Detoxification in medication-overuse headache, a retrospective controlled follow-up study: Does care by a headache nurse lead to cure?

Abstract

The support by a headache nurse results in an increased adherence to detoxification.

A Nursing Intervention Increases Quality of Life and Self‐Efficacy in Migraine: A 1‐Year Prospective Controlled Trial

“…21 Studies on specific nursing interventions in headache medicine have shown positive results on diagnostic screening, overuse withdrawal, referral to neurologists, and relaxation training. [22][23][24][25] We aimed to study if a longitudinal intervention with a nurse only, of a relatively limited total duration, and focusing on behavioral management of migraine, could improve the outcomes of migraine patients.…”

Treatment of medication overuse headache—A review

“…40 In line with this, the large Comoestas study showed that an electronic diary that was able to provide feedback and also included the possibility to contact the headache doctors or nurses significantly reduced the number of patients who relapsed to MOH. A recent randomized study demonstrated that the group having the support of a headache nurse during withdrawal treatment resulted in a larger chance of successful withdrawal.…”

“…A recent randomized study demonstrated that the group having the support of a headache nurse during withdrawal treatment resulted in a larger chance of successful withdrawal. 40 In line with this, the large Comoestas study showed that an electronic diary that was able to provide feedback and also included the possibility to contact the headache doctors or nurses significantly reduced the number of patients who relapsed to MOH. 41 Short psychodynamic psychotherapy after inpatient withdrawal resulted in reduced medication use and smaller relapse to MOH.…”

“…The comparative studies of having the support of a headache nurse, 40 an electronic diary, 41 and receiving psychotherapy all have in common that the patients received close follow-up or had the possibility to contact the clinic and for the staff to direct the treatment more to the specific MOH patient-that is, give a more personalized treatment. The comparative studies of having the support of a headache nurse, 40 an electronic diary, 41 and receiving psychotherapy all have in common that the patients received close follow-up or had the possibility to contact the clinic and for the staff to direct the treatment more to the specific MOH patient-that is, give a more personalized treatment.…”

“…Numerous studies describe an effect of multidisciplinary or other non-pharmacologic treatment but have not evaluated this in a controlled setting. The comparative studies of having the support of a headache nurse, 40 an electronic diary, 41 and receiving psychotherapy all have in common that the patients received close follow-up or had the possibility to contact the clinic and for the staff to direct the treatment more to the specific MOH patient-that is, give a more personalized treatment. This support can probably prevent relapse.…”