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Agreement of self-reported migraine with ICHD-II criteria in the Women's Health Study

Authors

  • M Schürks,

    Corresponding author
    1. Division of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital,
      Markus Schürks MD, MSc, Division of Preventive Medicine, Brigham and Women's Hospital, 900 Commonwealth Avenue East, 3rd fl, Boston, MA 02215-1204, USA. Tel. + 1-617-732-8794, fax + 1-617-731-3843, e-mail mschuerks@rics.bwh.harvard.edu
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  • JE Buring,

    1. Division of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital,
    2. Department of Ambulatory Care and Prevention, Harvard Medical School,
    3. Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA,
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  • T Kurth

    1. Division of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital,
    2. Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA,
    3. INSERM Unit 708, Neuroepidemiology, and
    4. University Pierre et Marie Curie, Paris, France
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Markus Schürks MD, MSc, Division of Preventive Medicine, Brigham and Women's Hospital, 900 Commonwealth Avenue East, 3rd fl, Boston, MA 02215-1204, USA. Tel. + 1-617-732-8794, fax + 1-617-731-3843, e-mail mschuerks@rics.bwh.harvard.edu

Abstract

Migraine is a common headache disorder that is increasingly being evaluated in population-based studies. The American Migraine Study II and the Women's Health Study (WHS) have successfully used ‘modified’ International Classification of Headache Disorders, 1st edition (ICHD-I) criteria to classify patients. Investigating agreement of self-reported migraine in large epidemiological studies with the criteria of the revised version [International Classification of Headache Disorders, 2nd edition (ICHD-II)] is sparse. We have investigated 1675 women with self-reported migraine participating in the WHS, who provided additional information on a detailed migraine questionnaire that allowed us to apply all ICHD-II criteria. In this sub-cohort, we confirmed self-reported migraine in > 87% of women when applying the ICHD-II criteria for migraine (71.5%) and probable migraine without aura (16.2%). In conclusion, there is excellent agreement between self-reported migraine and ICHD-II-based migraine classification in the WHS. In addition, questionnaire-based migraine assessment according to full ICHD-II criteria in large population-based studies is feasible.

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