negative predictive value and Cohen’s kappa (95% CI) of the questionnaire for the diagnosis of migraine were 0.83, 0.99, 0.83, 0.99 and 0.82 (0.71–0.93), respectively; for the diagnosis of tension-type headache (TTH), they were 0.51, 0.99, 0.86, 0.92 and 0.59 (0.46–0.72), respectively. In conclusion, the questionnaire was accurate and reliable in diagnosing migraine (agreement level excellent), less so, but adequate, for TTH (sensitivity relatively low, false negative rate relatively high and agreement level fair to good). The non-specific features of TTH do not lend themselves well to diagnosis by questionnaire.

【 授权许可】

CC BY   
© The Author(s) 2011