title: [Approach of neurologists in Spain to migraine: results of the CIEN-mig project (I)].
abstract: BACKGROUND
  Headache is the most frequent neurological reason for consultation in our country.
  
  
  OBJECTIVE
  To obtain descriptive data on the approach and satisfaction of the neurologist regarding the diagnosis, burden and management of headaches, and migraine in particular, together with the relationship with primary care physicians (PCP).
  
  
  METHODS
  A total of 160 neurologists participated and answered electronically five questionnaires during one year. The results for patients were obtained in a standard clinic day and for the first 10 patients.
  
  
  RESULTS
  The mean number of patients/day was 20.7. Thirty-six percent consulted due to headache, most under 50 and women. Half had migraine; in 70% daily activities were moderate-severely affected. Almost half had missed at least one work day due to migraine in the previous month. Neurologist considered that headache background of PCP should improve, mainly regarding preventive treatment. Complementary studies were asked in a rather low proportion of patients; CT (35%) being the most frequent. The majority indicated triptans, and in the mild phase of pain, and neuromodulators or beta-blockers for the preventive treatment.
  
  
  CONCLUSIONS
  Migraine is the first reason for consultation in the Neurology Services of our country and impacts negatively in the quality of life of our patients, usually women below 50. Its management should be improved with a better feedback with PCP and the use of the most efficacious treatments.
authors.affiliation: Servicios de Neurología, Hospital Universitario Central de Asturias, Oviedo, España. juliopascual@telefonica.net
authors.forename: Julio
authors.initials: J
authors.lastname: Pascual
authors.forename: Margarita
authors.initials: M
authors.lastname: Sánchez del Río
authors.forename: María Dolores
authors.initials: MD
authors.lastname: Jiménez
authors.forename: José Miguel
authors.initials: JM
authors.lastname: Láinez-Andrés
authors.forename: Valentín
authors.initials: V
authors.lastname: Mateos
authors.forename: Rogelio
authors.initials: R
authors.lastname: Leira
authors.forename: Patricia
authors.initials: P
authors.lastname: Pozo-Rosich
authors.forename: Carlos
authors.initials: C
authors.lastname: Guzmán-Quilo
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D009462:Neurology; D017060:Patient Satisfaction; D010820:Physicians; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D011788:Quality of Life; D013030:Spain / Q000453:epidemiology; D011795:Surveys and Questionnaires; D016896:Treatment Outcome